Therapeutic ACPA inhibits NET formation: a potential therapy for neutrophil-mediated inflammatory diseases
العنوان: | Therapeutic ACPA inhibits NET formation: a potential therapy for neutrophil-mediated inflammatory diseases |
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المؤلفون: | Helmuth H. G. van Es, Konstantinos Kambas, Gonny Schmets, Renato G.S. Chirivi, Jos W. G. van Rosmalen, Markus H. Hoffmann, Jos M.H. Raats, Maarten van der Linden, Quinte Braster, Galina S. Bogatkevich, Jonas Hahn, Maximilien Euler, Oliver Soehnlein |
المساهمون: | Graduate School, ACS - Atherosclerosis & ischemic syndromes, AII - Inflammatory diseases |
المصدر: | Cellular and Molecular Immunology Cellular & molecular immunology, 18(6). Nature Publishing Group |
بيانات النشر: | Springer Science and Business Media LLC, 2020. |
سنة النشر: | 2020 |
مصطلحات موضوعية: | 0301 basic medicine, Neutrophils, Inflammatory arthritis, Immunology, Translational immunology, Autoimmunity, Inflammation, Pharmacology, medicine.disease_cause, Inflammatory bowel disease, Article, 03 medical and health sciences, 0302 clinical medicine, In vivo, Therapeutic Antibody, Pulmonary fibrosis, medicine, Immunology and Allergy, Neutrophil Extracellular Traps, business.industry, Citrullination, Neutrophil extracellular traps, medicine.disease, Nucleosomes, NET inhibition, 030104 developmental biology, Infectious Diseases, Antibodies, Antinuclear, 030220 oncology & carcinogenesis, medicine.symptom, business |
الوصف: | Excessive release of neutrophil extracellular traps (NETs) is associated with disease severity and contributes to tissue injury, followed by severe organ damage. Pharmacological or genetic inhibition of NET release reduces pathology in multiple inflammatory disease models, indicating that NETs are potential therapeutic targets. Here, we demonstrate using a preclinical basket approach that our therapeutic anti-citrullinated protein antibody (tACPA) has broad therapeutic potential. Treatment with tACPA prevents disease symptoms in various mouse models with plausible NET-mediated pathology, including inflammatory arthritis (IA), pulmonary fibrosis, inflammatory bowel disease and sepsis. We show that citrulline residues in the N-termini of histones 2A and 4 are specific targets for therapeutic intervention, whereas antibodies against other N-terminal post-translational histone modifications have no therapeutic effects. Because citrullinated histones are generated during NET release, we investigated the ability of tACPA to inhibit NET formation. tACPA suppressed NET release from human neutrophils triggered with physiologically relevant human disease-related stimuli. Moreover, tACPA diminished NET release and potentially initiated NET uptake by macrophages in vivo, which was associated with reduced tissue damage in the joints of a chronic arthritis mouse model of IA. To our knowledge, we are the first to describe an antibody with NET-inhibiting properties and thereby propose tACPA as a drug candidate for NET-mediated inflammatory diseases, as it eliminates the noxious triggers that lead to continued inflammation and tissue damage in a multidimensional manner. |
تدمد: | 2042-0226 1672-7681 |
الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8dc389ee30b29138d7bddf35dd403057Test https://doi.org/10.1038/s41423-020-0381-3Test |
حقوق: | OPEN |
رقم الانضمام: | edsair.doi.dedup.....8dc389ee30b29138d7bddf35dd403057 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 20420226 16727681 |
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