Effects of leukocyte random motility and chemotaxis in tissue inflammatory response.

A rapidly growing body of experimental evidence indicates that defects in leukocyte motility and chemotactic response correlate with increased susceptibility to and severity of bacterial infection in tissue. While this is understandable in qualitative terms, the sensitivity of the correlation is remarkable.In the present study, a theoretical analysis has been developed to relate the dynamics of bacterial growth to the growth and transport parameters of bacteria and leukocytes in tissue. The model considers a local tissue region in the vicinity of a venule and applies continuum unsteady state species conservation equations to the bacterial population, the phagocytic leukocytes, and a chemotactically active chemical mediator assumed to be produced by the bacteria. The analysis quantifies the effects of key parameters, such as leukocyte random motility and chemotactic coefficients, phagocytic and growth rate constants, and leukocyte vessel wall permeability, upon host ability to eliminate the bacteria.As an example, the model's predictions are compared to experimental results correlating inhibition of leukocyte chemotaxis by hemoglobin with its adjuvant action in experimental peritoneal infection by E. coli.