Cell biology and mechanistic basis of elevated netosis in diabetes

When activated, neutrophils can unravel their chromatin and release it along with toxic granular proteins, forming neutrophil extracellular traps (NETs). Being highly pro-inflammatory, NETs are injurious to organs and tissues. In diabetes, formation of NETs (NETosis) is exacerbated, causing diabetic...

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Main Author: Wang, Liang De
Other Authors: Christine Wong Siu Ling
Format: Thesis-Doctor of Philosophy
Language:English
Published: Nanyang Technological University 2025
Subjects:
Online Access:https://hdl.handle.net/10356/182659
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author Wang, Liang De
author2 Christine Wong Siu Ling
author_facet Christine Wong Siu Ling
Wang, Liang De
author_sort Wang, Liang De
collection NTU
description When activated, neutrophils can unravel their chromatin and release it along with toxic granular proteins, forming neutrophil extracellular traps (NETs). Being highly pro-inflammatory, NETs are injurious to organs and tissues. In diabetes, formation of NETs (NETosis) is exacerbated, causing diabetic complications including diabetic retinopathy and delayed wound healing. How diabetes augments NETosis remains unclear. Herein, I report that sirtuin 1 (SIRT1) functions as an endogenous inhibitor of NETosis in healthy neutrophils. Reduction in SIRT1 activity in diabetes resulted in excessive NET formation, which could be normalized by SIRT1 activators. My work also defined the role of oxidized DNA and endoplasmic reticulum stress in the activation of neutrophil NOD-, LRR-, and pyrin domain-containing protein 3 (NLRP3) inflammasome in the generation of excessive NETs in diabetes. The findings have advanced our understanding of NETosis biology and laid an important foundation for the development of novel therapeutics for combating diabetic complications and beyond.
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spelling ntu-10356/1826592025-03-04T02:57:33Z Cell biology and mechanistic basis of elevated netosis in diabetes Wang, Liang De Christine Wong Siu Ling Lee Kong Chian School of Medicine (LKCMedicine) christine.wongsl@ntu.edu.sg Medicine, Health and Life Sciences When activated, neutrophils can unravel their chromatin and release it along with toxic granular proteins, forming neutrophil extracellular traps (NETs). Being highly pro-inflammatory, NETs are injurious to organs and tissues. In diabetes, formation of NETs (NETosis) is exacerbated, causing diabetic complications including diabetic retinopathy and delayed wound healing. How diabetes augments NETosis remains unclear. Herein, I report that sirtuin 1 (SIRT1) functions as an endogenous inhibitor of NETosis in healthy neutrophils. Reduction in SIRT1 activity in diabetes resulted in excessive NET formation, which could be normalized by SIRT1 activators. My work also defined the role of oxidized DNA and endoplasmic reticulum stress in the activation of neutrophil NOD-, LRR-, and pyrin domain-containing protein 3 (NLRP3) inflammasome in the generation of excessive NETs in diabetes. The findings have advanced our understanding of NETosis biology and laid an important foundation for the development of novel therapeutics for combating diabetic complications and beyond. Doctor of Philosophy 2025-02-14T10:57:06Z 2025-02-14T10:57:06Z 2024 Thesis-Doctor of Philosophy Wang, L. D. (2024). Cell biology and mechanistic basis of elevated netosis in diabetes. Doctoral thesis, Nanyang Technological University, Singapore. https://hdl.handle.net/10356/182659 https://hdl.handle.net/10356/182659 10.32657/10356/182659 en This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). application/pdf Nanyang Technological University
spellingShingle Medicine, Health and Life Sciences
Wang, Liang De
Cell biology and mechanistic basis of elevated netosis in diabetes
title Cell biology and mechanistic basis of elevated netosis in diabetes
title_full Cell biology and mechanistic basis of elevated netosis in diabetes
title_fullStr Cell biology and mechanistic basis of elevated netosis in diabetes
title_full_unstemmed Cell biology and mechanistic basis of elevated netosis in diabetes
title_short Cell biology and mechanistic basis of elevated netosis in diabetes
title_sort cell biology and mechanistic basis of elevated netosis in diabetes
topic Medicine, Health and Life Sciences
url https://hdl.handle.net/10356/182659
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