Department of Pharmacy, The Second Affiliated Hospital, Army Medical University, 183 Xinqiao Road, Chongqing 400000, China.
Department of Transfusion, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, 32# W. Sec 2, 1stRing Rd, Qingyang District, Chengdu, Sichuan 610072, China.
Biomed Pharmacother. 2024 Apr;173:116334. doi: 10.1016/j.biopha.2024.116334. Epub 2024 Feb 29.
Neutrophil extracellular traps (NETs) have emerged as a critical factor in malignant hematologic disease pathogenesis. These structures, comprising DNA, histones, and cytoplasmic proteins, were initially recognized for their role in immune defense against microbial threats. Growing evidence suggests that NETs contribute to malignant cell progression and dissemination, representing a double-edged sword. However, there is a paucity of reports on its involvement in hematological disorders. A comprehensive understanding of the intricate relationship between malignant cells and NETs is necessary to explore effective therapeutic strategies. This review highlights NET formation and mechanisms underlying disease pathogenesis. Moreover, we discuss recent advancements in targeted inhibitor development for selective NET disruption, empowering precise design and efficacious therapeutic interventions for malignant hematologic diseases.
中性粒细胞胞外诱捕网(NETs)已成为恶性血液病发病机制中的一个关键因素。这些结构由 DNA、组蛋白和细胞质蛋白组成,最初因其在免疫防御微生物威胁中的作用而被认识。越来越多的证据表明,NETs 有助于恶性细胞的进展和扩散,代表了一把双刃剑。然而,关于其在血液系统疾病中的作用的报道很少。全面了解恶性细胞与 NETs 之间复杂的关系对于探索有效的治疗策略是必要的。这篇综述强调了 NET 的形成和疾病发病机制的机制。此外,我们还讨论了针对选择性 NET 破坏的靶向抑制剂开发的最新进展,为恶性血液病的精确设计和有效治疗干预提供了支持。