A conformational change of C-reactive protein drives neutrophil extracellular trap formation in inflammation

Abstract Background C-reactive protein (CRP) represents a routine diagnostic marker of inflammation. Dissociation of native pentameric CRP (pCRP) into the monomeric structure (mCRP) liberates proinflammatory features, presumably contributing to excessive immune cell activation via unknown molecular...

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Main Authors: Ebru Karasu, Rebecca Halbgebauer, Lena Schütte, Johannes Greven, Felix M. Bläsius, Johannes Zeller, Oscar Winninger, David Braig, David Alexander Christian Messerer, Bettina Berger, Hendrik Feuerstein, Anke Schultze, Karlheinz Peter, Uwe Knippschild, Klemens Horst, Frank Hildebrand, Steffen U. Eisenhardt, Markus Huber-Lang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Biology
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Online Access:https://doi.org/10.1186/s12915-024-02093-8
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author Ebru Karasu
Rebecca Halbgebauer
Lena Schütte
Johannes Greven
Felix M. Bläsius
Johannes Zeller
Oscar Winninger
David Braig
David Alexander Christian Messerer
Bettina Berger
Hendrik Feuerstein
Anke Schultze
Karlheinz Peter
Uwe Knippschild
Klemens Horst
Frank Hildebrand
Steffen U. Eisenhardt
Markus Huber-Lang
author_facet Ebru Karasu
Rebecca Halbgebauer
Lena Schütte
Johannes Greven
Felix M. Bläsius
Johannes Zeller
Oscar Winninger
David Braig
David Alexander Christian Messerer
Bettina Berger
Hendrik Feuerstein
Anke Schultze
Karlheinz Peter
Uwe Knippschild
Klemens Horst
Frank Hildebrand
Steffen U. Eisenhardt
Markus Huber-Lang
author_sort Ebru Karasu
collection DOAJ
description Abstract Background C-reactive protein (CRP) represents a routine diagnostic marker of inflammation. Dissociation of native pentameric CRP (pCRP) into the monomeric structure (mCRP) liberates proinflammatory features, presumably contributing to excessive immune cell activation via unknown molecular mechanisms. Results In a multi-translational study of systemic inflammation, we found a time- and inflammation-dependent pCRP dissociation into mCRP. We were able to confirm that mCRP co-localizes with leukocytes at the site of injury after polytrauma and therefore assessed whether the CRP conformation potentiates neutrophil activation. We found mCRP-induced neutrophil-extracellular trap formation in vitro and ex vivo involving nicotinamide adenine dinucleotide phosphate oxidase activation, p38/mitogen-activated protein kinase signaling, and histone H3 citrullination. Mimicking the trauma milieu in a human ex vivo whole blood model, we found significant mCRP generation as well as NET formation, prevented by blocking pCRP conformational changes. Conclusions Our data provide novel molecular insights how CRP dissociation contributes to neutrophil activation as driver of various inflammatory disorders.
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spelling doaj-art-1f9a20d32bb04c878f258ff4d85ad9bf2025-01-12T12:39:49ZengBMCBMC Biology1741-70072025-01-0123111710.1186/s12915-024-02093-8A conformational change of C-reactive protein drives neutrophil extracellular trap formation in inflammationEbru Karasu0Rebecca Halbgebauer1Lena Schütte2Johannes Greven3Felix M. Bläsius4Johannes Zeller5Oscar Winninger6David Braig7David Alexander Christian Messerer8Bettina Berger9Hendrik Feuerstein10Anke Schultze11Karlheinz Peter12Uwe Knippschild13Klemens Horst14Frank Hildebrand15Steffen U. Eisenhardt16Markus Huber-Lang17Institute of Clinical and Experimental Trauma Immunology, University Hospital UlmInstitute of Clinical and Experimental Trauma Immunology, University Hospital UlmInstitute of Clinical and Experimental Trauma Immunology, University Hospital UlmDepartment of Orthopedic Trauma Surgery, RWTH Aachen UniversityDepartment of Orthopedic Trauma Surgery, RWTH Aachen UniversityDepartment of Plastic and Hand Surgery, Medical Faculty of the University of Freiburg, University of Freiburg Medical Centre FreiburgDepartment of Plastic and Hand Surgery, Medical Faculty of the University of Freiburg, University of Freiburg Medical Centre FreiburgDepartment of Plastic and Hand Surgery, Medical Faculty of the University of Freiburg, University of Freiburg Medical Centre FreiburgInstitute of Clinical and Experimental Trauma Immunology, University Hospital UlmInstitute of Clinical and Experimental Trauma Immunology, University Hospital UlmInstitute of Clinical and Experimental Trauma Immunology, University Hospital UlmInstitute of Clinical and Experimental Trauma Immunology, University Hospital UlmBaker Department of Cardiometabolic Health, University of MelbourneDepartment of General and Visceral Surgery, Ulm University Medical CenterDepartment of Orthopedic Trauma Surgery, RWTH Aachen UniversityDepartment of Orthopedic Trauma Surgery, RWTH Aachen UniversityDepartment of Plastic and Hand Surgery, Medical Faculty of the University of Freiburg, University of Freiburg Medical Centre FreiburgInstitute of Clinical and Experimental Trauma Immunology, University Hospital UlmAbstract Background C-reactive protein (CRP) represents a routine diagnostic marker of inflammation. Dissociation of native pentameric CRP (pCRP) into the monomeric structure (mCRP) liberates proinflammatory features, presumably contributing to excessive immune cell activation via unknown molecular mechanisms. Results In a multi-translational study of systemic inflammation, we found a time- and inflammation-dependent pCRP dissociation into mCRP. We were able to confirm that mCRP co-localizes with leukocytes at the site of injury after polytrauma and therefore assessed whether the CRP conformation potentiates neutrophil activation. We found mCRP-induced neutrophil-extracellular trap formation in vitro and ex vivo involving nicotinamide adenine dinucleotide phosphate oxidase activation, p38/mitogen-activated protein kinase signaling, and histone H3 citrullination. Mimicking the trauma milieu in a human ex vivo whole blood model, we found significant mCRP generation as well as NET formation, prevented by blocking pCRP conformational changes. Conclusions Our data provide novel molecular insights how CRP dissociation contributes to neutrophil activation as driver of various inflammatory disorders.https://doi.org/10.1186/s12915-024-02093-8C-reactive-protein (CRP)Monomeric CRP (mCRP)Neutrophil activationNeutrophil extracellular trap (NET)InflammationSevere injury
spellingShingle Ebru Karasu
Rebecca Halbgebauer
Lena Schütte
Johannes Greven
Felix M. Bläsius
Johannes Zeller
Oscar Winninger
David Braig
David Alexander Christian Messerer
Bettina Berger
Hendrik Feuerstein
Anke Schultze
Karlheinz Peter
Uwe Knippschild
Klemens Horst
Frank Hildebrand
Steffen U. Eisenhardt
Markus Huber-Lang
A conformational change of C-reactive protein drives neutrophil extracellular trap formation in inflammation
BMC Biology
C-reactive-protein (CRP)
Monomeric CRP (mCRP)
Neutrophil activation
Neutrophil extracellular trap (NET)
Inflammation
Severe injury
title A conformational change of C-reactive protein drives neutrophil extracellular trap formation in inflammation
title_full A conformational change of C-reactive protein drives neutrophil extracellular trap formation in inflammation
title_fullStr A conformational change of C-reactive protein drives neutrophil extracellular trap formation in inflammation
title_full_unstemmed A conformational change of C-reactive protein drives neutrophil extracellular trap formation in inflammation
title_short A conformational change of C-reactive protein drives neutrophil extracellular trap formation in inflammation
title_sort conformational change of c reactive protein drives neutrophil extracellular trap formation in inflammation
topic C-reactive-protein (CRP)
Monomeric CRP (mCRP)
Neutrophil activation
Neutrophil extracellular trap (NET)
Inflammation
Severe injury
url https://doi.org/10.1186/s12915-024-02093-8
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