Neutrophil extracellular traps are associated with inflammation in chronic airway disease

Background and objective Neutrophil extracellular traps (NETs) are web‐like structures comprising DNA and antimicrobial proteins, expelled from neutrophils during NETosis. Persistence of NETs can be pro‐inflammatory, yet their role in respiratory disease remains unclear. This study aimed to investig...

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Veröffentlicht in:Respirology (Carlton, Vic.) Vic.), 2016-04, Vol.21 (3), p.467-475
Hauptverfasser: Wright, Thomas K., Gibson, Peter G., Simpson, Jodie L., McDonald, Vanessa M., Wood, Lisa G., Baines, Katherine J.
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container_issue 3
container_start_page 467
container_title Respirology (Carlton, Vic.)
container_volume 21
creator Wright, Thomas K.
Gibson, Peter G.
Simpson, Jodie L.
McDonald, Vanessa M.
Wood, Lisa G.
Baines, Katherine J.
description Background and objective Neutrophil extracellular traps (NETs) are web‐like structures comprising DNA and antimicrobial proteins, expelled from neutrophils during NETosis. Persistence of NETs can be pro‐inflammatory, yet their role in respiratory disease remains unclear. This study aimed to investigate the presence of NETs in sputum from patients with asthma and COPD, and the relationship of NETs with inflammatory phenotype and disease severity. Methods Induced sputum was collected from healthy controls, asthma and COPD patients. Extracellular DNA (eDNA) was quantified by PicoGreen. LL‐37, α‐defensins1–3, NE, IL‐1β and CXCL8 were quantified by ELISA. PAD4 and NLRP3 gene expression was performed using qPCR. NETs were imaged in sputum smears using immunofluorescence microscopy. Results Sputum eDNA and NET neutrophil antimicrobial proteins were significantly elevated in asthma and COPD compared with healthy controls. Levels of eDNA and NET components were significantly higher in neutrophilic versus non‐neutrophilic asthma and COPD. NETs were clearly visualized in sputum smears. PAD4 mRNA was upregulated in neutrophilic COPD. The level of eDNA was higher in severe asthma. High eDNA levels were associated with heightened innate immune responses, including elevated CXCL8 and IL‐1β, and NLRP3 gene expression in both COPD and asthma. Antimicrobial proteins and eDNA were positively correlated with airway neutrophils, and negatively correlated with lung function and symptoms. Conclusion NETs are present in the airways of subjects with asthma and COPD. Accumulation of excessive NETs was associated with activation of innate immune responses contributing to disease pathogenesis in chronic airway disease. Neutrophil extracellular traps (NETs) are web‐like structures expelled from neutrophils that contain extracellular DNA and neutrophil proteins. We have shown that NETs accumulate in the airways in both asthma and COPD where they are associated with increased levels of pro‐inflammatory cytokines.
doi_str_mv 10.1111/resp.12730
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Persistence of NETs can be pro‐inflammatory, yet their role in respiratory disease remains unclear. This study aimed to investigate the presence of NETs in sputum from patients with asthma and COPD, and the relationship of NETs with inflammatory phenotype and disease severity. Methods Induced sputum was collected from healthy controls, asthma and COPD patients. Extracellular DNA (eDNA) was quantified by PicoGreen. LL‐37, α‐defensins1–3, NE, IL‐1β and CXCL8 were quantified by ELISA. PAD4 and NLRP3 gene expression was performed using qPCR. NETs were imaged in sputum smears using immunofluorescence microscopy. Results Sputum eDNA and NET neutrophil antimicrobial proteins were significantly elevated in asthma and COPD compared with healthy controls. Levels of eDNA and NET components were significantly higher in neutrophilic versus non‐neutrophilic asthma and COPD. NETs were clearly visualized in sputum smears. PAD4 mRNA was upregulated in neutrophilic COPD. The level of eDNA was higher in severe asthma. High eDNA levels were associated with heightened innate immune responses, including elevated CXCL8 and IL‐1β, and NLRP3 gene expression in both COPD and asthma. Antimicrobial proteins and eDNA were positively correlated with airway neutrophils, and negatively correlated with lung function and symptoms. Conclusion NETs are present in the airways of subjects with asthma and COPD. Accumulation of excessive NETs was associated with activation of innate immune responses contributing to disease pathogenesis in chronic airway disease. Neutrophil extracellular traps (NETs) are web‐like structures expelled from neutrophils that contain extracellular DNA and neutrophil proteins. We have shown that NETs accumulate in the airways in both asthma and COPD where they are associated with increased levels of pro‐inflammatory cytokines.</description><identifier>ISSN: 1323-7799</identifier><identifier>EISSN: 1440-1843</identifier><identifier>DOI: 10.1111/resp.12730</identifier><identifier>PMID: 26804470</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Aged ; asthma ; Chronic Disease ; chronic obstructive pulmonary disease ; extracellular deoxyribonucleic acid ; Extracellular Traps - metabolism ; Female ; Humans ; Immunity, Innate ; Inflammation - metabolism ; Inflammation - pathology ; Interleukin-8 - metabolism ; Male ; Middle Aged ; neutrophil ; neutrophil extracellular trap ; Neutrophils - pathology ; Respiratory Tract Diseases - immunology ; Respiratory Tract Diseases - metabolism ; Respiratory Tract Diseases - pathology ; Sputum - cytology ; Sputum - metabolism</subject><ispartof>Respirology (Carlton, Vic.), 2016-04, Vol.21 (3), p.467-475</ispartof><rights>2016 Asian Pacific Society of Respirology</rights><rights>2016 Asian Pacific Society of Respirology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4360-b6c1da09ef8b3045e16b6668fc9c272e5dd5d72c263df3de10b723bbaddd8843</citedby><cites>FETCH-LOGICAL-c4360-b6c1da09ef8b3045e16b6668fc9c272e5dd5d72c263df3de10b723bbaddd8843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fresp.12730$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fresp.12730$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26804470$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wright, Thomas K.</creatorcontrib><creatorcontrib>Gibson, Peter G.</creatorcontrib><creatorcontrib>Simpson, Jodie L.</creatorcontrib><creatorcontrib>McDonald, Vanessa M.</creatorcontrib><creatorcontrib>Wood, Lisa G.</creatorcontrib><creatorcontrib>Baines, Katherine J.</creatorcontrib><title>Neutrophil extracellular traps are associated with inflammation in chronic airway disease</title><title>Respirology (Carlton, Vic.)</title><addtitle>Respirology</addtitle><description>Background and objective Neutrophil extracellular traps (NETs) are web‐like structures comprising DNA and antimicrobial proteins, expelled from neutrophils during NETosis. Persistence of NETs can be pro‐inflammatory, yet their role in respiratory disease remains unclear. This study aimed to investigate the presence of NETs in sputum from patients with asthma and COPD, and the relationship of NETs with inflammatory phenotype and disease severity. Methods Induced sputum was collected from healthy controls, asthma and COPD patients. Extracellular DNA (eDNA) was quantified by PicoGreen. LL‐37, α‐defensins1–3, NE, IL‐1β and CXCL8 were quantified by ELISA. PAD4 and NLRP3 gene expression was performed using qPCR. NETs were imaged in sputum smears using immunofluorescence microscopy. Results Sputum eDNA and NET neutrophil antimicrobial proteins were significantly elevated in asthma and COPD compared with healthy controls. Levels of eDNA and NET components were significantly higher in neutrophilic versus non‐neutrophilic asthma and COPD. NETs were clearly visualized in sputum smears. PAD4 mRNA was upregulated in neutrophilic COPD. The level of eDNA was higher in severe asthma. High eDNA levels were associated with heightened innate immune responses, including elevated CXCL8 and IL‐1β, and NLRP3 gene expression in both COPD and asthma. Antimicrobial proteins and eDNA were positively correlated with airway neutrophils, and negatively correlated with lung function and symptoms. Conclusion NETs are present in the airways of subjects with asthma and COPD. Accumulation of excessive NETs was associated with activation of innate immune responses contributing to disease pathogenesis in chronic airway disease. Neutrophil extracellular traps (NETs) are web‐like structures expelled from neutrophils that contain extracellular DNA and neutrophil proteins. 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Persistence of NETs can be pro‐inflammatory, yet their role in respiratory disease remains unclear. This study aimed to investigate the presence of NETs in sputum from patients with asthma and COPD, and the relationship of NETs with inflammatory phenotype and disease severity. Methods Induced sputum was collected from healthy controls, asthma and COPD patients. Extracellular DNA (eDNA) was quantified by PicoGreen. LL‐37, α‐defensins1–3, NE, IL‐1β and CXCL8 were quantified by ELISA. PAD4 and NLRP3 gene expression was performed using qPCR. NETs were imaged in sputum smears using immunofluorescence microscopy. Results Sputum eDNA and NET neutrophil antimicrobial proteins were significantly elevated in asthma and COPD compared with healthy controls. Levels of eDNA and NET components were significantly higher in neutrophilic versus non‐neutrophilic asthma and COPD. NETs were clearly visualized in sputum smears. PAD4 mRNA was upregulated in neutrophilic COPD. The level of eDNA was higher in severe asthma. High eDNA levels were associated with heightened innate immune responses, including elevated CXCL8 and IL‐1β, and NLRP3 gene expression in both COPD and asthma. Antimicrobial proteins and eDNA were positively correlated with airway neutrophils, and negatively correlated with lung function and symptoms. Conclusion NETs are present in the airways of subjects with asthma and COPD. Accumulation of excessive NETs was associated with activation of innate immune responses contributing to disease pathogenesis in chronic airway disease. Neutrophil extracellular traps (NETs) are web‐like structures expelled from neutrophils that contain extracellular DNA and neutrophil proteins. We have shown that NETs accumulate in the airways in both asthma and COPD where they are associated with increased levels of pro‐inflammatory cytokines.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>26804470</pmid><doi>10.1111/resp.12730</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
asthma
Chronic Disease
chronic obstructive pulmonary disease
extracellular deoxyribonucleic acid
Extracellular Traps - metabolism
Female
Humans
Immunity, Innate
Inflammation - metabolism
Inflammation - pathology
Interleukin-8 - metabolism
Male
Middle Aged
neutrophil
neutrophil extracellular trap
Neutrophils - pathology
Respiratory Tract Diseases - immunology
Respiratory Tract Diseases - metabolism
Respiratory Tract Diseases - pathology
Sputum - cytology
Sputum - metabolism
title Neutrophil extracellular traps are associated with inflammation in chronic airway disease
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