PMID- 37906560 OWN - NLM STAT- MEDLINE DCOM- 20231102 LR - 20231102 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 18 IP - 10 DP - 2023 TI - DNase I targeted degradation of neutrophil extracellular traps to reduce the damage on IgAV rat. PG - e0291592 LID - 10.1371/journal.pone.0291592 [doi] LID - e0291592 AB - BACKGROUND: In the past two years, studies have found a significant increase in neutrophil extracellular traps (NETs) in patients with IgA vasculitis (IgAV), which is correlated with the severity of the disease. NETs have been reported as an intervention target in inflammatory and autoimmune diseases. This study aimed to investigate the effect of targeted degradation of NETs using DNase I in IgAV rat model. METHODS: Twenty-four Sprague-Dawley rats were randomly divided into three groups: the IgAV model group, the DNase I intervention group and the normal control group, with an average of 8 rats in each group. The model group was established by using Indian ink, ovalbumin, and Freund's complete adjuvant. In the intervention group, DNase I was injected through tail vein 3 days before the end of established model. The circulating cell free-DNA (cf-DNA) and myeloperoxidase-DNA (MPO-DNA) were analyzed. The presence of NETs in the kidney, gastric antrum and descending duodenum were detected using multiple fluorescences immunohistochemistry and Western blots. Morphological changes of the tissues were observed. RESULTS: After the intervention of DNase I, there was a significant reduction in cf-DNA and MPO-DNA levels in the intervention group compared to the IgAV model group (all P<0.001). The presence of NETs in renal, gastric, and duodenal tissues of the intervention group exhibited a significant decrease compared to the IgAV model group (P < 0.01). Moreover, the intervention group demonstrated significantly lower levels of renal MPO and citrullinated histone H3 (citH3) protein expression when compared to the IgAV model group (all P < 0.05). The HE staining results of intervention group demonstrated a significant reduction in congestion within glomerular and interstitial capillaries. Moreover, there was a notable improvement in gastric and intestinal mucosa necrosis, congestion and bleeding. Additionally, there was a substantial decrease in inflammatory cells infiltration. CONCLUSION: The degradation of NETs can be targeted by DNase I to mitigate tissue damage in IgAV rat models. Targeted regulation of NETs holds potential as a therapeutic approach for IgAV. CI - Copyright: (c) 2023 Chen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. FAU - Chen, Xiu-Qi AU - Chen XQ AD - Department of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China. FAU - Tu, Li AU - Tu L AD - Department of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China. FAU - Tang, Qing AU - Tang Q AD - Department of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China. FAU - Zou, Jia-Sen AU - Zou JS AD - Department of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China. FAU - Yun, Xiang AU - Yun X AD - Department of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China. FAU - Qin, Yuan-Han AU - Qin YH AUID- ORCID: 0000-0002-5463-8048 AD - Department of Pediatrics, The First Affiliated Hospital, Guangxi Medical University, Nanning, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231031 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - EC 3.1.21.1 (Deoxyribonuclease I) RN - 9007-49-2 (DNA) SB - IM MH - Humans MH - Rats MH - Animals MH - *Extracellular Traps/metabolism MH - Neutrophils/metabolism MH - Deoxyribonuclease I/metabolism MH - *IgA Vasculitis MH - Rats, Sprague-Dawley MH - *Intestinal Diseases/metabolism MH - DNA/metabolism PMC - PMC10617705 COIS- The authors have declared that no competing interests exist. EDAT- 2023/10/31 18:45 MHDA- 2023/11/02 12:45 PMCR- 2023/10/31 CRDT- 2023/10/31 13:34 PHST- 2023/02/14 00:00 [received] PHST- 2023/08/30 00:00 [accepted] PHST- 2023/11/02 12:45 [medline] PHST- 2023/10/31 18:45 [pubmed] PHST- 2023/10/31 13:34 [entrez] PHST- 2023/10/31 00:00 [pmc-release] AID - PONE-D-23-04404 [pii] AID - 10.1371/journal.pone.0291592 [doi] PST - epublish SO - PLoS One. 2023 Oct 31;18(10):e0291592. doi: 10.1371/journal.pone.0291592. eCollection 2023.