PMID- 33048064 OWN - NLM STAT- MEDLINE DCOM- 20211015 LR - 20211015 IS - 1479-6813 (Electronic) IS - 0952-5041 (Linking) VI - 65 IP - 4 DP - 2020 Nov TI - NETosis contributes to the pathogenesis of diabetes and its complications. PG - R65-R76 LID - JME-20-0128 [pii] LID - 10.1530/JME-20-0128 [doi] AB - NETosis, a novel form of neutrophil-related cell death, acts as a major regulator of diabetes and diabetes-associated complications. In this review, we show that the extrusion of neutrophil extracellular traps, termed NETs, plays an important role in the pathogenesis of type 1 diabetes mellitus (T1DM), type 2 diabetes mellitus (T2DM), and diabetes-induced complications. In T1DM, beta-cell death induces the sequestration of neutrophils in the pancreas and seems to be correlated with increased NETosis. In T2DM patients, products of NETs release are significantly elevated. Increased levels of dsDNA are correlated with the presence of cardiovascular disease and diabetic kidney disease, further supporting the role of NETosis in the pathogenesis of other diabetes-induced complications such as impaired wound healing and diabetic retinopathy. NETosis is induced by high glucose through incompletely understood mechanisms, but it also appears to be elevated in patients with diabetes who have tightly controlled glucose levels. We hypothesize that hyperglycemia worsens the already elevated baseline of NETosis in diabetic patients to further increase its detrimental effects. FAU - Njeim, Rachel AU - Njeim R AD - Department of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine and Medical Center, American University of Beirut, Beirut, Lebanon. AD - AUB Diabetes, American University of Beirut, Beirut, Lebanon. FAU - Azar, William S AU - Azar WS AUID- ORCID: 0000-0003-0682-3465 AD - Department of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine and Medical Center, American University of Beirut, Beirut, Lebanon. AD - AUB Diabetes, American University of Beirut, Beirut, Lebanon. AD - Department of Physiology and Biophysics, Georgetown University Medical Center, Washington, District of Colombia, USA. FAU - Fares, Angie H AU - Fares AH AD - Department of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine and Medical Center, American University of Beirut, Beirut, Lebanon. AD - AUB Diabetes, American University of Beirut, Beirut, Lebanon. FAU - Azar, Sami T AU - Azar ST AD - AUB Diabetes, American University of Beirut, Beirut, Lebanon. AD - Department of Internal Medicine, Faculty of Medicine and Medical Center, American University of Beirut, Beirut, Lebanon. FAU - Kfoury Kassouf, Hala AU - Kfoury Kassouf H AD - Department of Pathology and Laboratory Medicine, Faculty of Medicine and Medical Center, American University of Beirut, Beirut, Lebanon. FAU - Eid, Assaad A AU - Eid AA AD - Department of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine and Medical Center, American University of Beirut, Beirut, Lebanon. AD - AUB Diabetes, American University of Beirut, Beirut, Lebanon. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - J Mol Endocrinol JT - Journal of molecular endocrinology JID - 8902617 RN - 0 (Biomarkers) RN - EC 1.6.3.- (NADPH Oxidases) SB - IM MH - Animals MH - Biomarkers MH - Diabetes Complications/*etiology/*metabolism MH - Diabetes Mellitus/*etiology/*metabolism MH - Disease Susceptibility MH - Extracellular Traps/genetics/*immunology/*metabolism MH - Humans MH - NADPH Oxidases/genetics/metabolism MH - Neutrophils/*immunology/*metabolism/pathology OTO - NOTNLM OT - NADPH oxidases OT - NETosis OT - diabetes mellitus OT - diabetes-induced complications OT - neutrophil extracellular traps EDAT- 2020/10/14 06:00 MHDA- 2021/10/16 06:00 CRDT- 2020/10/13 12:11 PHST- 2020/07/30 00:00 [received] PHST- 2020/09/03 00:00 [accepted] PHST- 2020/10/13 12:11 [entrez] PHST- 2020/10/14 06:00 [pubmed] PHST- 2021/10/16 06:00 [medline] AID - JME-20-0128 [pii] AID - 10.1530/JME-20-0128 [doi] PST - ppublish SO - J Mol Endocrinol. 2020 Nov;65(4):R65-R76. doi: 10.1530/JME-20-0128.