2015
DOI: 10.1053/j.gastro.2015.08.026
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Neutrophil Extracellular Traps Induce Trypsin Activation, Inflammation, and Tissue Damage in Mice With Severe Acute Pancreatitis

Abstract: NETs form in the pancreata of mice during the development of AP, and NET levels are increased in plasma from patients with AP, compared with controls. NETs regulate organ inflammation and injury in mice with AP, and might be targeted to reduce pancreatic tissue damage and inflammation in patients.

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Cited by 209 publications
(226 citation statements)
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“…A number of innate and synthetic substances have demonstrated the ability to inhibit histone‐related toxicity based on surface charge alone, including plasma proteins (albumin,123 CRP14), polypeptides (polyglutamic acid126) and polysaccharides (heparin/heparanoids,111, 146 polysialic acid,147 bacterial O‐antigen148). Elevated histone‐degrading activated protein C (APC) levels are associated with better outcomes in sepsis115, 149 and trauma patients137; APC therapy is being evaluated for treatment of sepsis150 and pancreatitis 151.…”
Section: Therapeutic Strategies For Histone Detoxification In Pathologymentioning
confidence: 99%
“…A number of innate and synthetic substances have demonstrated the ability to inhibit histone‐related toxicity based on surface charge alone, including plasma proteins (albumin,123 CRP14), polypeptides (polyglutamic acid126) and polysaccharides (heparin/heparanoids,111, 146 polysialic acid,147 bacterial O‐antigen148). Elevated histone‐degrading activated protein C (APC) levels are associated with better outcomes in sepsis115, 149 and trauma patients137; APC therapy is being evaluated for treatment of sepsis150 and pancreatitis 151.…”
Section: Therapeutic Strategies For Histone Detoxification In Pathologymentioning
confidence: 99%
“…A crucial role of neutrophils has been shown in patients with food allergy [73] and well documented in acute pancreatitis [15, 74, 75]. The neutrophil mediators cause trypsin activation, inflammation and may promote pathogenesis of pancreatitis [74] via IgE independent anaphylactic reactions [76].…”
Section: Role Of Inflammatory Cells In Food-allergen Mediated Pancreamentioning
confidence: 99%
“…Another outcome of neutrophil accumulation leading to build-up of polyelectrolytes into the extracellular space is proteolytic action of neutrophil proteases (elastase, cathepsin G protease, and proteinase-3) that are released as both free and as a part of the NET component and are very destructive within the surrounding tissue [13,14]. In effect, DNA and F-actin gathering at infectious sites originate from neutrophils and broken host cells.…”
Section: Dna and F-actin Accumulation In Extracellular Compartmentmentioning
confidence: 99%