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Publication : GSDMD-mediated NETosis promotes the development of acute respiratory distress syndrome.

First Author  Xie J Year  2023
Journal  Eur J Immunol Volume  53
Issue  1 Pages  e2250011
PubMed ID  36250416 Mgi Jnum  J:347436
Mgi Id  MGI:7442751 Doi  10.1002/eji.202250011
Citation  Xie J, et al. (2023) GSDMD-mediated NETosis promotes the development of acute respiratory distress syndrome. Eur J Immunol 53(1):e2250011
abstractText  Gasdermin D (GSDMD) is a classical molecule involved in pyroptosis. It has been reported to be cleaved into N-terminal fragments to form pores in the neutrophil membrane and promote the release of neutrophil extracellular traps (NETs). However, it remains unclear if GSDMD is involved in neutrophil regulation and NET release during ARDS. The role of neutrophil GSDMD in the development of ARDS was investigated in a murine model of ARDS induced by lipopolysaccharide (LPS) using the neutrophil specific GSDMD-deficient mice. The neutrophil GSDMD cleavage and its relationship with NETosis were also explored in ARDS patients. The cleavage of GSDMD in neutrophils from ARDS patients and mice was upregulated. Inhibition of GSDMD by genetic knockout or inhibitors resulted in reduced production of NET both in vivo and in vitro, and attenuation of LPS-induced lung injury. Moreover, in vitro experiments showed that the inhibition of GSDMD attenuated endothelial injury co-cultured with neutrophils from ARDS patients, while extrinsic NETs reversed the protective effect of GSDMD inhibition. Collectively, our data suggest that the neutrophil GSDMD cleavage is crucial in NET release during ARDS. The NET release maintained by cleaved GSDMD in neutrophils may be a key event in the development of ARDS.
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