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2018 ; 16
(1
): 24
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English Wikipedia
Neutrophil extracellular traps induce aggregation of washed human platelets
independently of extracellular DNA and histones
#MMPMID29843771
Elaskalani O
; Abdol Razak NB
; Metharom P
Cell Commun Signal
2018[May]; 16
(1
): 24
PMID29843771
show ga
BACKGROUND: The release of neutrophil extracellular traps (NETs), a mesh of DNA,
histones and neutrophil proteases from neutrophils, was first demonstrated as a
host defence against pathogens. Recently it became clear that NETs are also
released in pathological conditions. NETs released in the blood can activate
thrombosis and initiate a cascade of platelet responses. However, it is not well
understood if these responses are mediated through direct or indirect
interactions. We investigated whether cell-free NETs can induce aggregation of
washed human platelets in vitro and the contribution of NET-derived extracellular
DNA and histones to platelet activation response. METHODS: Isolated human
neutrophils were stimulated with PMA to produce robust and consistent NETs.
Cell-free NETs were isolated and characterised by examining DNA-histone complexes
and quantification of neutrophil elastase with ELISA. NETs were incubated with
washed human platelets to assess several platelet activation responses. Using
pharmacological inhibitors, we explored the role of different NET components, as
well as main platelet receptors, and downstream signalling pathways involved in
NET-induced platelet aggregation. RESULTS: Cell-free NETs directly induced
dose-dependent platelet aggregation, dense granule secretion and procoagulant
phosphatidyl serine exposure on platelets. Surprisingly, we found that inhibition
of NET-derived DNA and histones did not affect NET-induced platelet aggregation
or activation. We further identified the molecular pathways involved in
NET-activated platelets. The most potent single modulator of NET-induced platelet
responses included NET-bound cathepsin G, platelet Syk kinase, and P2Y(12) and
?IIb?3 receptors. CONCLUSIONS: In vitro-generated NETs can directly induce marked
aggregation of washed human platelets. Pre-treatment of NETs with DNase or
heparin did not reduce NET-induced activation or aggregation of human washed
platelets. We further identified the molecular pathways activated in platelets in
response to NETs. Taken together, we conclude that targeting certain platelet
activation pathways, rather than the NET scaffold, has a more profound reduction
on NET-induced platelet aggregation.