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Neutrophil Extracellular Traps (NETs) in the Cerebrospinal Fluid Samples from Children and Adults with Central Nervous System Infections.

Appelgren, Daniel (författare)
Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Division of Drug Research, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden,Linkoping Univ, Div Drug Res, Dept Med & Hlth Sci, SE-58185 Linkoping, Sweden
Enocsson, Helena (författare)
Linköpings universitet,Avdelningen för inflammation och infektion,Medicinska fakulteten,Division of Neuro and Inflammation Sciences, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden,Linkoping Univ, Div Neuro & Inflammat Sci, Dept Clin & Expt Med, SE-58185 Linkoping, Sweden
Skogman, Barbro Hedin, 1967- (författare)
Uppsala universitet,Örebro universitet,Institutionen för medicinska vetenskaper,Centrum för klinisk forskning Dalarna,Orebro Univ, Fac Med & Hlth Sci, SE-70281 Orebro, Sweden,Center for Clinical Research Dalarna-Uppsala University, Region Dalarna and Faculty of Medicine and Health Sciences, Örebro University
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Nordberg, Marika (författare)
Åland Central Hospital, Department of Infectious Diseases, AX-22 100 Mariehamn, Åland, Finland,Aland Cent Hosp, Dept Infect Dis, AX-22100 Mariehamn, Aland, Finland
Perander, Linda (författare)
Åland Central Hospital, Department of Infectious Diseases, AX-22 100 Mariehamn, Åland, Finland,Aland Cent Hosp, Dept Infect Dis, AX-22100 Mariehamn, Aland, Finland
Nyman, Dag (författare)
Bimelix AB, AX-22 100 Mariehamn, Åland, Finland
Nyberg, Clara (författare)
Åland Central Hospital, Department of Infectious Diseases, AX-22 100 Mariehamn, Åland, Finland,Aland Cent Hosp, Dept Infect Dis, AX-22100 Mariehamn, Aland, Finland
Knopf, Jasmin (författare)
Department of Internal Medicine 3-Rheumatology and Immunology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), DE-91 054 Erlangen, Germany,Friedrich Alexander Univ Erlangen Nurnberg FAU, Dept Internal Med Rheumatol & Immunol 3, Univ Klinikum Erlangen, DE-91054 Erlangen, Germany
Muñoz, Luis E (författare)
Department of Internal Medicine 3-Rheumatology and Immunology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), DE-91 054 Erlangen, Germany,Friedrich Alexander Univ Erlangen Nurnberg FAU, Dept Internal Med Rheumatol & Immunol 3, Univ Klinikum Erlangen, DE-91054 Erlangen, Germany
Sjöwall, Christopher, 1975- (författare)
Linköpings universitet,Avdelningen för inflammation och infektion,Medicinska fakulteten,Region Östergötland, Reumatologiska kliniken i Östergötland,Division of Neuro and Inflammation Sciences, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden,Linkoping Univ, Div Neuro & Inflammat Sci, Dept Clin & Expt Med, SE-58185 Linkoping, Sweden
Sjöwall, Johanna, 1977- (författare)
Linköpings universitet,Avdelningen för inflammation och infektion,Medicinska fakulteten,Region Östergötland, Infektionskliniken i Östergötland,Clinic of Infectious Diseases, Linköping University Hospital, Linköping, Sweden; Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden,Linkoping Univ Hosp, Clin Infect Dis, SE-58185 Linkoping, Sweden;Linkoping Univ, Dept Clin & Expt Med, SE-58185 Linkoping, Sweden
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 (creator_code:org_t)
2019-12-23
2020
Engelska.
Ingår i: Cells. - : MDPI AG. - 2073-4409. ; 9:1
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Neutrophils operate as part of the innate defence in the skin and may eliminate the Borrelia spirochaete via phagocytosis, oxidative bursts, and hydrolytic enzymes. However, their importance in Lyme neuroborreliosis (LNB) is unclear. Neutrophil extracellular trap (NET) formation, which is associated with the production of reactive oxygen species, involves the extrusion of the neutrophil DNA to form traps that incapacitate bacteria and immobilise viruses. Meanwhile, NET formation has recently been studied in pneumococcal meningitis, the role of NETs in other central nervous system (CNS) infections has previously not been studied. Here, cerebrospinal fluid (CSF) samples from clinically well-characterised children (N = 111) and adults (N = 64) with LNB and other CNS infections were analysed for NETs (DNA/myeloperoxidase complexes) and elastase activity. NETs were detected more frequently in the children than the adults (p = 0.01). NET presence was associated with higher CSF levels of CXCL1 (p < 0.001), CXCL6 (p = 0.007), CXCL8 (p = 0.003), CXCL10 (p < 0.001), MMP-9 (p = 0.002), TNF (p = 0.02), IL-6 (p < 0.001), and IL-17A (p = 0.03). NETs were associated with fever (p = 0.002) and correlated with polynuclear pleocytosis (rs = 0.53, p < 0.0001). We show that neutrophil activation and active NET formation occur in the CSF samples of children and adults with CNS infections, mainly caused by Borrelia and neurotropic viruses. The role of NETs in the early phase of viral/bacterial CNS infections warrants further investigation.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Medicinsk bioteknologi -- Medicinsk bioteknologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Medical Biotechnology -- Medical Biotechnology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Infectious Medicine (hsv//eng)

Nyckelord

adults
borrelia
central nervous system
cerebrospinal fluid
chemokines
children
cytokines
infection
neutrophil extracellular traps
virus

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