Neutrophil extracellular trap formation in anti-neutrophil cytoplasmic antibody-associated and large-vessel vasculitis

被引:19
作者
Michailidou, Despina [1 ]
Kuley, Runa [1 ,2 ]
Wang, Ting [1 ]
Hermanson, Payton [1 ]
Grayson, Peter C. [3 ]
Cuthbertson, David [4 ]
Khalidi, Nader A. [5 ]
Koening, Curry L. [6 ]
Langford, Carol A. [7 ]
McAlear, Carol A. [8 ]
Moreland, Larry W. [9 ]
Pagnoux, Christian [10 ]
Seo, Philip [11 ]
Specks, Ulrich [12 ]
Sreih, Antoine G. [8 ]
Warrington, Kenneth J. [13 ]
Monach, Paul A. [14 ]
Merkel, Peter A. [8 ]
Lood, Christian [1 ,15 ]
机构
[1] Univ Washington, Div Rheumatol, Seattle, WA USA
[2] Mahindra Univ, Ctr Life Sci, Hyderabad, India
[3] Natl Inst Arthrit & Musculoskeletal & Skin Dis, Syst Autoimmun Branch, Bethesda, MD USA
[4] Univ S Florida, Hlth Informat Inst, South Florida, FL USA
[5] Mc Master Univ, Div Rheumatol, Hamilton, ON, Canada
[6] UT Hlth Austin, Div Rheumatol, Austin, TX USA
[7] Cleveland Clin, Div Rheumatol, Cleveland, OH USA
[8] Univ Penn, Div Rheumatol, Philadelphia, PA USA
[9] Univ Colorado, Div Rheumatol & Clin Immunol, Denver, CO USA
[10] Mt Sinai Hosp, Div Rheumatol, Toronto, ON, Canada
[11] Johns Hopkins Univ, Div Rheumatol, Baltimore, MD USA
[12] Mayo Clin, Div Pulm & Crit Care Med, Rochester, MN USA
[13] Mayo Clin, Div Rheumatol, Rochester, MN USA
[14] Brigham & Womens Hosp, Div Rheumatol, Boston, MA USA
[15] Univ Washington, Dept Med, Div Rheumatol, 750 Republican St, Seattle, WA 98109 USA
关键词
Anti-neutrophil cytoplasmic antibody; associated vasculitis; Large vessel vasculitis; Neutrophils; Neutrophil extracellular traps; Histone; Platelet activation; Thrombospondin-1; ANTIHISTONE ANTIBODIES; GRANULOMATOSIS; ACTIVATION; RISK; NETS;
D O I
10.1016/j.clim.2023.109274
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Levels of neutrophil extracellular traps (NETs) were measured in plasma of healthy controls (HC, n = 30) and patients with granulomatosis with polyangiitis (GPA, n = 123), microscopic polyangiitis (MPA, n = 61), Takayasu's arteritis (TAK, n = 58), and giant cell arteritis (GCA, n = 68), at times of remission or activity and correlated with levels of the platelet-derived thrombospondin-1 (TSP-1).Levels of NETs were elevated during active disease in patients with GPA (p < 0.0001), MPA (p = 0.0038), TAK (p < 0.0001), and GCA (p < 0.0001), and in remission for GPA, p < 0.0001, MPA, p = 0.005, TAK, p = 0.03, and GCA, p = 0.0009. All cohorts demonstrated impaired NET degradation. Patients with GPA (p = 0.0045) and MPA (p = 0.005) had anti-NET IgG antibodies. Patients with TAK had anti-histone antibodies (p < 0.01), correlating with presence of NETs. Levels of TSP-1 were increased in all patients with vasculitis, and associated with NET formation.NET formation is a common process in vasculitides. Targeting NET formation or degradation could be po-tential therapeutic approaches for vasculitides.
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页数:10
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