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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Biol+Chem
2017 ; 292
(21
): 8616-8629
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Activated protein C inhibits neutrophil extracellular trap formation in vitro and
activation in vivo
#MMPMID28408624
Healy LD
; Puy C
; Fernández JA
; Mitrugno A
; Keshari RS
; Taku NA
; Chu TT
; Xu X
; Gruber A
; Lupu F
; Griffin JH
; McCarty OJT
J Biol Chem
2017[May]; 292
(21
): 8616-8629
PMID28408624
show ga
Activated protein C (APC) is a multifunctional serine protease with
anticoagulant, cytoprotective, and anti-inflammatory activities. In addition to
the cytoprotective effects of APC on endothelial cells, podocytes, and neurons,
APC cleaves and detoxifies extracellular histones, a major component of
neutrophil extracellular traps (NETs). NETs promote pathogen clearance but also
can lead to thrombosis; the pathways that negatively regulate NETosis are largely
unknown. Thus, we studied whether APC is capable of directly inhibiting NETosis
via receptor-mediated cell signaling mechanisms. Here, by quantifying
extracellular DNA or myeloperoxidase, we demonstrate that APC binds human
leukocytes and prevents activated platelet supernatant or phorbol 12-myristate
13-acetate (PMA) from inducing NETosis. Of note, APC proteolytic activity was
required for inhibiting NETosis. Moreover, antibodies against the neutrophil
receptors endothelial protein C receptor (EPCR), protease-activated receptor 3
(PAR3), and macrophage-1 antigen (Mac-1) blocked APC inhibition of NETosis.
Select mutations in the Gla and protease domains of recombinant APC caused a loss
of NETosis. Interestingly, pretreatment of neutrophils with APC prior to
induction of NETosis inhibited platelet adhesion to NETs. Lastly, in a nonhuman
primate model of Escherichia coli-induced sepsis, pretreatment of animals with
APC abrogated release of myeloperoxidase from neutrophils, a marker of neutrophil
activation. These findings suggest that the anti-inflammatory function of APC at
therapeutic concentrations may include the inhibition of NETosis in an EPCR-,
PAR3-, and Mac-1-dependent manner, providing additional mechanistic insight into
the diverse functions of neutrophils and APC in disease states including sepsis.