Neutrophil extracellular traps are associated with inflammation in chronic airway disease. Issue 3 (25th January 2016)

• Record Type: Journal Article
• Authors: Wright, Thomas K.; Gibson, Peter G.; Simpson, Jodie L.; McDonald, Vanessa M.; Wood, Lisa G.; Baines, Katherine J.
• Is Part Of: Respirology. Volume 21:Issue 3(2016)
• Page Start: 467
• Page End: 475
• Publication Date: 2016-01-25
• Subjects: asthma -- chronic obstructive pulmonary disease -- extracellular deoxyribonucleic acid -- neutrophil -- neutrophil extracellular trap; Respiratory organs -- Diseases -- Periodicals; Respiratory organs -- Periodicals; 612.2
• DOI: 10.1111/resp.12730
• Languages: English
• ISSNs: 1323-7799

Abstract

Abstract: 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. Abstract : 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.