Morawiec Maria-Laura, Kubina Robert, Stępień Sebastian, Smycz-Kubańska Marta, Królewska-Daszczyńska Patrycja, Ratajczak-Wrona Wioletta, Mielczarek-Palacz Aleksandra
Department of Immunology and Serology, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia in Katowice, Katowice, Poland.
Silesia LabMed: Centre for Research and Implementation, Medical University of Silesia in Katowice, Katowice, Poland.
Front Immunol. 2025 May 5;16:1589329. doi: 10.3389/fimmu.2025.1589329. eCollection 2025.
Neutrophil extracellular traps (NETs) are physiologically released in response to pathogens, serving as a defense mechanism. However, excessive NET production has been implicated in various pathological conditions, including diseases of the female reproductive system. Recent studies highlight the significant role of neutrophils and NETs in cancer pathogenesis. Overproduction of NETs creates sites for tumor cell adhesion, promoting tumor cell proliferation, immune escape, and tumor progression. NET formation is associated with many diseases, including cancers of the female reproductive organs. Detection of NETs can be used as a prognostic tool for patients with diseases characterized by higher rates of NETs formation, such as cancer. In order to use NETs in diagnosis, it is possible to determine them directly or to determine NET components: extracellular DNA, citrullinated histones, NE or MPO. This review explores the role of neutrophils and NETs in the pathogenesis, diagnosis and treatment of breast, ovarian, cervical and endometrial cancer, premature lapse of ovarian function, cervicitis, endometriosis, pregnancy and pregnancy-related diseases.
中性粒细胞胞外陷阱(NETs)在生理状态下会响应病原体而释放,作为一种防御机制。然而,NETs的过度产生与多种病理状况有关,包括女性生殖系统疾病。最近的研究突出了中性粒细胞和NETs在癌症发病机制中的重要作用。NETs的过度产生为肿瘤细胞黏附创造了位点,促进肿瘤细胞增殖、免疫逃逸和肿瘤进展。NETs的形成与许多疾病相关,包括女性生殖器官癌症。NETs的检测可用作NETs形成率较高的疾病(如癌症)患者的预后工具。为了在诊断中使用NETs,可以直接对其进行测定,也可以测定NETs的组成成分:细胞外DNA、瓜氨酸化组蛋白、中性粒细胞弹性蛋白酶(NE)或髓过氧化物酶(MPO)。本综述探讨了中性粒细胞和NETs在乳腺癌、卵巢癌、宫颈癌和子宫内膜癌、卵巢功能早衰、宫颈炎、子宫内膜异位症、妊娠及妊娠相关疾病的发病机制、诊断和治疗中的作用。