2021
DOI: 10.1182/bloodadvances.2020004139
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BCL-XL antagonism selectively reduces neutrophil life span within inflamed tissues without causing neutropenia

Abstract: Neutrophils help to clear pathogens and cellular debris, but can also cause collateral damage within inflamed tissues. Prolonged neutrophil residency within an inflammatory niche can exacerbate tissue pathology. Using both genetic and pharmacological approaches, we show that BCL-XL is required for the persistence of neutrophils within inflammatory sites in mice. We demonstrate that a selective BCL-XL inhibitor (A-1331852) has therapeutic potential by causing apoptosis in inflammatory human neutrophils ex vivo.… Show more

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Cited by 10 publications
(7 citation statements)
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“…The percentage of karyorrhectic and karyolitic cells were higher in SF from RA patients with respect to the samples collected from the other groups and was positively associated with WBC count and the levels of IL-1β, IL-8, IL-10, TNF, and TGFβ. We found that neutrophils were characterized by the greatest frequency of pyknosis, and it is known that PMN actively contributes to tissue damage in inflammatory arthritis [ 19 , 20 ]. Apoptosis is a controlled form of cell death that minimizes the risk of collateral damage to surrounding tissues by leukocytes, in particular PMN [ 19 , 21 ].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The percentage of karyorrhectic and karyolitic cells were higher in SF from RA patients with respect to the samples collected from the other groups and was positively associated with WBC count and the levels of IL-1β, IL-8, IL-10, TNF, and TGFβ. We found that neutrophils were characterized by the greatest frequency of pyknosis, and it is known that PMN actively contributes to tissue damage in inflammatory arthritis [ 19 , 20 ]. Apoptosis is a controlled form of cell death that minimizes the risk of collateral damage to surrounding tissues by leukocytes, in particular PMN [ 19 , 21 ].…”
Section: Discussionmentioning
confidence: 99%
“…Anti-apoptotic members, such as Bcl-2 bind to the pro-apoptotic effectors BAX/BAK, preventing their activation. Diverse stimuli can induce the BH3-only proteins (BID, BIM), which selectively compete for binding with the anti-apoptotic proteins, thus, facilitating the release of BAX/BAK, which consequently leads to the activation of caspases and cell destruction [ 20 , 24 ]. The genetic expression analysis was carried out using total RNA extraction, and it reflects the expression of leukocytes present in the SF.…”
Section: Discussionmentioning
confidence: 99%
“…Therapeutic induction of neutrophil apoptosis at the site of inflammation may act to reduce aberrant inflammatory processes mediated by neutrophils in severe COVID-19. Neutrophils rely heavily on pro-survival BCL-2 family members for survival [ 190 ] and may be preferentially sacrificed with BH3 mimetic drugs that lower the threshold for the induction of intrinsic apoptosis. The rationale for killing activated neutrophils is supported by their involvement in producing pathogenic extracellular traps [ 67 ].…”
Section: Therapeuticsmentioning
confidence: 99%
“…[39][40][41]43,44 However, in a recent study, increased apoptosis of PB neutrophils did not affect the blood ANC. 45,46 Anecdotal demonstration of phagocytosis/emperipolesis of neutrophils bymacrophages in the AIN BM needs quantitative data to explain a massive cell removal in AIN. 47…”
Section: Do Autoantibodies To Neutrophils Cause the Np?mentioning
confidence: 99%