Early neutrophil recruitment impairs clearance by chemically damaging protective antibodies
Extracellular effector chemical inactivationIn paired older-donor perfused tissues, recruited neutrophils are proposed to disable immunoglobulin G (IgG).
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Early recruited neutrophils become net antagonists of antibody-mediated clearance because their extracellular oxidants chemically disable protective IgG faster than additional neutrophils improve killing. Vascular obstruction accompanies this process but is not its decisive mediator. The causal substrate is covalently modified extracellular antibody, not damaged target cells, altered antigen presentation or exhausted antibody inventory. In susceptible older-adult tissues, recruitment restraint improves subsequent clearance by preserving the functional activity of antibodies already present. The switching boundary depends on viable burden B, absolute target-localized access A and the fraction f of local antibody retaining opsonic function: restraint is beneficial only when preserved antibody-dependent killing exceeds lost early neutrophil killing and residual containment remains adequate.
In paired older-donor perfused tissues, hold functional access, antibody concentration and pathogen inoculum constant while varying early recruitment.
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High recruitment should increase defined antibody oxidative modifications and reduce opsonophagocytic activity. Replacing recovered damaged IgG with an equal concentration of intact, specificity-matched IgG should restore total-system viable-pathogen clearance without reopening vessels or reducing recruitment. Transferring the purified damaged IgG into a patent, low-recruitment preparation should reproduce impaired clearance. Restoring perfusion alone should not fully rescue it. Failure of these reciprocal transfers despite verified antibody modification falsifies the proposed dominant mechanism.
Limiting early immune recruitment protects clearance by preserving independent blood routes predicts instead: Construct matched vascular networks delivering the same total flow and effector numbers to identical infected foci.
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Compare networks with independent feeder routes against networks sharing an upstream obstruction point, matching the marginal failure probability of each route. Recruitment restraint should yield its largest clearance benefit near the transition to jointly lost routes. Selectively decorrelating route obstruction should improve absolute target-localized activity and total viable clearance without changing mean perfusion, recruitment or antibody chemistry. If route dependence adds no predictive power after absolute delivery is measured, and changing it does not alter delivery failures, reject this mechanism.
Restraining immune recruitment only appears to clear pathogens because blood flow moves them predicts instead: Repeat recruitment restraint in a closed, fully sampled perfusion system containing upstream tissue, serial effluent collection, a downstream capture compartment and terminal recovery of adherent and intracellular organisms. The local CFU advantage should be offset by additional viable organisms outside the original tissue, with no improvement in total-system clearance. Preventing export while preserving nutrient exchange should abolish the apparent benefit. A reproducible reduction in comprehensively recovered total viable burden, supported by independent killing measurements, falsifies this hypothesis.