Lymph flow directs rapid neutrophil positioning in the lymph node in infection

Soon after Staphylococcus aureus ( S. aureus ) skin infection, neutrophils infiltrate the LN via the high endothelial venules (HEVs) to restrain and kill the invading microbes to prevent systemic spread of microbes. In this study, we found that rapid neutrophil migration depends on lymph flow, through which inflammatory chemokines/cytokines produced in the infected tissue are transported to the LN. Without lymph flow, bacteria accumulation in the LN was insufficient to stimulate chemokine production or neutrophil migration. Oxazolone (OX)-induced skin inflammation impaired lymphatic function, and reduced chemokines in the LN after a secondary infection with S. aureus . Due to LN reconstruction and impaired conduit-mediated lymph flow, neutrophil preferentially transmigrated in HEVs located in the medullary sinus, where the HEVs remained exposed to lymph-borne chemokines. Altered neutrophil migration resulted in persistent infection in the LN. Our studies showed that lymph flow directed chemokine dispersal in the LN and ensured rapid neutrophil migration for timely immune protection in infection. The impaired lymph flow and neutrophil migration may contribute to the frequent infection in skin inflammation, such as atopic dermatitis.