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Publication : Neutrophil extracellular traps and DNases orchestrate formation of peritoneal adhesions.

First Author  Elrod J Year  2023
Journal  iScience Volume  26
Issue  12 Pages  108289
PubMed ID  38034352 Mgi Jnum  J:350838
Mgi Id  MGI:7563628 Doi  10.1016/j.isci.2023.108289
Citation  Elrod J, et al. (2023) Neutrophil extracellular traps and DNases orchestrate formation of peritoneal adhesions. iScience 26(12):108289
abstractText  Peritoneal adhesions are poorly understood but highly prevalent conditions that can cause intestinal obstruction and pelvic pain requiring surgery. While there is consensus that stress-induced inflammation triggers peritoneal adhesions, the molecular processes of their formation still remain elusive. We performed murine models and analyzed human samples to monitor the formation of adhesions and the treatment with DNases. Various molecular analyses were used to evaluate the adhesions. The experimental peritoneal adhesions of the murine models and biopsy material from humans are largely based on neutrophil extracellular traps (NETs). Treatment with DNASE1 (Dornase alfa) and the human DNASE1L3 analog (NTR-10), significantly reduced peritoneal adhesions in experimental models. We conclude that NETs serve as essential scaffold for the formation of adhesions; DNases interfere with this process. Herein, we show that therapeutic application of DNases can be employed to prevent the formation of murine peritoneal adhesions. If this can be translated into the human situation requires clinical studies.
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