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中性粒细胞弹性蛋白酶增强接受 DNase 治疗的囊性纤维化患者的痰液溶解。

Neutrophil elastase enhances sputum solubilization in cystic fibrosis patients receiving DNase therapy.

机构信息

Department of Cellular Microbiology, Max Planck Institute for Infection Biology, Berlin, Germany.

出版信息

PLoS One. 2011;6(12):e28526. doi: 10.1371/journal.pone.0028526. Epub 2011 Dec 9.

Abstract

Cystic fibrosis patients suffer from chronic lung infection and inflammation due to the secretion of viscous sputum. Sputum viscosity is caused by extracellular DNA, some of which originates from the release of neutrophil extracellular traps (NETs). During NET formation neutrophil elastase (NE) partially processes histones to decondense chromatin. NE is abundant in CF sputum and is thought to contribute to tissue damage. Exogenous nucleases are a palliative treatment in CF as they promote sputum solubilization. We show that in a process reminiscent of NET formation, NE enhances sputum solubilization by cleaving histones to enhance the access of exogenous nucleases to DNA. In addition, we find that in Cf sputum NE is predominantly bound to DNA, which is known to downregulate its proteolytic activity and may restrict host tissue damage. The beneficial role of NE in CF sputum solubilization may have important implications for the development of CF therapies targeting NE.

摘要

囊性纤维化患者由于粘性痰液的分泌而遭受慢性肺部感染和炎症。痰液的粘性是由细胞外 DNA 引起的,其中一些来源于中性粒细胞胞外诱捕网(NETs)的释放。在 NET 形成过程中,中性粒细胞弹性蛋白酶(NE)部分处理组蛋白以解凝聚染色质。NE 在 CF 痰液中含量丰富,被认为有助于组织损伤。外源性核酸酶是 CF 的一种姑息性治疗方法,因为它们促进痰液溶解。我们表明,在类似于 NET 形成的过程中,NE 通过切割组蛋白来增强外源性核酸酶对 DNA 的亲和力,从而增强痰液的溶解能力。此外,我们发现 NE 在 Cf 痰液中主要与 DNA 结合,已知 DNA 会下调其蛋白水解活性,并且可能限制宿主组织损伤。NE 在 CF 痰液溶解中的有益作用可能对针对 NE 的 CF 治疗方法的发展具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8247/3235130/0e5ce0c79eb5/pone.0028526.g001.jpg

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