PMID- 32308985 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220414 IS - 2052-0492 (Print) IS - 2052-0492 (Electronic) IS - 2052-0492 (Linking) VI - 8 DP - 2020 TI - Serial change of neutrophil extracellular traps in tracheal aspirate of patients with acute respiratory distress syndrome: report of three cases. PG - 25 LID - 10.1186/s40560-020-00444-5 [doi] LID - 25 AB - BACKGROUND: Neutrophil extracellular traps (NETs) are fibrous structures released from activated neutrophils. NET formation has been reported to be associated with acute respiratory distress syndrome (ARDS). However, there are no reports dealing with serial changes of NET formation in tracheal aspirate of ARDS patients. CASE PRESENTATION: We report three cases of ARDS. Case 1 is a 69-year-old man with necrotizing fasciitis of the buttocks, case 2 is a 49-year-old woman with extensive burns (80% of total body surface), and case 3 is a 73-year-old woman with severe bacterial pneumonia. We found abundant expression of citrullinated histone H3 (Cit-H3) and the formation of NETs at the onset of ARDS in all cases. The amounts of Cit-H3 and NETs decreased with the amelioration of respiratory failure in cases 1 and 2. In case 2, the amounts of Cit-H3 and NETs increased with aggravation of infection and respiratory status. In case 3, the abundant expression of Cit-H3 and NETs persisted; the patient did not recover from ARDS and eventually died. Cit-H3 and NETs were found in tracheal aspirates even if the patients had no direct injury to the lung as in cases 1 and 2. CONCLUSIONS: In these three cases, the formation of NETs was observed in tracheal aspirate of patients with ARDS by either direct or indirect insults to the lung. The amount of NET formation changed dynamically over the clinical course of each patient. CI - (c) The Author(s) 2020. FAU - Ojima, Masahiro AU - Ojima M AD - 1Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. GRID: grid.136593.b. ISNI: 0000 0004 0373 3971 FAU - Yamamoto, Norihisa AU - Yamamoto N AD - 2Division of Infection Control and Prevention, Osaka University Hospital, Suita, Osaka, Japan. GRID: grid.412398.5. ISNI: 0000 0004 0403 4283 FAU - Hirose, Tomoya AU - Hirose T AD - 1Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. GRID: grid.136593.b. ISNI: 0000 0004 0373 3971 FAU - Hamaguchi, Shigeto AU - Hamaguchi S AD - 2Division of Infection Control and Prevention, Osaka University Hospital, Suita, Osaka, Japan. GRID: grid.412398.5. ISNI: 0000 0004 0403 4283 FAU - Tasaki, Osamu AU - Tasaki O AD - 3Acute and Critical Care Center, Nagasaki University Hospital, Nagasaki, Japan. GRID: grid.411873.8. ISNI: 0000 0004 0616 1585 FAU - Kojima, Takashi AU - Kojima T AD - 4Central Laboratory for Clinical Investigation, Osaka University Hospital, Suita, Osaka, Japan. GRID: grid.412398.5. ISNI: 0000 0004 0403 4283 FAU - Tomono, Kazunori AU - Tomono K AD - 2Division of Infection Control and Prevention, Osaka University Hospital, Suita, Osaka, Japan. GRID: grid.412398.5. ISNI: 0000 0004 0403 4283 FAU - Ogura, Hiroshi AU - Ogura H AD - 1Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. GRID: grid.136593.b. ISNI: 0000 0004 0373 3971 FAU - Shimazu, Takeshi AU - Shimazu T AD - 1Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan. GRID: grid.136593.b. ISNI: 0000 0004 0373 3971 LA - eng PT - Case Reports DEP - 20200410 PL - England TA - J Intensive Care JT - Journal of intensive care JID - 101627304 PMC - PMC7149861 OTO - NOTNLM OT - Acute respiratory distress syndrome (ARDS) OT - Citrullinated histone OT - Histone OT - Neutrophil extracellular traps (NETs) COIS- Competing interestsThe authors declare that they have no competing interests. EDAT- 2020/04/21 06:00 MHDA- 2020/04/21 06:01 PMCR- 2020/04/10 CRDT- 2020/04/21 06:00 PHST- 2020/01/07 00:00 [received] PHST- 2020/04/01 00:00 [accepted] PHST- 2020/04/21 06:00 [entrez] PHST- 2020/04/21 06:00 [pubmed] PHST- 2020/04/21 06:01 [medline] PHST- 2020/04/10 00:00 [pmc-release] AID - 444 [pii] AID - 10.1186/s40560-020-00444-5 [doi] PST - epublish SO - J Intensive Care. 2020 Apr 10;8:25. doi: 10.1186/s40560-020-00444-5. eCollection 2020.