Cellular migration or chemotaxis, a process by which cells migrate toward or away from a chemical stimulus, is required for a normal inflammatory response, resolution of infection, and wound healing.
1 During the early stages of inflammation, polymorphonuclear neutrophils (PMNs) migrate along a chemical gradient and degranulate, releasing the contents of prepackaged granules.
2 PMN granules contain important inflammatory mediators and chemoattractants that lead to the second wave of inflammation comprised mainly of a monocytic and lymphocytic infiltrate.
2 One of these mediators is a cationic antimicrobial protein of 37 kDa (CAP37), which is found within the azurophilic granules of PMNs and acts as a strong chemoattractant for monocytes.
3,4 CAP37, known initially for its antimicrobial activity, is now recognized to have a number of novel and important effects on mammalian cells.
3–6 Prior findings from our laboratory indicate that CAP37 plays a role in host defense and inflammation.
5–8 CAP37 regulates monocyte, macrophage, and microglial functions by promoting migration, phagocytosis, and activation of these cells to produce proinflammatory cytokines.
3,9,10 Furthermore, CAP37 upregulates adhesion molecules on endothelial, smooth muscle, and corneal epithelial cells.
6,8,11 Its ability to upregulate adhesion molecules and to mediate migration and proliferation of human corneal epithelial cells (HCECs) in vitro led us to postulate that CAP37 may have an important role in corneal wound healing. Its induced expression in corneal epithelial cells in response to infection suggests a role in host defense and inflammation.
5,12 The role of endogenously induced CAP37 in facilitating the healing of corneal wounds remains unknown and is the focus of future studies.