PMID- 33240874 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220418 IS - 2296-634X (Print) IS - 2296-634X (Electronic) IS - 2296-634X (Linking) VI - 8 DP - 2020 TI - Neutrophil Extracellular Traps Induce MCP-1 at the Culprit Site in ST-Segment Elevation Myocardial Infarction. PG - 564169 LID - 10.3389/fcell.2020.564169 [doi] LID - 564169 AB - BACKGROUND: Leukocyte-mediated inflammation is crucial in ST-segment elevation myocardial infarction (STEMI). We recently observed that neutrophil extracellular traps (NETs) are increased at the culprit site, promoting activation and differentiation of fibrocytes, cells with mesenchymal and leukocytic properties. Fibrocyte migration is mediated by monocyte chemoattractant protein (MCP)-1 and C-C chemokine receptor type 2 (CCR2). We investigated the interplay between NETs, fibrocyte function, and MCP-1 in STEMI. METHODS: Culprit site and peripheral blood samples of STEMI patients were drawn during primary percutaneous coronary intervention. MCP-1 and the NET marker citrullinated histone H3 (citH3) were measured by ELISA while double-stranded DNA was stained with a fluorescent dye. The influence of MCP-1 on NET formation in vitro was assessed using isolated healthy donor neutrophils. Human coronary artery endothelial cells (hCAECs) were stimulated with isolated NETs, and MCP-1 gene expression was measured by ELISA and qPCR. CCR2 expression of culprit site and peripheral blood fibrocytes was characterized by flow cytometry. Healthy donor fibrocyte receptor expression and chemotaxis were investigated in response to stimulation with MCP-1 and NETs in vitro. RESULTS: NETs and concentrations of MCP-1 were increased at the culprit site of 50 consecutive STEMI patients. NET stimulation of hCAECs induced transcription of ICAM-1, IL-6, and MCP-1, and secretion of MCP-1. MCP-1 promoted NET formation of healthy donor neutrophils in vitro. An increasing MCP-1 gradient correlated with fibrocyte accumulation at the culprit site. Locally increased MCP-1 levels were negatively correlated with CCR2 expression on fibrocytes. MCP-1 and NETs induced CCR2 downregulation on fibrocytes in vitro. NETs did not function as a chemotactic stimulus for fibrocytes or monocytes and could block migration in response to MCP-1 for both cell populations. CONCLUSION: NETs function as signaling scaffolds at the culprit site of STEMI. NETs assist MCP-1 and ICAM-1 release from culprit site coronary artery endothelial cells. MCP-1 facilitates further NETosis. Monocytes enter the culprit site along an MCP-1 gradient, to transdifferentiate into fibrocytes in the presence of NETs. CI - Copyright (c) 2020 Hofbauer, Ondracek, Mangold, Scherz, Nechvile, Seidl, Brostjan and Lang. FAU - Hofbauer, Thomas M AU - Hofbauer TM AD - Department of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria. FAU - Ondracek, Anna S AU - Ondracek AS AD - Department of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria. FAU - Mangold, Andreas AU - Mangold A AD - Department of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria. FAU - Scherz, Thomas AU - Scherz T AD - Department of Dermatology and Venereology, Landesklinikum Wiener Neustadt, Wiener Neustadt, Austria. FAU - Nechvile, Johanna AU - Nechvile J AD - Department of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria. FAU - Seidl, Veronika AU - Seidl V AD - Department of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria. FAU - Brostjan, Christine AU - Brostjan C AD - Department of Surgery, Division of Vascular Surgery and Surgical Research Laboratories, Medical University of Vienna, Vienna, Austria. FAU - Lang, Irene M AU - Lang IM AD - Department of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria. LA - eng PT - Journal Article DEP - 20201109 PL - Switzerland TA - Front Cell Dev Biol JT - Frontiers in cell and developmental biology JID - 101630250 PMC - PMC7680894 OTO - NOTNLM OT - CCR2 OT - ST-segment elevation myocardial infarction OT - fibrocytes OT - monocyte chemoattractant protein-1 OT - neutrophil extracellular traps EDAT- 2020/11/27 06:00 MHDA- 2020/11/27 06:01 PMCR- 2020/01/01 CRDT- 2020/11/26 05:48 PHST- 2020/05/20 00:00 [received] PHST- 2020/10/08 00:00 [accepted] PHST- 2020/11/26 05:48 [entrez] PHST- 2020/11/27 06:00 [pubmed] PHST- 2020/11/27 06:01 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - 10.3389/fcell.2020.564169 [doi] PST - epublish SO - Front Cell Dev Biol. 2020 Nov 9;8:564169. doi: 10.3389/fcell.2020.564169. eCollection 2020.