PMID- 33571683 OWN - NLM STAT- MEDLINE DCOM- 20210806 LR - 20211204 IS - 1878-1810 (Electronic) IS - 1878-1810 (Linking) VI - 233 DP - 2021 Jul TI - Histone citrullination as a novel biomarker and target to inhibit progression of abdominal aortic aneurysms. PG - 32-46 LID - S1931-5244(21)00026-8 [pii] LID - 10.1016/j.trsl.2021.02.003 [doi] AB - Neutrophil extracellular traps (NETs) have been implicated in the pathogenesis of abdominal aortic aneurysms (AAAs). This study has addressed the notion that NET components might serve as AAA biomarkers or novel targets of AAA therapy. Thus, parameters of neutrophil activation and NET formation were measured in plasma. Their diagnostic marker value was explored in 41 AAA patients and 38 healthy controls. The NET parameter citrullinated histone H3 (citH3) was then validated in 63 AAA patients and 63 controls matched for cardiovascular disease. The prognostic marker potential was investigated in 54 observation periods of AAA growth over 6 months. NETs were further assessed in conditioned medium and sections of aortic tissue. CitH3 was found to be increased in blood (median 362 vs 304 ng/mL, P = 0.004) and aortic tissue (50 vs 1.5 ng/mg, P < 0.001) of AAA patients compared to healthy controls and accumulated in the intraluminal thrombus (629 ng/mg). The diagnostic potential of citH3 ranged at 0.705 area under the ROC curve (AUROC) and was validated with the independent sample set. Furthermore, plasma citH3 predicted AAA growth over the next 6 months (AUROC: 0.707, P = 0.015) and dropped significantly after surgical aneurysm repair. In an angiotensin II - based mouse model of experimental AAA, an inhibitor of histone citrullination was applied to block NET formation and AAA progression. Of note, further growth of an established aneurysm was prevented in mice treated with the NET inhibitor (P = 0.040). In conclusion, histone citrullination represents a promising AAA biomarker and potential therapeutic target to control disease progression. CI - Copyright (c) 2021 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Eilenberg, Wolf AU - Eilenberg W AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Zagrapan, Branislav AU - Zagrapan B AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Bleichert, Sonja AU - Bleichert S AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Ibrahim, Nahla AU - Ibrahim N AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Knobl, Viktoria AU - Knobl V AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Brandau, Annika AU - Brandau A AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Martelanz, Luca AU - Martelanz L AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Grasl, Marie-Therese AU - Grasl MT AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Hayden, Hubert AU - Hayden H AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Nawrozi, Paimann AU - Nawrozi P AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Rajic, Renata AU - Rajic R AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Hausler, Charlotte AU - Hausler C AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Potolidis, Alexandros AU - Potolidis A AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Schirwani, Nawa AU - Schirwani N AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Scheuba, Andreas AU - Scheuba A AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Klopf, Johannes AU - Klopf J AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Teubenbacher, Peter AU - Teubenbacher P AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Weigl, Markus P AU - Weigl MP AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Kirchweger, Patrick AU - Kirchweger P AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Beitzke, Dietrich AU - Beitzke D AD - Department of Biomedical Imaging and Image Guided Therapy: Division of Cardiovascular and Interventional Radiology; Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria. FAU - Stiglbauer-Tscholakoff, Alexander AU - Stiglbauer-Tscholakoff A AD - Department of Biomedical Imaging and Image Guided Therapy: Division of Cardiovascular and Interventional Radiology; Division of Molecular and Gender Imaging, Medical University of Vienna, Vienna, Austria. FAU - Panzenbock, Adelheid AU - Panzenbock A AD - Department of Internal Medicine II: Division of Cardiology, Medical University of Vienna, Vienna, Austria. FAU - Lang, Irene AU - Lang I AD - Department of Internal Medicine II: Division of Cardiology, Medical University of Vienna, Vienna, Austria. FAU - Mauracher, Lisa-Marie AU - Mauracher LM AD - Department of Internal Medicine I: Clinical Division of Haematology and Haemostaseology, Medical University of Vienna, Vienna, Austria. FAU - Hell, Lena AU - Hell L AD - Department of Internal Medicine I: Clinical Division of Haematology and Haemostaseology, Medical University of Vienna, Vienna, Austria. FAU - Pabinger, Ingrid AU - Pabinger I AD - Department of Internal Medicine I: Clinical Division of Haematology and Haemostaseology, Medical University of Vienna, Vienna, Austria. FAU - Bailey, Marc A AU - Bailey MA AD - Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Faculty of Medicine and Health, Leeds, United Kingdom; Leeds Vascular Institute, Leeds General Infirmary, Leeds, United Kingdom. FAU - Scott, D Julian A AU - Scott DJA AD - Leeds Vascular Institute, Leeds General Infirmary, Leeds, United Kingdom; Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Faculty of Medicine and Health, Leeds, United Kingdom. FAU - Maegdefessel, Lars AU - Maegdefessel L AD - Department of Vascular and Endovascular Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany; Molecular Vascular Medicine Group, Centre for Molecular Medicine, Karolinska Institute, Stockholm, Sweden. FAU - Busch, Albert AU - Busch A AD - Department of Vascular and Endovascular Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany; Molecular Vascular Medicine Group, Centre for Molecular Medicine, Karolinska Institute, Stockholm, Sweden. FAU - Huk, Ihor AU - Huk I AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Neumayer, Christoph AU - Neumayer C AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. FAU - Brostjan, Christine AU - Brostjan C AD - Department of General Surgery: Division of Vascular Surgery, Medical University of Vienna, Vienna, Austria. Electronic address: christine.brostjan@meduniwien.ac.at. LA - eng GR - FS/18/12/33270/BHF_/British Heart Foundation/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210209 PL - United States TA - Transl Res JT - Translational research : the journal of laboratory and clinical medicine JID - 101280339 RN - 0 (Biomarkers) RN - 0 (Histones) RN - EC 3.5.3.15 (Padi4 protein, mouse) RN - EC 3.5.3.15 (Protein-Arginine Deiminases) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Animals MH - Aortic Aneurysm, Abdominal/*metabolism/therapy MH - Biomarkers/blood/metabolism MH - Case-Control Studies MH - *Citrullination/drug effects MH - Cohort Studies MH - Disease Models, Animal MH - Disease Progression MH - Extracellular Traps/drug effects/metabolism MH - Female MH - Histone Code/drug effects MH - Histones/blood/*metabolism MH - Humans MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout, ApoE MH - Middle Aged MH - Neutrophils/drug effects/metabolism MH - Prognosis MH - Protein-Arginine Deiminases/antagonists & inhibitors MH - Translational Research, Biomedical EDAT- 2021/02/12 06:00 MHDA- 2021/08/07 06:00 CRDT- 2021/02/11 20:11 PHST- 2020/11/29 00:00 [received] PHST- 2021/01/31 00:00 [revised] PHST- 2021/02/04 00:00 [accepted] PHST- 2021/02/12 06:00 [pubmed] PHST- 2021/08/07 06:00 [medline] PHST- 2021/02/11 20:11 [entrez] AID - S1931-5244(21)00026-8 [pii] AID - 10.1016/j.trsl.2021.02.003 [doi] PST - ppublish SO - Transl Res. 2021 Jul;233:32-46. doi: 10.1016/j.trsl.2021.02.003. Epub 2021 Feb 9.