1. Recognition and control of neutrophil extracellular trap formation by MICL.
- Author
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Malamud M, Whitehead L, McIntosh A, Colella F, Roelofs AJ, Kusakabe T, Dambuza IM, Phillips-Brookes A, Salazar F, Perez F, Shoesmith R, Zakrzewski P, Sey EA, Rodrigues C, Morvay PL, Redelinghuys P, Bedekovic T, Fernandes MJG, Almizraq R, Branch DR, Amulic B, Harvey J, Stewart D, Yuecel R, Reid DM, McConnachie A, Pickering MC, Botto M, Iliev ID, McInnes IB, De Bari C, Willment JA, and Brown GD
- Subjects
- Animals, Female, Humans, Male, Mice, Aspergillus fumigatus immunology, Aspergillus fumigatus pathogenicity, Autoantibodies immunology, Autoantibodies pharmacology, COVID-19 immunology, COVID-19 virology, Disease Models, Animal, DNA metabolism, DNA immunology, Feedback, Physiological, Inflammation immunology, Inflammation metabolism, Lectins, C-Type antagonists & inhibitors, Lectins, C-Type deficiency, Lectins, C-Type immunology, Lectins, C-Type metabolism, Lupus Erythematosus, Systemic immunology, Lupus Erythematosus, Systemic metabolism, Mice, Inbred C57BL, Protein-Arginine Deiminase Type 4 metabolism, Reactive Oxygen Species metabolism, Receptors, Mitogen antagonists & inhibitors, Receptors, Mitogen deficiency, Receptors, Mitogen immunology, Receptors, Mitogen metabolism, Arthritis, Rheumatoid immunology, Arthritis, Rheumatoid pathology, Arthritis, Rheumatoid metabolism, Extracellular Traps metabolism, Extracellular Traps immunology, Neutrophil Activation, Neutrophils immunology, Neutrophils metabolism
- Abstract
Regulation of neutrophil activation is critical for disease control. Neutrophil extracellular traps (NETs), which are web-like structures composed of DNA and neutrophil-derived proteins, are formed following pro-inflammatory signals; however, if this process is uncontrolled, NETs contribute to disease pathogenesis, exacerbating inflammation and host tissue damage
1,2 . Here we show that myeloid inhibitory C-type lectin-like (MICL), an inhibitory C-type lectin receptor, directly recognizes DNA in NETs; this interaction is vital to regulate neutrophil activation. Loss or inhibition of MICL functionality leads to uncontrolled NET formation through the ROS-PAD4 pathway and the development of an auto-inflammatory feedback loop. We show that in the context of rheumatoid arthritis, such dysregulation leads to exacerbated pathology in both mouse models and in human patients, where autoantibodies to MICL inhibit key functions of this receptor. Of note, we also detect similarly inhibitory anti-MICL autoantibodies in patients with other diseases linked to aberrant NET formation, including lupus and severe COVID-19. By contrast, dysregulation of NET release is protective during systemic infection with the fungal pathogen Aspergillus fumigatus. Together, we show that the recognition of NETs by MICL represents a fundamental autoregulatory pathway that controls neutrophil activity and NET formation., (© 2024. The Author(s).)- Published
- 2024
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