The role of neutrophil extracellular traps in cancer progression and thrombosis development

Introduction. Initially discovered as a mechanism to protect host neutrophils from pathogens and prevent spread of infection outside inflammatory site, neutrophil extracellular traps (NETs) have been implicated in progression of other diseases associated with sterile inflammation such as autoimmune...

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Main Authors: J. Kh. Khizroeva, Z. D. Aslanova, A. G. Solopova, V. O. Bitsadze, А. V. Vorobev, А. Yu. Tatarintseva, J.-С. Gris, I. Elalamy, N. А. Makatsariya, D. V. Blinov
Format: Article
Language:Russian
Published: IRBIS LLC 2024-03-01
Series:Акушерство, гинекология и репродукция
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Online Access:https://www.gynecology.su/jour/article/view/1960
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author J. Kh. Khizroeva
Z. D. Aslanova
A. G. Solopova
V. O. Bitsadze
А. V. Vorobev
А. Yu. Tatarintseva
J.-С. Gris
I. Elalamy
N. А. Makatsariya
D. V. Blinov
author_facet J. Kh. Khizroeva
Z. D. Aslanova
A. G. Solopova
V. O. Bitsadze
А. V. Vorobev
А. Yu. Tatarintseva
J.-С. Gris
I. Elalamy
N. А. Makatsariya
D. V. Blinov
author_sort J. Kh. Khizroeva
collection DOAJ
description Introduction. Initially discovered as a mechanism to protect host neutrophils from pathogens and prevent spread of infection outside inflammatory site, neutrophil extracellular traps (NETs) have been implicated in progression of other diseases associated with sterile inflammation such as autoimmune diseases, diabetes, and cancer. NETs components (myeloperoxidase, citrullinated histones, cell-free DNA) exhibit manifold effects on tumor cells, thereby emphasizing a need to be aware of the features of biological functions related to their constituents and their place in carcinogenesis to identify major molecular targets for targeted therapy of gynecologic cancers in the future.Aim: to determine an impact of NETs on tumor progression/metastasis and thrombosis risk in gynecologic cancer.Materials and Methods. A single-center interventional study was conducted: 70 women with uterine, ovarian and cervical cancer were examined; 60 age-matched apparently healthy women without thrombotic complications were selected as controls. All study participants were examined for myeloperoxidase (MРO), citrullinated histone (сitH3), proinflammatory cytokine interleukin-1β (IL-1β), and neutrophil/lymphocyte ratio (NLR).Results. Laboratory biomarkers such as MPO (p < 0.001), IL-1β (p < 0.001) and NLR (p = 0.003) were significantly more often elevated in patients with oncological pathology compared to group of healthy women. 32 (45.7 %) of the 70 women with cancer of the reproductive system had metastases. Metastases-related analysis in patients showed significant differences in MPO level (p = 0.002), but not in level of citH3, IL-1β and NLR (p = 0.441, p = 0.159, and p = 0.739, respectively). Elevated citH3 vs. MPO, IL-1β and NLR level was significantly more often associated with developing thrombosis in study patients (p < 0.001).Conclusion. The results of our study demonstrate that inflammation and NETs components such as MPO and citH3 may be potentially implicated in many aspects of carcinogenesis including tumor metastasis and the risk of developing thrombosis in cancer patients.
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spelling doaj-art-d00eb91ebd0042138713aee69b166a2c2025-08-20T03:39:44ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942024-03-01181556710.17749/2313-7347/ob.gyn.rep.2024.475869The role of neutrophil extracellular traps in cancer progression and thrombosis developmentJ. Kh. Khizroeva0Z. D. Aslanova1A. G. Solopova2V. O. Bitsadze3А. V. Vorobev4А. Yu. Tatarintseva5J.-С. Gris6I. Elalamy7N. А. Makatsariya8D. V. Blinov9Sechenov UniversitySechenov UniversitySechenov UniversitySechenov UniversitySechenov UniversitySechenov UniversitySechenov University; University of MontpellierSechenov University; Medicine Sorbonne University; Hospital TenonSechenov UniversitySechenov University; Institute for Preventive and Social Medicine; Moscow Haass Medical – Social InstituteIntroduction. Initially discovered as a mechanism to protect host neutrophils from pathogens and prevent spread of infection outside inflammatory site, neutrophil extracellular traps (NETs) have been implicated in progression of other diseases associated with sterile inflammation such as autoimmune diseases, diabetes, and cancer. NETs components (myeloperoxidase, citrullinated histones, cell-free DNA) exhibit manifold effects on tumor cells, thereby emphasizing a need to be aware of the features of biological functions related to their constituents and their place in carcinogenesis to identify major molecular targets for targeted therapy of gynecologic cancers in the future.Aim: to determine an impact of NETs on tumor progression/metastasis and thrombosis risk in gynecologic cancer.Materials and Methods. A single-center interventional study was conducted: 70 women with uterine, ovarian and cervical cancer were examined; 60 age-matched apparently healthy women without thrombotic complications were selected as controls. All study participants were examined for myeloperoxidase (MРO), citrullinated histone (сitH3), proinflammatory cytokine interleukin-1β (IL-1β), and neutrophil/lymphocyte ratio (NLR).Results. Laboratory biomarkers such as MPO (p < 0.001), IL-1β (p < 0.001) and NLR (p = 0.003) were significantly more often elevated in patients with oncological pathology compared to group of healthy women. 32 (45.7 %) of the 70 women with cancer of the reproductive system had metastases. Metastases-related analysis in patients showed significant differences in MPO level (p = 0.002), but not in level of citH3, IL-1β and NLR (p = 0.441, p = 0.159, and p = 0.739, respectively). Elevated citH3 vs. MPO, IL-1β and NLR level was significantly more often associated with developing thrombosis in study patients (p < 0.001).Conclusion. The results of our study demonstrate that inflammation and NETs components such as MPO and citH3 may be potentially implicated in many aspects of carcinogenesis including tumor metastasis and the risk of developing thrombosis in cancer patients.https://www.gynecology.su/jour/article/view/1960neutrophil extracellular trapsnetsinflammation and cancernets and thrombosistumor progression and metastasis
spellingShingle J. Kh. Khizroeva
Z. D. Aslanova
A. G. Solopova
V. O. Bitsadze
А. V. Vorobev
А. Yu. Tatarintseva
J.-С. Gris
I. Elalamy
N. А. Makatsariya
D. V. Blinov
The role of neutrophil extracellular traps in cancer progression and thrombosis development
Акушерство, гинекология и репродукция
neutrophil extracellular traps
nets
inflammation and cancer
nets and thrombosis
tumor progression and metastasis
title The role of neutrophil extracellular traps in cancer progression and thrombosis development
title_full The role of neutrophil extracellular traps in cancer progression and thrombosis development
title_fullStr The role of neutrophil extracellular traps in cancer progression and thrombosis development
title_full_unstemmed The role of neutrophil extracellular traps in cancer progression and thrombosis development
title_short The role of neutrophil extracellular traps in cancer progression and thrombosis development
title_sort role of neutrophil extracellular traps in cancer progression and thrombosis development
topic neutrophil extracellular traps
nets
inflammation and cancer
nets and thrombosis
tumor progression and metastasis
url https://www.gynecology.su/jour/article/view/1960
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