Neutrophil extracellular trap-microparticle complexes enhance thrombin generation via the intrinsic pathway of coagulation in mice.

Neutrophil extracellular trap-microparticle complexes enhance thrombin generation via the intrinsic pathway of coagulation in mice.
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DOI:
10.1038/s41598-018-22156-5
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发表时间:
2018-03-05
期刊:
影响因子:
4.6
通讯作者:
Thorlacius H
Thorlacius H
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Wang Y;Luo L;Braun OÖ;Westman J;Madhi R;Herwald H;Mörgelin M;Thorlacius H

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腹腔脓毒症与止血功能障碍有关。凝血酶生成(TG)是全身凝血的限速步骤。中性粒细胞可以排出中性粒细胞胞外陷阱(NET)和/或微粒(MP),尽管它们在病理性凝血中的作用仍然难以捉摸。盲肠结扎和穿刺(CLP)诱导的TG在体内反映了从脓毒症动物的血浆产生凝血酶的能力降低。中性粒细胞的消耗增加了CLP小鼠血浆中的TG。脓毒症与中性粒细胞中组蛋白3瓜氨酸和血浆游离DNA和DNA-组蛋白复合物水平升高有关,给予DNA酶不仅消除了NET形成,而且还升高了脓毒症中的TG。分离的NET增加TG和与DNA酶共孵育废除NET诱导的凝血酶形成。NET触发的TG被阻断因子XII抑制,在因子XII缺乏的血浆中被消除,但在因子VII缺乏的血浆中完好无损。中性粒细胞的活化同时产生大量的嗜中性粒细胞衍生的MP,发现其通过组蛋白-磷脂酰丝氨酸相互作用与NET结合。这些研究结果表明,第一次NET和MP物理相互作用,NET可能构成一个功能组装平台的MP。我们的结论是,NET-MP复合物诱导TG通过内源性途径的凝血和嗜中性粒细胞衍生的MP发挥关键作用NET依赖性凝血。
Abdominal sepsis is associated with dysfunctional hemostasis. Thrombin generation (TG) is a rate-limiting step in systemic coagulation. Neutrophils can expell neutrophil extracellular traps (NETs) and/or microparticles (MPs) although their role in pathological coagulation remains elusive. Cecal ligation and puncture (CLP)-induced TG in vivo was reflected by a reduced capacity of plasma from septic animals to generate thrombin. Depletion of neutrophils increased TG in plasma from CLP mice. Sepsis was associated with increased histone 3 citrullination in neutrophils and plasma levels of cell-free DNA and DNA-histone complexes and administration of DNAse not only eliminated NET formation but also elevated TG in sepsis. Isolated NETs increased TG and co-incubation with DNAse abolished NET-induced formation of thrombin. TG triggered by NETs was inhibited by blocking factor XII and abolished in factor XII-deficient plasma but intact in factor VII-deficient plasma. Activation of neutrophils simultaneously generated large amount of neutrophil-derived MPs, which were found to bind to NETs via histone-phosphatidylserine interactions. These findings show for the first time that NETs and MPs physically interact, and that NETs might constitute a functional assembly platform for MPs. We conclude that NET-MP complexes induce TG via the intrinsic pathway of coagulation and that neutrophil-derived MPs play a key role in NET-dependent coagulation.
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