DAMPs and NETs in Sepsis.
Journal: 2019/November - Frontiers in Immunology
ISSN: 1664-3224
Abstract:
Sepsis is a deadly inflammatory syndrome caused by an exaggerated immune response to infection. Much has been focused on host response to pathogens mediated through the interaction of pathogen-associated molecular patterns (PAMPs) and pattern recognition receptors (PRRs). PRRs are also activated by host nuclear, mitochondrial, and cytosolic proteins, known as damage-associated molecular patterns (DAMPs) that are released from cells during sepsis. Some well described members of the DAMP family are extracellular cold-inducible RNA-binding protein (eCIRP), high mobility group box 1 (HMGB1), histones, and adenosine triphosphate (ATP). DAMPs are released from the cell through inflammasome activation or passively following cell death. Similarly, neutrophil extracellular traps (NETs) are released from neutrophils during inflammation. NETs are webs of extracellular DNA decorated with histones, myeloperoxidase, and elastase. Although NETs contribute to pathogen clearance, excessive NET formation promotes inflammation and tissue damage in sepsis. Here, we review DAMPs and NETs and their crosstalk in sepsis with respect to their sources, activation, release, and function. A clear grasp of DAMPs, NETs and their interaction is crucial for the understanding of the pathophysiology of sepsis and for the development of novel sepsis therapeutics.
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Front Immunol 10: 2536

DAMPs and NETs in Sepsis

Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Center for Immunology and Inflammation, Feinstein Institutes for Medical Research, Manhasset, NY, United States
Elmezzi Graduate School of Molecular Medicine, Manhasset, NY, United States
Department of Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, United States
Department of Molecular Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, United States
Edited by: Timothy Robert Billiar, University of Pittsburgh, United States
Reviewed by: Markus Bosmann, Boston University, United States; Michael Thomas Lotze, University of Pittsburgh Cancer Institute, United States
*Correspondence: Monowar Aziz ude.llewhtron@1zizam
Ping Wang ude.llewhtron@gnawp
This article was submitted to Inflammation, a section of the journal Frontiers in Immunology
Edited by: Timothy Robert Billiar, University of Pittsburgh, United States
Reviewed by: Markus Bosmann, Boston University, United States; Michael Thomas Lotze, University of Pittsburgh Cancer Institute, United States
Received 2019 May 14; Accepted 2019 Oct 11.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

Abstract

Sepsis is a deadly inflammatory syndrome caused by an exaggerated immune response to infection. Much has been focused on host response to pathogens mediated through the interaction of pathogen-associated molecular patterns (PAMPs) and pattern recognition receptors (PRRs). PRRs are also activated by host nuclear, mitochondrial, and cytosolic proteins, known as damage-associated molecular patterns (DAMPs) that are released from cells during sepsis. Some well described members of the DAMP family are extracellular cold-inducible RNA-binding protein (eCIRP), high mobility group box 1 (HMGB1), histones, and adenosine triphosphate (ATP). DAMPs are released from the cell through inflammasome activation or passively following cell death. Similarly, neutrophil extracellular traps (NETs) are released from neutrophils during inflammation. NETs are webs of extracellular DNA decorated with histones, myeloperoxidase, and elastase. Although NETs contribute to pathogen clearance, excessive NET formation promotes inflammation and tissue damage in sepsis. Here, we review DAMPs and NETs and their crosstalk in sepsis with respect to their sources, activation, release, and function. A clear grasp of DAMPs, NETs and their interaction is crucial for the understanding of the pathophysiology of sepsis and for the development of novel sepsis therapeutics.

Keywords: DAMPs (damage-associated molecular patterns), NETs (neutrophil extracellular traps), sepsis, HMGB1 (high-mobility group box 1), CIRP, cold-inducible RNA-binding protein, histone, neutrophils
Abstract

Footnotes

Funding. This study was supported by the National Institutes of Health (NIH) grant R35GM118337 (PW) and R01GM129633 (MA).

Footnotes

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