Enhanced neutrophil extracellular trap formation in COVID-19 is inhibited by the protein kinase C inhibitor ruboxistaurin

Rebecca Dowey, Joby Cole, A. A. Roger Thompson, Rebecca Hull, Chenghao Huang, Jacob Whatmore, Ahmed Iqbal, Kirsty Bradley, Joanne McKenzie, Allan Lawrie, Alison M. Condliffef, Endre Kiss-Toth, Ian Sabroe, Lynne R. Prince

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11 Citations (Scopus)

Abstract

Neutrophil extracellular traps (NETs) are web-like DNA and protein lattices which are expelled by neutrophils to trap and kill pathogens, but which cause significant damage to the host tissue. NETs have emerged as critical mediators of lung damage, inflammation and thrombosis in coronavirus disease 2019 (COVID-19) and other diseases, but there are no therapeutics to prevent or reduce NETs that are available to patients.

Methods
Neutrophils were isolated from healthy volunteers (n=9) and hospitalised patients with COVID-19 at the acute stage (n=39) and again at 3–4 months post-acute sampling (n=7). NETosis was measured by SYTOX green assays.

Results
Here, we show that neutrophils isolated from hospitalised patients with COVID-19 produce significantly more NETs in response to lipopolysaccharide (LPS) compared to cells from healthy control subjects. A subset of patients was captured at follow-up clinics (3–4 months post-acute sampling), and while LPS-induced NET formation is significantly lower at this time po
Original languageEnglish
Article number00596-2021
Number of pages13
JournalERJ Open Research
Volume8
Issue number2
DOIs
Publication statusPublished - 1 Apr 2022
Externally publishedYes

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