Abstract:
:The presence of gallstones (cholelithiasis) is a highly prevalent and severe disease and one of the leading causes of hospital admissions worldwide. Due to its substantial health impact, we investigated the biological mechanisms that lead to the formation and growth of gallstones. We show that gallstone assembly essentially requires neutrophil extracellular traps (NETs). We found consistent evidence for the presence of NETs in human and murine gallstones and describe an immune-mediated process requiring activation of the innate immune system for the formation and growth of gallstones. Targeting NET formation via inhibition of peptidyl arginine deiminase type 4 or abrogation of reactive oxygen species (ROS) production, as well as damping of neutrophils by metoprolol, effectively inhibit gallstone formation in vivo. Our results show that after the physicochemical process of crystal formation, NETs foster their assembly into larger aggregates and finally gallstones. These insights provide a feasible therapeutic concept to prevent cholelithiasis in patients at risk.
journal_name
Immunityjournal_title
Immunityauthors
Muñoz LE,Boeltz S,Bilyy R,Schauer C,Mahajan A,Widulin N,Grüneboom A,Herrmann I,Boada E,Rauh M,Krenn V,Biermann MHC,Podolska MJ,Hahn J,Knopf J,Maueröder C,Paryzhak S,Dumych T,Zhao Y,Neurath MF,Hoffmann MH,Fuchs Tdoi
10.1016/j.immuni.2019.07.002subject
Has Abstractpub_date
2019-09-17 00:00:00pages
443-450.e4issue
3eissn
1074-7613issn
1097-4180pii
S1074-7613(19)30318-8journal_volume
51pub_type
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