Please ensure Javascript is enabled for purposes of website accessibility
REVIEW PAPER
Neutrophil extracellular traps as the main source of eDNA
 
More details
Hide details
1
Department of Microbiological and Nanobiomedical Engineering, Medical University of Bialystok, Bialystok, Poland
 
2
Department of Haematology, Holy Cross Oncology Centre, Kielce, Poland
 
3
Department of Microbiology and Immunology, Faculty of Health Sciences, Jan Kochanowski University, Kielce, Poland
 
 
Submission date: 2017-05-16
 
 
Final revision date: 2017-06-14
 
 
Acceptance date: 2017-06-23
 
 
Publication date: 2017-06-30
 
 
Medical Studies 2017;33(2):137-145
 
KEYWORDS
TOPICS
ABSTRACT
Neutrophil extracellular traps (NETs) are web-like structures consisting of decondensed DNA together with accompanying proteins, including histones and antimicrobial peptides released from activated neutrophils as part of the first-line defence against pathogens. Despite the protective role of neutrophils, a number of studies indicate that overproduction of NETs followed by accumulation of extracellular DNA (eDNA) and other negatively-charged polyelectrolytes (PE) such as F-actin, contribute to the pathogenesis of some diseases. Neutrophil extracellular traps are also recognised as the structural and functional support of microbial biofilms and should thus be considered as therapeutic targets. Importantly, the chemical nature of PE permits aggregate formation induced by a number of polycations occurring naturally in the human body, including cationic antimicrobial peptides. This review summarises recent reports focused on the clinical significance of NET-derived eDNA and PE and discusses the potential therapeutic strategies to limit the negative consequences of eDNA accumulation.
REFERENCES (71)
1.
Chernick WS, Barbero GJ. Composition of tracheobronchial secretions in cystic fibrosis of the pancreas and bronchiectasis. Pediatrics 1959; 24: 739-45.
 
2.
Vasconcellos CA, Allen PG, Wohl ME, Drazen JM, Janmey PA, Stossel TP. Reduction in viscosity of cystic fibrosis sputum in vitro by gelsolin. Science 1994; 263: 969-71.
 
3.
Sheils CA, Kas J, Travassos W, Allen PG, Janmey PA, Wohl ME, Stossel TP. Actin filaments mediate DNA fiber formation in chronic inflammatory airway disease. Am J Pathol 1996; 148: 919-27.
 
4.
Weiner DJ, Bucki R, Janmey PA. The antimicrobial activity of the cathelicidin LL37 is inhibited by F-actin bundles and restored by gelsolin. Am J Respir Cell Mol Biol 2003; 28: 738-45.
 
5.
Tang JX, Wen Q, Bennett A, Kim B, Sheils CA, Bucki R, Janmey PA. Anionic poly(amino acid)s dissolve F-actin and DNA bundles, enhance DNase activity, and reduce the viscosity of cystic fibrosis sputum. Am J Physiol Lung Cell Mol Physiol 2005; 289: L599-605.
 
6.
Fuxman Bass JI, Russo DM, Gabelloni ML, Geffner JR, Giordano M, Catalano M, Zorreguieta A, Trevani AS. Extracellular DNA: a major proinflammatory component of Pseudomonas aeruginosa biofilms. J Immunol 2010; 184: 6386-95.
 
7.
Chrysanthopoulou A, Mitroulis I, Apostolidou E, Arelaki S, Mikroulis D, Konstantinidis T, Sivridis E, Koffa M, Giatromanolaki A, Boumpas DT, Ritis K, Kambas K. Neutrophil extracellular traps promote differentiation and function of fibroblasts. J Pathol 2014; 233: 294-307.
 
8.
Czaikoski PG, Mota JM, Nascimento DC, Sonego F, Castanheira FV, Melo PH, Scortegagna GT, Silva RL, Barroso-Sousa R, Souto FO, Pazin-Filho A, Figueiredo F, Alves-Filho JC, Cunha FQ. Neutrophil extracellular traps induce organ damage during experimental and clinical sepsis. PLoS One 2016; 11: e0148142.
 
9.
Grayson PC, Kaplan MJ. At the Bench: neutrophil extracellular traps (NETs) highlight novel aspects of innate immune system involvement in autoimmune diseases. J Leukoc Biol 2016; 99: 253-64.
 
10.
Zhang X, Zhuchenko O, Kuspa A, Soldati T. Social amoebae trap and kill bacteria by casting DNA nets. Nat Commun 2016; 7: 10938.
 
11.
Halverson TW, Wilton M, Poon KK, Petri B, Lewenza S. DNA is an antimicrobial component of neutrophil extracellular traps. PLoS Pathog 2015; 11: e1004593.
 
12.
Branzk N, Papayannopoulos V. Molecular mechanisms regulating NETosis in infection and disease. Semin Immunopathol 2013; 35: 513-30.
 
13.
Fadini GP, Menegazzo L, Rigato M, Scattolini V, Poncina N, Bruttocao A, Ciciliot S, Mammano F, Ciubotaru CD, Brocco E, Marescotti MC, Cappellari R, Arrigoni G, Millioni R, Vigili de Kreutzenberg S, Albiero M, Avogaro A. NETosis delays diabetic wound healing in mice and humans. Diabetes 2016; 65: 1061-71.
 
14.
Merza M, Hartman H, Rahman M, Hwaiz R, Zhang E, Renström E, Luo L, Mörgelin M, Regner S, Thorlacius H. Neutrophil extracellular traps induce trypsin activation, inflammation, and tissue damage in mice with severe acute pancreatitis. Gastroenterology 2015; 149: 1920-31e8.
 
15.
Quinn RA, Lim YW, Maughan H, Conrad D, Rohwer F, Whiteson KL. Biogeochemical forces shape the composition and physiology of polymicrobial communities in the cystic fibrosis lung. MBio 2014; 5: e00956-13.
 
16.
Fuchs TA, Brill A, Duerschmied D, Schatzberg D, Monestier M, Myers DD, Wrobleski SK, Wakefield TW, Hartwig JH, Wagner DD. Extracellular DNA traps promote thrombosis. Proc Natl Acad Sci USA 2010; 107: 15880-5.
 
17.
Zeng FQ, Yin RF, Tan GZ, Guo Q, Xu DQ. Characterization of DNA antigens from immune complexes deposited in the skin of patients with systemic lupus erythematosus. Chin Med J (Engl) 2004; 117: 1066-71.
 
18.
Smith CK, Kaplan MJ. The role of neutrophils in the pathogenesis of systemic lupus erythematosus. Curr Opin Rheumatol 2015; 27: 448-53.
 
19.
Villanueva E, Yalavarthi S, Berthier CC, Hodgin JB, Khandpur R, Lin AM, Rubin CJ, Zhao W, Olsen SH, Klinker M, Shealy D, Denny MF, Plumas J, Chaperot L, Kretzler M, Bruce AT, Kaplan MJ. Netting neutrophils induce endothelial damage, infiltrate tissues, and expose immunostimulatory molecules in systemic lupus erythematosus. J Immunol 2011; 187: 538-52.
 
20.
Sonawane S, Khanolkar V, Namavari A, Chaudhary S, Gandhi S, Tibrewal S, Jassim SH, Shaheen B, Hallak J, Horner JH, Newcomb M, Sarkar J, Jain S. Ocular surface extracellular DNA and nuclease activity imbalance: a new paradigm for inflammation in dry eye disease. Invest Ophthalmol Vis Sci 2012; 53: 8253-63.
 
21.
Wong SL, Demers M, Martinod K, Gallant M, Wang Y, Goldfine AB, Kahn CR, Wagner DD. Diabetes primes neutrophils to undergo NETosis, which impairs wound healing. Nat Med 2015; 21: 815-9.
 
22.
Bloomfield VA, Wilson RW, Rau DC. Polyelectrolyte effects in DNA condensation by polyamines. Biophys Chem 1980; 11: 339-43.
 
23.
Lood C, Blanco LP, Purmalek MM, Carmona-Rivera C, De Ravin SS, Smith CK, Malech HL, Ledbetter JA, Elkon KB, Kaplan MJ. Neutrophil extracellular traps enriched in oxidized mitochondrial DNA are interferogenic and contribute to lupus-like disease. Nat Med 2016; 22: 146-53.
 
24.
Dwyer M, Shan Q, D’Ortona S, Maurer R, Mitchell R, Olesen H, Thiel S, Huebner J, Gadjeva M. Cystic fibrosis sputum DNA has NETosis characteristics and neutrophil extracellular trap release is regulated by macrophage migration-inhibitory factor. J Innate Immun 2014; 6: 765-79.
 
25.
Lethem MI, James SL, Marriott C. The role of mucous glycoproteins in the rheologic properties of cystic fibrosis sputum. Am Rev Respir Dis 1990; 142: 1053-8.
 
26.
Lethem MI, James SL, Marriott C, Burke JF. The origin of DNA associated with mucus glycoproteins in cystic fibrosis sputum. Eur Respir J 1990; 3: 19-23.
 
27.
Denton R. Bronchial obstruction in cystic fibrosis: rheological factors. Pediatrics 1960; 25: 611-20.
 
28.
Dickson I. Pancreatitis: NETs clog pancreatic ducts. Nat Rev Gastroenterol Hepatol 2016; 13: 252.
 
29.
Wang H, Sha LL, Ma TT, Zhang LX, Chen M, Zhao MH. Circulating level of neutrophil extracellular traps is not a useful biomarker for assessing disease activity in antineutrophil cytoplasmic antibody-associated vasculitis. PLoS One 2016; 11: e0148197.
 
30.
Lee DJ, Modlin RL. DNA transportation authority. Nat Med 2008; 14: 1319-20.
 
31.
Sol A, Skvirsky Y, Blotnick E, Bachrach G, Muhlrad A. Actin and DNA protect histones from degradation by bacterial proteases but inhibit their antimicrobial activity. Front Microbiol 2016; 7: 1248.
 
32.
Iacomino G, Picariello G, Sbrana F, Di Luccia A, Raiteri R, D’Agostino L. DNA is wrapped by the nuclear aggregates of polyamines: the imaging evidence. Biomacromolecules 2011; 12: 1178-86.
 
33.
Iacomino G, Picariello G, Stillitano I, D’Agostino L. Nuclear aggregates of polyamines in a radiation-induced DNA damage model. Int J Biochem Cell Biol 2014; 47: 11-9.
 
34.
Brooks WH. Increased polyamines alter chromatin and stabilize autoantigens in autoimmune diseases. Front Immunol 2013; 4: 91.
 
35.
Lewis RW. The biochemical basis of cystic fibrosis: an hypothesis based upon the polyelectrolytes of mucus. Tex Rep Biol Med 1978; 36: 33-8.
 
36.
Tang J, Wong S, Tran P, Janmey PA. Counterion induced bundle formation of rodlike polyelectrolytes. Ber Bunsenges Phys Chem 1996; 100: 796-806.
 
37.
Tang JX, Janmey PA. The polyelectrolyte nature of F-actin and the mechanism of actin bundle formation. J Biol Chem 1996; 271: 8556-63.
 
38.
Wine JJ. The genesis of cystic fibrosis lung disease. J Clin Invest 1999; 103: 309-12.
 
39.
Smith JJ, Travis SM, Greenberg EP, Welsh MJ. Cystic fibrosis airway epithelia fail to kill bacteria because of abnormal airway surface fluid. Cell 1996; 85: 229-36.
 
40.
Wong GC, Tang JX, Lin A, Li Y, Janmey PA, Safinya CR. Hierarchical self-assembly of F-actin and cationic lipid complexes: stacked three-layer tubule networks. Science 2000; 288: 2035-9.
 
41.
Sanders LK, Xian W, Guaqueta C, Strohman MJ, Vrasich CR, Luijten E, Wong GC. Control of electrostatic interactions between F-actin and genetically modified lysozyme in aqueous media. Proc Natl Acad Sci USA 2007; 104: 15994-9.
 
42.
Wong GC, Pollack L. Electrostatics of strongly charged biological polymers: ion-mediated interactions and selforganization in nucleic acids and proteins. Annu Rev Phys Chem 2010; 61: 171-89.
 
43.
Angelini TE, Golestanian R, Coridan RH, Butler JC, Beraud A, Krisch M, Sinn H, Schweizer KS, Wong GC. Counterions between charged polymers exhibit liquid-like organization and dynamics. Proc Natl Acad Sci USA 2006; 103: 7962-7.
 
44.
Donati I, Benegas JC, Cesaro A, Paoletti S. Specific interactions versus counterion condensation. 2. Theoretical treatment within the counterion condensation theory. Biomacromolecules 2006; 7: 1587-96.
 
45.
Bucki R, Sostarecz AG, Byfield FJ, Savage PB, Janmey PA. Resistance of the antibacterial agent ceragenin CSA-13 to inactivation by DNA or F-actin and its activity in cystic fibrosis sputum. J Antimicrob Chemother 2007; 60: 535-45.
 
46.
Surel U, Niemirowicz K, Marzec M, Savage PB, Bucki R. Ceragenins – a new weapon to fight multidrug resistant bacterial infections. Studia Medyczne 2014; 30: 207-13.
 
47.
Wnorowska U, Niemirowicz K, Myint M, Diamond SL, Wróblewska M, Savage PB, Janmey PA, Bucki R. Bactericidal activity of cathelicidin LL-37 and select cationic lipids against the hypervirulent P. aeruginosa strain LESB58. Antimicrob Agents Chemother 2015; 59: 3808-15.
 
48.
Wright TK, Gibson PG, Simpson JL, McDonald VM, Wood LG, Baines KJ. Neutrophil extracellular traps are associated with inflammation in chronic airway disease. Respirology 2016; 21: 467-75.
 
49.
White PC, Chicca IJ, Cooper PR, Milward MR, Chapple IL. Neutrophil extracellular traps in periodontitis: a Web of intrigue. J Dent Res 2016; 95: 26-34.
 
50.
Thalin C, Demers M, Blomgren B, Wong SL, von Arbin M, von Heijne A, Laska AC, Wallén H, Wagner DD, Aspberg S. NETosis promotes cancer-associated arterial microthrombosis presenting as ischemic stroke with troponin elevation. Thromb Res 2016; 139: 56-64.
 
51.
Bucki R, Namiot DB, Namiot Z, Savage PB, Janmey PA. Salivary mucins inhibit antibacterial activity of the cathelicidin-derived LL-37 peptide but not the cationic steroid CSA-13. J Antimicrob Chemother 2008; 62: 329-35.
 
52.
Lai XZ, Feng Y, Pollard J, Chin JN, Rybak MJ, Bucki R, Epand RF, Epand RM, Savage PB. Ceragenins: cholic acibased mimics of antimicrobial peptides. Acc Chem Res 2008; 41: 1233-40.
 
53.
Randazzo RA, Bucki R, Janmey PA, Diamond SL. A series of cationic sterol lipids with gene transfer and bactericidal activity. Bioorg Med Chem 2009; 17: 3257-65.
 
54.
Leszczynska K, Namiot A, Fein DE, Wen Q, Namiot Z, Savage PB, Diamond S, Janmey PA, Bucki R. Bactericidal activities of the cationic steroid CSA-13 and the cathelicidin peptide LL-37 against Helicobacter pylori in simulated gastric juice. BMC Microbiol 2009; 9: 187.
 
55.
Fein DE, Bucki R, Byfield F, Leszczynska K, Janmey PA, Diamond SL. Novel cationic lipids with enhanced gene delivery and antimicrobial activity. Mol Pharmacol 2010; 78: 402-10.
 
56.
Leszczynska K, Namiot A, Cruz K, Byfield FJ, Won E, Mendez G, Sokołowski W, Savage PB, Bucki R, Janmey PA. Potential of ceragenin CSA-13 and its mixture with pluronic F-127 as treatment of topical bacterial infections. J Appl Microbiol 2010; 110: 229-38.
 
57.
Suk JS, Lai SK, Wang YY, Ensign LM, Zeitlin PL, Boyle MP, Hanes J. The penetration of fresh undiluted sputum expectorated by cystic fibrosis patients by non-adhesive polymer nanoparticles. Biomaterials 2009; 30: 2591-7.
 
58.
Walker TS, Tomlin KL, Worthen GS, Poch KR, Lieber JG, Saavedra MT, Fessler MB, Malcolm KC, Vasil ML, Nick JA. Enhanced Pseudomonas aeruginosa biofilm development mediated by human neutrophils. Infect Immun 2005; 73: 3693-701.
 
59.
Mulcahy H, Charron-Mazenod L, Lewenza S. Extracellular DNA chelates cations and induces antibiotic resistance in Pseudomonas aeruginosa biofilms. PLoS Pathog 2008; 4: e1000213.
 
60.
Wnorowska UW, Wątek M, Durnaś B, Głuszek K, Piktel E, Niemirowicz K, Bucki R. Extracellular DNA as an essential component and therapeutic target of microbial biofilm. Studia Medyczne 2015; 31: 132-8.
 
61.
Robertson DM, Parks QM, Young RL, Kret J, Poch KR, Malcolm KC, Nichols DP, Nichols M, Zhu M, Cavanagh HD, Nick JA. Disruption of contact lens-associated Pseudomonas aeruginosa biofilms formed in the presence of neutrophils. Invest Ophthalmol Vis Sci 2011; 52: 2844-50.
 
62.
Bucki R, Niemirowicz K, Wnorowska U, Wątek M, Byfield FJ, Cruz K, Wróblewska M, Janmey PA. Polyelectrolytemediated increase of biofilm mass formation. BMC Microbiol 2015; 15: 117.
 
63.
Rubin BK, Kater AP, Goldstein AL. Thymosin beta4 sequesters actin in cystic fibrosis sputum and decreases sputum cohesivity in vitro. Chest 2006; 130: 1433-40.
 
64.
Badamchian M, Damavandy AA, Goldstein AL. Development of an analytical HPLC methodology to study the effects of thymosin beta4 on actin in sputum of cystic fibrosis patients. Ann N Y Acad Sci 2012; 1270: 86-92.
 
65.
Whitchurch CB, Tolker-Nielsen T, Ragas PC, Mattick JS. Extracellular DNA required for bacterial biofilm formation. Science 2002; 295: 1487.
 
66.
Montanaro L, Poggi A, Visai L, Ravaioli S, Campoccia D, Speziale P, Arciola CR. Extracellular DNA in biofilms. Int J Artif Organs 2011; 34: 824-31.
 
67.
Hall-Stoodley L, Nistico L, Sambanthamoorthy K, Dice B, Nguyen D, Mershon WJ, Johnson C, Hu FZ, Stoodley P, Ehrlich GD, Post JC. Characterization of biofilm matrix, degradation by DNase treatment and evidence of capsule downregulation in Streptococcus pneumoniae clinical isolates. BMC Microbiol 2008; 8: 173.
 
68.
Bucki R, Cruz K, Pogoda K, Eggert A, Chin L, Ferrin M, Imbesi G, Hadjiliadis D, Janmey PA. Enhancement of Pulmozyme activity in purulent sputum by combination with poly-aspartic acid or gelsolin. J Cyst Fibros 2015; 14: 587-93.
 
69.
Bauer S, Kirschning CJ, Häcker H, Redecke V, Hausmann S, Akira S, Wagner H, Lipford GB. Human TLR9 confers responsiveness to bacterial DNA via species-specific CpG motif recognition. Proc Natl Acad Sci USA 2001; 98: 9237-42.
 
70.
Arciola CR, Campoccia D, Ehrlich GD, Montanaro L. Biofilm-based implant infections in orthopaedics. Adv Exp Med Biol 2015; 830: 29-46.
 
71.
Wilton M, Charron-Mazenod L, Moore R, Lewenza S. Extracellular DNA Acidifies biofilms and induces aminoglycoside resistance in Pseudomonas aeruginosa. Antimicrob Agents Chemother 2015; 60: 544-53.
 
eISSN:2300-6722
ISSN:1899-1874
Journals System - logo
Scroll to top