National Pharmaceutical Engineering Center for Solid Preparation in Chinese Herbal Medicine, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, People's Republic of China.
Key Laboratory of Modern Preparation of TCM, Ministry of Education, Jiangxi University of Chinese Medicine, Nanchang, Jiangxi, People's Republic of China.
Int J Nanomedicine. 2023 Sep 18;18:5265-5287. doi: 10.2147/IJN.S418259. eCollection 2023.
Neutrophil extracellular traps (NETs) are large DNA reticular structures secreted by neutrophils and decorated with histones and antimicrobial proteins. As a key mechanism for neutrophils to resist microbial invasion, NETs play an important role in the killing of microorganisms (bacteria, fungi, and viruses). Although NETs are mostly known for mediating microbial killing, increasing evidence suggests that excessive NETs induced by stimulation of physical and chemical components, microorganisms, and pathological factors can exacerbate inflammation and organ damage. This review summarizes the induction and role of NETs in inflammation and focuses on the strategies of inhibiting NETosis and the mechanisms involved in pathogen evasion of NETs. Furthermore, herbal medicine inhibitors and nanodelivery strategies improve the efficiency of inhibition of excessive levels of NETs.
中性粒细胞胞外诱捕网(NETs)是中性粒细胞分泌的一种大型 DNA 网状结构,其上装饰有组蛋白和抗菌蛋白。作为中性粒细胞抵抗微生物入侵的关键机制,NETs 在杀死微生物(细菌、真菌和病毒)方面发挥着重要作用。尽管 NETs 主要因介导微生物杀伤而闻名,但越来越多的证据表明,由物理和化学成分、微生物和病理因素刺激诱导的过量 NETs 会加剧炎症和器官损伤。本综述总结了 NETs 在炎症中的诱导和作用,并重点介绍了抑制 NETosis 的策略以及病原体逃避 NETs 的相关机制。此外,草药抑制剂和纳米递药策略提高了抑制过量 NETs 水平的效率。