
Recent evidence suggests that enhanced neutrophil extracellular trap (NET) formation activates plasmacytoid dendritic cells and serves as a source of autoantigens in SLE. We propose that aberrant NET formation is also linked to organ damage and to the premature vascular disease characteristic of human SLE. Here, we demonstrate enhanced NET formation in the New Zealand mixed 2328 (NZM) model of murine lupus. NZM mice also developed autoantibodies to NETs as well as the ortholog of human cathelicidin/LL37 (CRAMP), a molecule externalized in the NETs. NZM mice were treated with Cl-amidine, an inhibitor of peptidylarginine deiminases (PAD), to block NET formation and were evaluated for lupus-like disease activity, endothelial function, and prothrombotic phenotype. Cl-amidine treatment inhibited NZM NET formation in vivo and significantly altered circulating autoantibody profiles and complement levels while reducing glomerular IgG deposition. Further, Cl-amidine increased the differentiation capacity of bone marrow endothelial progenitor cells, improved endothelium-dependent vasorelaxation, and markedly delayed time to arterial thrombosis induced by photochemical injury. Overall, these findings suggest that PAD inhibition can modulate phenotypes crucial for lupus pathogenesis and disease activity and may represent an important strategy for mitigating cardiovascular risk in lupus patients.
Ornithine, Hydrolases, Neutrophils, Cells, Injections, Subcutaneous, 610, Bone Marrow Cells, Therapeutics, Inbred C57BL, Biochemistry, Injections, Mice, Enzymes and Coenzymes, 616, Animals, Humans, Lupus Erythematosus, Systemic, Carotid Artery Thrombosis, Endothelium, Inbred BALB C, Cells, Cultured, Autoantibodies, Mice, Inbred BALB C, Cultured, Lupus Erythematosus, Animal, Subcutaneous, Stem Cells, Systemic, Medicinal-Pharmaceutical Chemistry, Cell Differentiation, Vasodilation, Mice, Inbred C57BL, Disease Models, Animal, Phenotype, Cardiovascular Diseases, Disease Models, Female
Ornithine, Hydrolases, Neutrophils, Cells, Injections, Subcutaneous, 610, Bone Marrow Cells, Therapeutics, Inbred C57BL, Biochemistry, Injections, Mice, Enzymes and Coenzymes, 616, Animals, Humans, Lupus Erythematosus, Systemic, Carotid Artery Thrombosis, Endothelium, Inbred BALB C, Cells, Cultured, Autoantibodies, Mice, Inbred BALB C, Cultured, Lupus Erythematosus, Animal, Subcutaneous, Stem Cells, Systemic, Medicinal-Pharmaceutical Chemistry, Cell Differentiation, Vasodilation, Mice, Inbred C57BL, Disease Models, Animal, Phenotype, Cardiovascular Diseases, Disease Models, Female
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| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 1% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 1% |
