Deoxyribonuclease Is a Potential Counter Regulator of Aberrant Neutrophil Extracellular Traps Formation after Major Trauma

Introduction. Neutrophil extracellular traps (NET) consist of a DNA scaffold that can be destroyed by Deoxyribonuclease (DNase). Thus DNases are potential prerequisites for natural counter regulation of NETs formation. In the present study, we determined the relationship of NETs and DNase after majo...

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Main Authors: Wei Meng, Adnana Paunel-Görgülü, Sascha Flohé, Ingo Witte, Michael Schädel-Höpfner, Joachim Windolf, Tim Tobias Lögters
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/149560
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author Wei Meng
Adnana Paunel-Görgülü
Sascha Flohé
Ingo Witte
Michael Schädel-Höpfner
Joachim Windolf
Tim Tobias Lögters
author_facet Wei Meng
Adnana Paunel-Görgülü
Sascha Flohé
Ingo Witte
Michael Schädel-Höpfner
Joachim Windolf
Tim Tobias Lögters
author_sort Wei Meng
collection DOAJ
description Introduction. Neutrophil extracellular traps (NET) consist of a DNA scaffold that can be destroyed by Deoxyribonuclease (DNase). Thus DNases are potential prerequisites for natural counter regulation of NETs formation. In the present study, we determined the relationship of NETs and DNase after major trauma. Methods. Thirty-nine major trauma patients, 14 with and 25 without sepsis development were enrolled in this prospective study. Levels of cell-free (cf)-DNA/NETs and DNase were quantified daily from admission until day 9 after admission. Results. Levels of cf-DNA/NETs in patients who developed sepsis were significantly increased after trauma. In the early septic phase, DNase values in septic patients were significantly increased compared to patients without sepsis (P<0.05). cf-DNA/NETs values correlated to values of DNase in all trauma patients and patients with uneventful recovery (P<0.01) but not in septic patients. Recombinant DNase efficiently degraded NETs released by stimulated neutrophils in a concentration-dependent manner in vitro. Conclusions. DNase degrades NETs in a concentration-dependent manner and therefore could have a potential regulatory effect on NET formation in neutrophils. This may inhibit the antibacterial effects of NETs or protect the tissue from autodestruction in inadequate NETs release in septic patients.
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spelling doaj-art-18e38d8a1cec4e95945c3acc3842e1572025-08-20T02:02:13ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/149560149560Deoxyribonuclease Is a Potential Counter Regulator of Aberrant Neutrophil Extracellular Traps Formation after Major TraumaWei Meng0Adnana Paunel-Görgülü1Sascha Flohé2Ingo Witte3Michael Schädel-Höpfner4Joachim Windolf5Tim Tobias Lögters6Department of Trauma and Hand Surgery, University Hospital Dusseldorf, 40225 Dusseldorf, GermanyDepartment of Trauma and Hand Surgery, University Hospital Dusseldorf, 40225 Dusseldorf, GermanyDepartment of Trauma and Hand Surgery, University Hospital Dusseldorf, 40225 Dusseldorf, GermanyDepartment of Trauma and Hand Surgery, University Hospital Dusseldorf, 40225 Dusseldorf, GermanyDepartment of Trauma and Hand Surgery, University Hospital Dusseldorf, 40225 Dusseldorf, GermanyDepartment of Trauma and Hand Surgery, University Hospital Dusseldorf, 40225 Dusseldorf, GermanyDepartment of Trauma and Hand Surgery, University Hospital Dusseldorf, 40225 Dusseldorf, GermanyIntroduction. Neutrophil extracellular traps (NET) consist of a DNA scaffold that can be destroyed by Deoxyribonuclease (DNase). Thus DNases are potential prerequisites for natural counter regulation of NETs formation. In the present study, we determined the relationship of NETs and DNase after major trauma. Methods. Thirty-nine major trauma patients, 14 with and 25 without sepsis development were enrolled in this prospective study. Levels of cell-free (cf)-DNA/NETs and DNase were quantified daily from admission until day 9 after admission. Results. Levels of cf-DNA/NETs in patients who developed sepsis were significantly increased after trauma. In the early septic phase, DNase values in septic patients were significantly increased compared to patients without sepsis (P<0.05). cf-DNA/NETs values correlated to values of DNase in all trauma patients and patients with uneventful recovery (P<0.01) but not in septic patients. Recombinant DNase efficiently degraded NETs released by stimulated neutrophils in a concentration-dependent manner in vitro. Conclusions. DNase degrades NETs in a concentration-dependent manner and therefore could have a potential regulatory effect on NET formation in neutrophils. This may inhibit the antibacterial effects of NETs or protect the tissue from autodestruction in inadequate NETs release in septic patients.http://dx.doi.org/10.1155/2012/149560
spellingShingle Wei Meng
Adnana Paunel-Görgülü
Sascha Flohé
Ingo Witte
Michael Schädel-Höpfner
Joachim Windolf
Tim Tobias Lögters
Deoxyribonuclease Is a Potential Counter Regulator of Aberrant Neutrophil Extracellular Traps Formation after Major Trauma
Mediators of Inflammation
title Deoxyribonuclease Is a Potential Counter Regulator of Aberrant Neutrophil Extracellular Traps Formation after Major Trauma
title_full Deoxyribonuclease Is a Potential Counter Regulator of Aberrant Neutrophil Extracellular Traps Formation after Major Trauma
title_fullStr Deoxyribonuclease Is a Potential Counter Regulator of Aberrant Neutrophil Extracellular Traps Formation after Major Trauma
title_full_unstemmed Deoxyribonuclease Is a Potential Counter Regulator of Aberrant Neutrophil Extracellular Traps Formation after Major Trauma
title_short Deoxyribonuclease Is a Potential Counter Regulator of Aberrant Neutrophil Extracellular Traps Formation after Major Trauma
title_sort deoxyribonuclease is a potential counter regulator of aberrant neutrophil extracellular traps formation after major trauma
url http://dx.doi.org/10.1155/2012/149560
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