Neutrophil Extracellular Traps Contribute to COVID-19 Hyperinflammation and Humoral Autoimmunity

The coronavirus disease 2019 (COVID-19) is related to enhanced production of NETs, and autoimmune/autoinflammatory phenomena. We evaluated the proportion of low-density granulocytes (LDG) by flow cytometry, and their capacity to produce NETs was compared with that of conventional neutrophils. NETs a...

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Main Authors: Jiram Torres-Ruiz, Abdiel Absalón-Aguilar, Miroslava Nuñez-Aguirre, Alfredo Pérez-Fragoso, Daniel Alberto Carrillo-Vázquez, José Luis Maravillas-Montero, Nancy R. Mejía-Domínguez, Luis Llorente, Beatriz Alcalá-Carmona, Jaquelin Lira-Luna, Carlos Núñez-Álvarez, Guillermo Juárez-Vega, David Meza-Sánchez, Thierry Hernández-Gilsoul, Miguel Tapia-Rodríguez, Diana Gómez-Martín
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/10/10/2545
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author Jiram Torres-Ruiz
Abdiel Absalón-Aguilar
Miroslava Nuñez-Aguirre
Alfredo Pérez-Fragoso
Daniel Alberto Carrillo-Vázquez
José Luis Maravillas-Montero
Nancy R. Mejía-Domínguez
Luis Llorente
Beatriz Alcalá-Carmona
Jaquelin Lira-Luna
Carlos Núñez-Álvarez
Guillermo Juárez-Vega
David Meza-Sánchez
Thierry Hernández-Gilsoul
Miguel Tapia-Rodríguez
Diana Gómez-Martín
author_facet Jiram Torres-Ruiz
Abdiel Absalón-Aguilar
Miroslava Nuñez-Aguirre
Alfredo Pérez-Fragoso
Daniel Alberto Carrillo-Vázquez
José Luis Maravillas-Montero
Nancy R. Mejía-Domínguez
Luis Llorente
Beatriz Alcalá-Carmona
Jaquelin Lira-Luna
Carlos Núñez-Álvarez
Guillermo Juárez-Vega
David Meza-Sánchez
Thierry Hernández-Gilsoul
Miguel Tapia-Rodríguez
Diana Gómez-Martín
author_sort Jiram Torres-Ruiz
collection DOAJ
description The coronavirus disease 2019 (COVID-19) is related to enhanced production of NETs, and autoimmune/autoinflammatory phenomena. We evaluated the proportion of low-density granulocytes (LDG) by flow cytometry, and their capacity to produce NETs was compared with that of conventional neutrophils. NETs and their protein cargo were quantified by confocal microscopy and ELISA. Antinuclear antibodies (ANA), anti-neutrophil cytoplasmic antibodies (ANCA) and the degradation capacity of NETs were addressed in serum. MILLIPLEX assay was used to assess the cytokine levels in macrophages’ supernatant and serum. We found a higher proportion of LDG in severe and critical COVID-19 which correlated with severity and inflammatory markers. Severe/critical COVID-19 patients had higher plasmatic NE, LL-37 and HMGB1-DNA complexes, whilst ISG-15-DNA complexes were lower in severe patients. Sera from severe/critical COVID-19 patients had lower degradation capacity of NETs, which was reverted after adding hrDNase. Anti-NET antibodies were found in COVID-19, which correlated with ANA and ANCA positivity. NET stimuli enhanced the secretion of cytokines in macrophages. This study unveils the role of COVID-19 NETs as inducers of pro-inflammatory and autoimmune responses. The deficient degradation capacity of NETs may contribute to the accumulation of these structures and anti-NET antibodies are related to the presence of autoantibodies.
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spelling doaj.art-4f26e28e5c7f43fcb448ebdd21317f8c2023-11-22T17:45:21ZengMDPI AGCells2073-44092021-09-011010254510.3390/cells10102545Neutrophil Extracellular Traps Contribute to COVID-19 Hyperinflammation and Humoral AutoimmunityJiram Torres-Ruiz0Abdiel Absalón-Aguilar1Miroslava Nuñez-Aguirre2Alfredo Pérez-Fragoso3Daniel Alberto Carrillo-Vázquez4José Luis Maravillas-Montero5Nancy R. Mejía-Domínguez6Luis Llorente7Beatriz Alcalá-Carmona8Jaquelin Lira-Luna9Carlos Núñez-Álvarez10Guillermo Juárez-Vega11David Meza-Sánchez12Thierry Hernández-Gilsoul13Miguel Tapia-Rodríguez14Diana Gómez-Martín15Department of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoDepartment of Internal Medicine, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoRed de Apoyo a la Investigacion, Coordinacion de Investigación Científica, Universidad Nacional Autónoma de México, Mexico City 04510, MexicoRed de Apoyo a la Investigacion, Coordinacion de Investigación Científica, Universidad Nacional Autónoma de México, Mexico City 04510, MexicoDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoRed de Apoyo a la Investigacion, Coordinacion de Investigación Científica, Universidad Nacional Autónoma de México, Mexico City 04510, MexicoRed de Apoyo a la Investigacion, Coordinacion de Investigación Científica, Universidad Nacional Autónoma de México, Mexico City 04510, MexicoEmergency Medicine Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoMicroscopy Unit, Instituto de Investigaciones Biomédicas, Universidad Nacional Autónoma de México, Mexico City 04510, MexicoDepartment of Immunology and Rheumatology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 14080, MexicoThe coronavirus disease 2019 (COVID-19) is related to enhanced production of NETs, and autoimmune/autoinflammatory phenomena. We evaluated the proportion of low-density granulocytes (LDG) by flow cytometry, and their capacity to produce NETs was compared with that of conventional neutrophils. NETs and their protein cargo were quantified by confocal microscopy and ELISA. Antinuclear antibodies (ANA), anti-neutrophil cytoplasmic antibodies (ANCA) and the degradation capacity of NETs were addressed in serum. MILLIPLEX assay was used to assess the cytokine levels in macrophages’ supernatant and serum. We found a higher proportion of LDG in severe and critical COVID-19 which correlated with severity and inflammatory markers. Severe/critical COVID-19 patients had higher plasmatic NE, LL-37 and HMGB1-DNA complexes, whilst ISG-15-DNA complexes were lower in severe patients. Sera from severe/critical COVID-19 patients had lower degradation capacity of NETs, which was reverted after adding hrDNase. Anti-NET antibodies were found in COVID-19, which correlated with ANA and ANCA positivity. NET stimuli enhanced the secretion of cytokines in macrophages. This study unveils the role of COVID-19 NETs as inducers of pro-inflammatory and autoimmune responses. The deficient degradation capacity of NETs may contribute to the accumulation of these structures and anti-NET antibodies are related to the presence of autoantibodies.https://www.mdpi.com/2073-4409/10/10/2545COVID-19SARS-CoV-2NETsLDGLL-37HMGB1
spellingShingle Jiram Torres-Ruiz
Abdiel Absalón-Aguilar
Miroslava Nuñez-Aguirre
Alfredo Pérez-Fragoso
Daniel Alberto Carrillo-Vázquez
José Luis Maravillas-Montero
Nancy R. Mejía-Domínguez
Luis Llorente
Beatriz Alcalá-Carmona
Jaquelin Lira-Luna
Carlos Núñez-Álvarez
Guillermo Juárez-Vega
David Meza-Sánchez
Thierry Hernández-Gilsoul
Miguel Tapia-Rodríguez
Diana Gómez-Martín
Neutrophil Extracellular Traps Contribute to COVID-19 Hyperinflammation and Humoral Autoimmunity
Cells
COVID-19
SARS-CoV-2
NETs
LDG
LL-37
HMGB1
title Neutrophil Extracellular Traps Contribute to COVID-19 Hyperinflammation and Humoral Autoimmunity
title_full Neutrophil Extracellular Traps Contribute to COVID-19 Hyperinflammation and Humoral Autoimmunity
title_fullStr Neutrophil Extracellular Traps Contribute to COVID-19 Hyperinflammation and Humoral Autoimmunity
title_full_unstemmed Neutrophil Extracellular Traps Contribute to COVID-19 Hyperinflammation and Humoral Autoimmunity
title_short Neutrophil Extracellular Traps Contribute to COVID-19 Hyperinflammation and Humoral Autoimmunity
title_sort neutrophil extracellular traps contribute to covid 19 hyperinflammation and humoral autoimmunity
topic COVID-19
SARS-CoV-2
NETs
LDG
LL-37
HMGB1
url https://www.mdpi.com/2073-4409/10/10/2545
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