Chemokines are important mediators of inflammation. Animal studies suggest
that inhibition of chemokine action results in a decrease in inflammation.
Novel anti-inflammatory agents directed against chemokines are now availabl
e. Surgeons are uniquely positioned to treat multiple chemokine-mediated di
seases. In this article, we review the biology and nomenclature of chemokin
es as well as their role in neutrophil migration. Further, the potential ro
le of chemokines in various diseases related to surgical conditions, includ
ing adult respiratory distress syndrome, atherosclerosis, inflammatory bowe
l disease, and solid organ rejection, is reviewed. Finally, the idea that c
hemokines could be targets for novel therapeutic agents is discussed.