title: Proinflammatory role of neutrophil extracellular traps in abdominal sepsis.
abstract: Excessive neutrophil activation is a major component in septic lung injury. Neutrophil-derived DNA may form extracellular traps in response to bacterial invasions. The aim of the present study was to investigate the potential role of neutrophil extracellular traps (NETs) in septic lung injury. Male C57BL/6 mice were treated with recombinant human (rh)DNAse (5 mg/kg) after cecal ligation and puncture (CLP). Extracellular DNA was stained by Sytox green, and NET formation was quantified by confocal microscopy and cell-free DNA in plasma, peritoneal cavity, and lung. Blood, peritoneal fluid, and lung tissue were harvested for analysis of neutrophil infiltration, NET levels, tissue injury, as well as CXC chemokine and cytokine formation. We observed that CLP caused increased formation of NETs in plasma, peritoneal cavity, and lung. Administration of rhDNAse not only eliminated NET formation in plasma, peritoneal cavity, and bronchoalveolar space but also reduced lung edema and tissue damage 24 h after CLP induction. Moreover, treatment with rhDNAse decreased CLP-induced formation of CXC chemokines, IL-6, and high-mobility group box 1 (HMGB1) in plasma, as well as CXC chemokines and IL-6 in the lung. In vitro, we found that neutrophil-derived NETs had the capacity to stimulate secretion of CXCL2, TNF-α, and HMGB1 from alveolar macrophages. Taken together, our findings show that NETs regulate pulmonary infiltration of neutrophils and tissue injury via formation of proinflammatory compounds in abdominal sepsis. Thus we conclude that NETs exert a proinflammatory role in septic lung injury.
authors.affiliation: Department of Clinical Sciences Malmö, Section for Surgery and.
authors.forename: Lingtao
authors.initials: L
authors.lastname: Luo
authors.affiliation: Department of Clinical Sciences Malmö, Section for Surgery and.
authors.forename: Su
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Department of Clinical Sciences Malmö, Section for Surgery and.
authors.forename: Yongzhi
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Department of Clinical Sciences Malmö, Section for Surgery and.
authors.forename: Milladur
authors.initials: M
authors.lastname: Rahman
authors.affiliation: Department of Clinical Sciences Malmö, Section for Surgery and.
authors.forename: Ingvar
authors.initials: I
authors.lastname: Syk
authors.affiliation: Islet Pathophysiology, Lund University, Malmö, Sweden.
authors.forename: Enming
authors.initials: E
authors.lastname: Zhang
authors.affiliation: Department of Clinical Sciences Malmö, Section for Surgery and henrik.thorlacius@med.lu.se.
authors.forename: Henrik
authors.initials: H
authors.lastname: Thorlacius
mesh_terms: D055371:Acute Lung Injury / Q000276:immunology / Q000382:microbiology / Q000473:pathology; D000818:Animals; D058491:Bacterial Load; D002432:Cecum / Q000473:pathology; D019743:Chemokines, CXC / Q000502:physiology*; D018836:Inflammation Mediators / Q000502:physiology; D007958:Leukocyte Count; D008168:Lung / Q000276:immunology / Q000473:pathology; D008264:Macrophages / Q000276:immunology / Q000378:metabolism; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D020556:Neutrophil Infiltration; D009504:Neutrophils / Q000276:immunology*; D010976:Platelet Count; D018805:Sepsis / Q000276:immunology* / Q000382:microbiology / Q000473:pathology
chemical_list: D019743:Chemokines, CXC; D018836:Inflammation Mediators
keywords: bacteria; infection; inflammation; leukocyte; lung