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Montero-Martin N, Girón MD, Vílchez JD, Salto R. Sodium Tungstate Promotes Neurite Outgrowth and Confers Neuroprotection in Neuro2a and SH-SY5Y Cells. Int J Mol Sci 2024; 25:9150. [PMID: 39273113 PMCID: PMC11394838 DOI: 10.3390/ijms25179150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2024] [Revised: 08/13/2024] [Accepted: 08/21/2024] [Indexed: 09/15/2024] Open
Abstract
Sodium tungstate (Na2WO4) normalizes glucose metabolism in the liver and muscle, activating the Mitogen-activated protein kinase/extracellular signal-regulated kinase (MAPK/ERK) pathway. Because this pathway controls neuronal survival and differentiation, we investigated the effects of Na2WO4 in mouse Neuro2a and human SH-SY5Y neuroblastoma monolayer cell cultures. Na2WO4 promotes differentiation to cholinergic neurites via an increased G1/G0 cell cycle in response to the synergic activation of the Phosphatidylinositol 3-kinase (PI3K/Akt) and ERK1/2 signaling pathways. In Neuro2a cells, Na2WO4 increases protein synthesis by activating the mechanistic target of rapamycin (mTOR) and S6K kinases and GLUT3-mediated glucose uptake, providing the energy and protein synthesis needed for neurite outgrowth. Furthermore, Na2WO4 increased the expression of myocyte enhancer factor 2D (MEF2D), a member of a family of transcription factors involved in neuronal survival and plasticity, through a post-translational mechanism that increases its half-life. Site-directed mutations of residues involved in the sumoylation of the protein abrogated the positive effects of Na2WO4 on the MEF2D-dependent transcriptional activity. In addition, the neuroprotective effects of Na2WO4 were evaluated in the presence of advanced glycation end products (AGEs). AGEs diminished neurite differentiation owing to a reduction in the G1/G0 cell cycle, concomitant with lower expression of MEF2D and the GLUT3 transporter. These negative effects were corrected in both cell lines after incubation with Na2WO4. These findings support the role of Na2WO4 in neuronal plasticity, albeit further experiments using 3D cultures, and animal models will be needed to validate the therapeutic potential of the compound.
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Affiliation(s)
- Nora Montero-Martin
- Department of Biochemistry and Molecular Biology II, School of Pharmacy, University of Granada, E18071 Granada, Spain
| | - María D Girón
- Department of Biochemistry and Molecular Biology II, School of Pharmacy, University of Granada, E18071 Granada, Spain
| | - José D Vílchez
- Department of Biochemistry and Molecular Biology II, School of Pharmacy, University of Granada, E18071 Granada, Spain
| | - Rafael Salto
- Department of Biochemistry and Molecular Biology II, School of Pharmacy, University of Granada, E18071 Granada, Spain
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2
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Reddy VP, Aryal P, Soni P. RAGE Inhibitors in Neurodegenerative Diseases. Biomedicines 2023; 11:biomedicines11041131. [PMID: 37189749 DOI: 10.3390/biomedicines11041131] [Citation(s) in RCA: 14] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 03/30/2023] [Accepted: 04/07/2023] [Indexed: 05/17/2023] Open
Abstract
Nonenzymatic reactions of reducing sugars with primary amino groups of amino acids, proteins, and nucleic acids, followed by oxidative degradations would lead to the formation of advanced glycation endproducts (AGEs). The AGEs exert multifactorial effects on cell damage leading to the onset of neurological disorders. The interaction of AGEs with the receptors for advanced glycation endproducts (RAGE) contribute to the activation of intracellular signaling and the expression of the pro-inflammatory transcription factors and various inflammatory cytokines. This inflammatory signaling cascade is associated with various neurological diseases, including Alzheimer's disease (AD), secondary effects of traumatic brain injury (TBI), amyotrophic lateral sclerosis (ALS), and diabetic neuropathy, and other AGE-related diseases, including diabetes and atherosclerosis. Furthermore, the imbalance of gut microbiota and intestinal inflammation are also associated with endothelial dysfunction, disrupted blood-brain barrier (BBB) and thereby the onset and progression of AD and other neurological diseases. AGEs and RAGE play an important role in altering the gut microbiota composition and thereby increase the gut permeability and affect the modulation of the immune-related cytokines. The inhibition of the AGE-RAGE interactions, through small molecule-based therapeutics, prevents the inflammatory cascade of events associated with AGE-RAGE interactions, and thereby attenuates the disease progression. Some of the RAGE antagonists, such as Azeliragon, are currently in clinical development for treating neurological diseases, including AD, although currently there have been no FDA-approved therapeutics based on the RAGE antagonists. This review outlines the AGE-RAGE interactions as a leading cause of the onset of neurological diseases and the current efforts on developing therapeutics for neurological diseases based on the RAGE antagonists.
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Affiliation(s)
- V Prakash Reddy
- Department of Chemistry, Missouri University of Science and Technology, Rolla, MO 65409, USA
| | - Puspa Aryal
- Department of Chemistry, Missouri University of Science and Technology, Rolla, MO 65409, USA
| | - Pallavi Soni
- Department of Chemistry, Missouri University of Science and Technology, Rolla, MO 65409, USA
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Kim HJ, Cho HB, Lee S, Lyu J, Kim HR, Lee S, Park JI, Park KH. Strategies for accelerating osteogenesis through nanoparticle-based DNA/mitochondrial damage repair. Am J Cancer Res 2022; 12:6409-6421. [PMID: 36168629 PMCID: PMC9475457 DOI: 10.7150/thno.77089] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 08/18/2022] [Indexed: 11/05/2022] Open
Abstract
The efficiency of gene therapy is often dictated by the gene delivery system. Cationic polymers are essential elements of gene delivery systems. The relatively cheap cationic polymer, polyethyleneimine, has high gene delivery efficiency and is often used for gene delivery. However, the efficiency of gene therapy with polyethyleneimine-pDNA polyplex (PEI) is low. Human mesenchymal stem cells transfected with polyethyleneimine and a plasmid carrying the important osteogenic differentiation gene runt-related transcription factor 2 (RUNX2) accumulated DNA double-strand breaks and mitochondrial damage proportional to the amount of polyethyleneimine, reducing viability. Genomic/cellular stabilizer mediating RUNX2 delivery (GuaRD), a new reagent incorporating RS-1 NPs developed in this study, promoted DNA repair and prevented the accumulation of cell damage, allowing the delivery of pRUNX2 into hMSCs. while maintaining genome and mitochondrial stability. DNA damage was significantly lower and the expression of DNA repair-related genes significantly higher with GuaRD than with PEI. In addition, GuaRD improved mitochondrial stability, decreased the level of reactive oxygen species, and increased mitochondrial membrane potential. Osteogenic extracellular matrix (ECM) expression and calcification were higher with GuaRD than with PEI, suggesting improved osteogenic differentiation. These results indicate that lowering the cytotoxicity of PEI and improving cell stability are key to overcoming the limitations of conventional gene therapy, and that GuaRD can help resolve these limitations.
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Affiliation(s)
- Hye Jin Kim
- Laboratory of Nano-regenerative Medicine, Department of Biomedical Science, College of Life Science, CHA University, CHA Biocomplex, Sampyeong-Dong, Bundang-gu, Seongnam-si, 13488, Republic of Korea
| | - Hui Bang Cho
- Laboratory of Nano-regenerative Medicine, Department of Biomedical Science, College of Life Science, CHA University, CHA Biocomplex, Sampyeong-Dong, Bundang-gu, Seongnam-si, 13488, Republic of Korea
| | - Sujin Lee
- Laboratory of Nano-regenerative Medicine, Department of Biomedical Science, College of Life Science, CHA University, CHA Biocomplex, Sampyeong-Dong, Bundang-gu, Seongnam-si, 13488, Republic of Korea
| | - Jiyon Lyu
- School of Medicine, CHA University, CHA Biocomplex, Sampyeong-Dong, Bundang-gu, Seongnam-si, 13488, Republic of Korea
| | - Hye-Ryoung Kim
- Laboratory of Nano-regenerative Medicine, Department of Biomedical Science, College of Life Science, CHA University, CHA Biocomplex, Sampyeong-Dong, Bundang-gu, Seongnam-si, 13488, Republic of Korea
| | - Sujeong Lee
- Laboratory of Nano-regenerative Medicine, Department of Biomedical Science, College of Life Science, CHA University, CHA Biocomplex, Sampyeong-Dong, Bundang-gu, Seongnam-si, 13488, Republic of Korea
| | - Ji-In Park
- Laboratory of Nano-regenerative Medicine, Department of Biomedical Science, College of Life Science, CHA University, CHA Biocomplex, Sampyeong-Dong, Bundang-gu, Seongnam-si, 13488, Republic of Korea
| | - Keun-Hong Park
- Laboratory of Nano-regenerative Medicine, Department of Biomedical Science, College of Life Science, CHA University, CHA Biocomplex, Sampyeong-Dong, Bundang-gu, Seongnam-si, 13488, Republic of Korea
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David AHG, García-Cerezo P, Campaña AG, Santoyo-González F, Blanco V. [2]Rotaxane End-Capping Synthesis by Click Michael-Type Addition to the Vinyl Sulfonyl Group. Chemistry 2019; 25:6170-6179. [PMID: 30762912 DOI: 10.1002/chem.201900156] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Indexed: 01/23/2023]
Abstract
We report the application of the click Michael-type addition reaction to vinyl sulfone or vinyl sulfonate groups in the synthesis of rotaxanes through the threading-and-capping method. This methodology has proven to be efficient and versatile as it allowed the preparation of rotaxanes using template approaches based on different noncovalent interactions (i.e., donor-acceptor π-π interactions or hydrogen bonding) in yields of generally 60-80 % and up to 91 % aided by the mild conditions required (room temperature or 0 °C and a mild base such as Et3 N or 4-(N,N-dimethylamino)pyridine (DMAP)). Furthermore, the use of vinyl sulfonate moieties, which are suitable motifs for coupling-and-decoupling (CAD) chemistry, implies another advantage because it allows the controlled chemical disassembly of the rotaxanes into their components through nucleophilic substitution of the sulfonates resulting from the capping step with a thiol under mild conditions (Cs2 CO3 and room temperature).
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Affiliation(s)
- Arthur H G David
- Departamento de Química Orgánica, Universidad de Granada, Facultad de Ciencias, Avda. Fuente Nueva, S/N, 18071, Granada, Spain
| | - Pablo García-Cerezo
- Departamento de Química Orgánica, Universidad de Granada, Facultad de Ciencias, Avda. Fuente Nueva, S/N, 18071, Granada, Spain
| | - Araceli G Campaña
- Departamento de Química Orgánica, Universidad de Granada, Facultad de Ciencias, Avda. Fuente Nueva, S/N, 18071, Granada, Spain
| | - Francisco Santoyo-González
- Departamento de Química Orgánica, Universidad de Granada, Facultad de Ciencias, Avda. Fuente Nueva, S/N, 18071, Granada, Spain
| | - Victor Blanco
- Departamento de Química Orgánica, Universidad de Granada, Facultad de Ciencias, Avda. Fuente Nueva, S/N, 18071, Granada, Spain
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Ortega-Muñoz M, Giron-Gonzalez MD, Salto-Gonzalez R, Jodar-Reyes AB, De Jesus SE, Lopez-Jaramillo FJ, Hernandez-Mateo F, Santoyo-Gonzalez F. Polyethyleneimine-Coated Gold Nanoparticles: Straightforward Preparation of Efficient DNA Delivery Nanocarriers. Chem Asian J 2016; 11:3365-3375. [PMID: 27685032 DOI: 10.1002/asia.201600951] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2016] [Revised: 09/09/2016] [Indexed: 11/10/2022]
Abstract
A novel one-pot method for the synthesis of polyethyleneimine (PEI)-coated gold nanoparticles (AuPEI-NPs) that combines the reductant-stabilizer properties of PEI with microwave irradiation starting from hydrogen tetrachloroaurate acid (HAuCl4 ) and branched PEI 25 kDa (b25kPEI) was explored. The method was straightforward, green, and low costing, for which the Au/PEI ratio (1:1 to 1:128 w/w) was a key parameter to modulate their capabilities as DNA delivery nanocarriers. Transfection assays in CHO-k1 cells demonstrated that AuPEI-NPs with 1:16 and 1:32 w/w ratios behaved as effective DNA gene vectors with improved transfection efficiencies (twofold) and significantly lower toxicity than unmodified b25kPEI and Lipofectamine 2000. The transfection mediated by these AuPEI-NP-DNA polyplexes preferentially used the caveolae-mediated route for intracellular internalization, as shown by studies performed by using specific internalization inhibitors as well as colocalization with markers of clathrin- and caveolae-dependent pathways. The AuPEI-NP polyplexes preferentially used the more efficient caveolae internalization pathway to promote transfection, a fact that supports their higher transfection efficiency relative to that of Lipofectamine 2000. In addition, intracellular trafficking of the AuPEI-NPs was studied by transmission electron microscopy.
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Affiliation(s)
- Mariano Ortega-Muñoz
- Department of Organic Chemistry, Biotechnology Institute, Faculty of Sciences, University of Granada, 18071, Granada, Spain
| | - M Dolores Giron-Gonzalez
- Department of Biochemistry and Molecular Biology II, School of Pharmacy, University of Granada, 18071, Granada, Spain
| | - Rafael Salto-Gonzalez
- Department of Biochemistry and Molecular Biology II, School of Pharmacy, University of Granada, 18071, Granada, Spain
| | - Ana Belen Jodar-Reyes
- Biocolloid and Fluid Physics Group, Department of Applied Physics, Faculty of Sciences, University of Granada, 18071, Granada, Spain
| | - Samantha E De Jesus
- Department of Biochemistry and Molecular Biology II, School of Pharmacy, University of Granada, 18071, Granada, Spain
| | - F Javier Lopez-Jaramillo
- Department of Organic Chemistry, Biotechnology Institute, Faculty of Sciences, University of Granada, 18071, Granada, Spain
| | - Fernando Hernandez-Mateo
- Department of Organic Chemistry, Biotechnology Institute, Faculty of Sciences, University of Granada, 18071, Granada, Spain
| | - Francisco Santoyo-Gonzalez
- Department of Organic Chemistry, Biotechnology Institute, Faculty of Sciences, University of Granada, 18071, Granada, Spain
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6
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Cruz CM, Ortega-Muñoz M, López-Jaramillo FJ, Hernández-Mateo F, Blanco V, Santoyo-González F. Vinyl Sulfonates: A Click Function for Coupling-and-Decoupling Chemistry and their Applications. Adv Synth Catal 2016. [DOI: 10.1002/adsc.201600628] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Carlos M. Cruz
- Departamento de Química Orgánica; Facultad de Ciencias; Universidad de Granada; 18071 Granada Spain
| | - Mariano Ortega-Muñoz
- Departamento de Química Orgánica; Facultad de Ciencias; Universidad de Granada; 18071 Granada Spain
| | | | - Fernando Hernández-Mateo
- Departamento de Química Orgánica; Facultad de Ciencias; Universidad de Granada; 18071 Granada Spain
| | - Victor Blanco
- Departamento de Química Orgánica; Facultad de Ciencias; Universidad de Granada; 18071 Granada Spain
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7
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Junquera E, Aicart E. Recent progress in gene therapy to deliver nucleic acids with multivalent cationic vectors. Adv Colloid Interface Sci 2016; 233:161-175. [PMID: 26265376 DOI: 10.1016/j.cis.2015.07.003] [Citation(s) in RCA: 78] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2015] [Revised: 07/10/2015] [Accepted: 07/12/2015] [Indexed: 12/16/2022]
Abstract
Due to the potential use as transfecting agents of nucleic acids (DNA or RNA), multivalent cationic non-viral vectors have received special attention in the last decade. Much effort has been addressed to synthesize more efficient and biocompatible gene vectors able to transport nucleic acids into the cells without provoking an immune response. Among them, the mostly explored to compact and transfect nucleic acids are: (a) gemini and multivalent cationic lipids, mixed with a helper lipid, by forming lipoplexes; and (b) cationic polymers, polycations, and polyrotaxanes, by forming polyplexes. This review is focused on the progress and recent advances experimented in this area, mainly during the present decade, devoting special attention to the lipoplexes and polyplexes, as follows: (a) to its biophysical characterization (mainly electrostatics, structure, size and morphology) using a wide variety of experimental methods; and (b) to its biological activity (transfection efficacy and cytotoxicity) addressed to confirm the optimum formulations and viability of these complexes as very promising gene vectors of nucleic acids in nanomedicine.
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Affiliation(s)
- Elena Junquera
- Grupo de Química Coloidal y Supramolecular, Departamento de Química Física I, Facultad de Ciencias Químicas, Universidad Complutense, 28040 Madrid, Spain
| | - Emilio Aicart
- Grupo de Química Coloidal y Supramolecular, Departamento de Química Física I, Facultad de Ciencias Químicas, Universidad Complutense, 28040 Madrid, Spain.
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8
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Giron-Gonzalez MD, Salto-Gonzalez R, Lopez-Jaramillo FJ, Salinas-Castillo A, Jodar-Reyes AB, Ortega-Muñoz M, Hernandez-Mateo F, Santoyo-Gonzalez F. Polyelectrolyte Complexes of Low Molecular Weight PEI and Citric Acid as Efficient and Nontoxic Vectors for in Vitro and in Vivo Gene Delivery. Bioconjug Chem 2016; 27:549-61. [DOI: 10.1021/acs.bioconjchem.5b00576] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- M. Dolores Giron-Gonzalez
- Department of Biochemistry and Molecular
Biology II, School of Pharmacy, and ‡Department of
Organic Chemistry, Biotechnology Institute, §Department of Analytical Chemistry, and ⊥Biocolloid and
Fluid Physics Group, Department of Applied Physics, Faculty
of Sciences, University of Granada, E-18071 Granada, Spain
| | - Rafael Salto-Gonzalez
- Department of Biochemistry and Molecular
Biology II, School of Pharmacy, and ‡Department of
Organic Chemistry, Biotechnology Institute, §Department of Analytical Chemistry, and ⊥Biocolloid and
Fluid Physics Group, Department of Applied Physics, Faculty
of Sciences, University of Granada, E-18071 Granada, Spain
| | - F. Javier Lopez-Jaramillo
- Department of Biochemistry and Molecular
Biology II, School of Pharmacy, and ‡Department of
Organic Chemistry, Biotechnology Institute, §Department of Analytical Chemistry, and ⊥Biocolloid and
Fluid Physics Group, Department of Applied Physics, Faculty
of Sciences, University of Granada, E-18071 Granada, Spain
| | - Alfonso Salinas-Castillo
- Department of Biochemistry and Molecular
Biology II, School of Pharmacy, and ‡Department of
Organic Chemistry, Biotechnology Institute, §Department of Analytical Chemistry, and ⊥Biocolloid and
Fluid Physics Group, Department of Applied Physics, Faculty
of Sciences, University of Granada, E-18071 Granada, Spain
| | - Ana Belen Jodar-Reyes
- Department of Biochemistry and Molecular
Biology II, School of Pharmacy, and ‡Department of
Organic Chemistry, Biotechnology Institute, §Department of Analytical Chemistry, and ⊥Biocolloid and
Fluid Physics Group, Department of Applied Physics, Faculty
of Sciences, University of Granada, E-18071 Granada, Spain
| | - Mariano Ortega-Muñoz
- Department of Biochemistry and Molecular
Biology II, School of Pharmacy, and ‡Department of
Organic Chemistry, Biotechnology Institute, §Department of Analytical Chemistry, and ⊥Biocolloid and
Fluid Physics Group, Department of Applied Physics, Faculty
of Sciences, University of Granada, E-18071 Granada, Spain
| | - Fernando Hernandez-Mateo
- Department of Biochemistry and Molecular
Biology II, School of Pharmacy, and ‡Department of
Organic Chemistry, Biotechnology Institute, §Department of Analytical Chemistry, and ⊥Biocolloid and
Fluid Physics Group, Department of Applied Physics, Faculty
of Sciences, University of Granada, E-18071 Granada, Spain
| | - Francisco Santoyo-Gonzalez
- Department of Biochemistry and Molecular
Biology II, School of Pharmacy, and ‡Department of
Organic Chemistry, Biotechnology Institute, §Department of Analytical Chemistry, and ⊥Biocolloid and
Fluid Physics Group, Department of Applied Physics, Faculty
of Sciences, University of Granada, E-18071 Granada, Spain
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Boone BA, Orlichenko L, Schapiro NE, Loughran P, Gianfrate GC, Ellis JT, Singhi AD, Kang R, Tang D, Lotze MT, Zeh HJ. The receptor for advanced glycation end products (RAGE) enhances autophagy and neutrophil extracellular traps in pancreatic cancer. Cancer Gene Ther 2015; 22:326-34. [PMID: 25908451 PMCID: PMC4470814 DOI: 10.1038/cgt.2015.21] [Citation(s) in RCA: 124] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2014] [Revised: 12/30/2014] [Accepted: 01/06/2015] [Indexed: 12/12/2022]
Abstract
Neutrophil extracellular traps (NETs) are formed when neutrophils expel their DNA, histones and intracellular proteins into the extracellular space or circulation. NET formation is dependent on autophagy and is mediated by citrullination of histones to allow for unwinding and subsequent expulsion of DNA. NETs play an important role in the pathogenesis of several sterile inflammatory diseases, including malignancy, therefore we investigated the role of NETs in the setting of pancreatic ductal adenocarcinoma (PDA). Neutrophils isolated from two distinct animal models of PDA had an increased propensity to form NETs following stimulation with platelet activating factor (PAF). Serum DNA, a marker of circulating NET formation, was elevated in tumor bearing animals as well as in patients with PDA. Citrullinated histone H3 expression, a marker of NET formation, was observed in pancreatic tumors obtained from murine models and patients with PDA. Inhibition of autophagy with chloroquine or genetic ablation of RAGE resulted in decreased propensity for NET formation, decreased serum DNA, and decreased citrullinated histone H3 expression in the pancreatic tumor microenvironment. We conclude that NETs are upregulated in pancreatic cancer through RAGE dependent/autophagy pathways.
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Affiliation(s)
- B A Boone
- Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA
| | - L Orlichenko
- Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA
| | - N E Schapiro
- Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA
| | - P Loughran
- 1] Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA [2] Center for Biologic Imaging, University of Pittsburgh, Pittsburgh, PA, USA
| | - G C Gianfrate
- Center for Biologic Imaging, University of Pittsburgh, Pittsburgh, PA, USA
| | - J T Ellis
- Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA
| | - A D Singhi
- Department of Pathology, University of Pittsburgh, Pittsburgh, PA, USA
| | - R Kang
- Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA
| | - D Tang
- Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA
| | - M T Lotze
- Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA
| | - H J Zeh
- Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA
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