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10.1016/j.ebiom.2021.103382

http://scihub22266oqcxt.onion/10.1016/j.ebiom.2021.103382
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suck abstract from ncbi


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pmid34000623      EBioMedicine 2021 ; 67 (ä): 103382
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  • Defective NET clearance contributes to sustained FXII activation in COVID-19-associated pulmonary thrombo-inflammation #MMPMID34000623
  • Englert H; Rangaswamy C; Deppermann C; Sperhake JP; Krisp C; Schreier D; Gordon E; Konrath S; Haddad M; Pula G; Mailer RK; Schluter H; Kluge S; Langer F; Puschel K; Panousis K; Stavrou EX; Maas C; Renne T; Frye M
  • EBioMedicine 2021[May]; 67 (ä): 103382 PMID34000623show ga
  • BACKGROUND: Coagulopathy and inflammation are hallmarks of Coronavirus disease 2019 (COVID-19) and are associated with increased mortality. Clinical and experimental data have revealed a role for neutrophil extracellular traps (NETs) in COVID-19 disease. The mechanisms that drive thrombo-inflammation in COVID-19 are poorly understood. METHODS: We performed proteomic analysis and immunostaining of postmortem lung tissues from COVID-19 patients and patients with other lung pathologies. We further compared coagulation factor XII (FXII) and DNase activities in plasma samples from COVID-19 patients and healthy control donors and determined NET-induced FXII activation using a chromogenic substrate assay. FINDINGS: FXII expression and activity were increased in the lung parenchyma, within the pulmonary vasculature and in fibrin-rich alveolar spaces of postmortem lung tissues from COVID-19 patients. In agreement with this, plasmaaac acafajfoeFXII activation (FXIIa) was increased in samples from COVID-19 patients. Furthermore, FXIIa colocalized with NETs in COVID-19 lung tissue indicating that NETs accumulation leads to FXII contact activation in COVID-19. We further showed that an accumulation of NETs is partially due to impaired NET clearance by extracellular DNases as DNase substitution improved NET dissolution and reduced FXII activation in vitro. INTERPRETATION: Collectively, our study supports that the NET/FXII axis contributes to the pathogenic chain of procoagulant and proinflammatory responses in COVID-19. Targeting both NETs and FXIIa may offer a potential novel therapeutic strategy. FUNDING: This study was supported by the European Union (840189), the Werner Otto Medical Foundation Hamburg (8/95) and the German Research Foundation (FR4239/1-1, A11/SFB877, B08/SFB841 and P06/KFO306).
  • |Autopsy[MESH]
  • |COVID-19/*metabolism[MESH]
  • |Case-Control Studies[MESH]
  • |Deoxyribonucleases/blood/metabolism[MESH]
  • |Extracellular Traps/*metabolism[MESH]
  • |Factor XII/*metabolism[MESH]
  • |Humans[MESH]
  • |Lung/metabolism[MESH]
  • |Neutrophil Activation[MESH]
  • |Pneumonia[MESH]


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