Evidence map›Paper›PMID 37926919›Full record

ArticleClinical and translational science2023

Neutrophil elastase activates the release of extracellular traps from COPD blood monocyte-derived macrophages.

Shuo Zheng, Apparao B Kummarapurugu, Gamze B Bulut, Aamer Syed, Le Kang, Judith A Voynow

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. UBE2M deficiency in alveolar macrophages promotes emphysema through HIF-2α/MMP12 axis.Chinese medical journal pulmonary and critical care medicine · 2026
    Article
  3. Macrophage Extracellular Traps in Immunity and Cancer.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Shuo ZhengDivision of Pediatric Pulmonary Medicine, Children's Hospital of Richmond at VCU, Richmond, Virginia, USA.ORCID 0009-0005-7347-3188
Apparao B KummarapuruguDivision of Pediatric Pulmonary Medicine, Children's Hospital of Richmond at VCU, Richmond, Virginia, USA.
Gamze B BulutDivision of Pediatric Pulmonary Medicine, Children's Hospital of Richmond at VCU, Richmond, Virginia, USA.
Aamer SyedDivision of Pulmonary and Critical Care Medicine, Department of Medicine, VCU, Richmond, Virginia, USA.
Le KangDepartment of Biostatistics, VCU, Richmond, Virginia, USA.
Judith A VoynowDivision of Pediatric Pulmonary Medicine, Children's Hospital of Richmond at VCU, Richmond, Virginia, USA.ORCID 0000-0002-2437-2859
Children's Hospital of Richmond at VCU · USHealth First · USPulmonary and Critical Care Associates · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neutrophil elastase (NE), a major inflammatory mediator in chronic obstructive pulmonary disease (COPD) airways, impairs macrophage function, contributing to persistence of airway inflammation. We hypothesized that NE activates a novel mechanism of macrophage-induced inflammation: release of macrophage extracellular traps (METs). The METs are composed of extracellular DNA decorated with granule proteinases and oxidants and may trigger persistent airway inflammation in COPD. To test the hypothesis, human blood monocytes were isolated from whole blood of subjects with COPD recruited following informed written consent. Patient demographics and clinical data were collected. Cells were cultured in media with GM-CSF to differentiate into blood monocyte derived macrophages (BMDMs). The BMDMs were treated with FITC-NE and unlabeled NE to determine intracellular localization by confocal microscopy and intracellular proteinase activity by DQ-Elastin assay. After NE exposure, released extracellular traps were quantified by abundance of extracellular DNA in conditioned media using the Pico Green assay. BMDM cell lysates were analyzed by Western analysis for proteolytic degradation of histone H3 or H4 or upregulation of peptidyl arginine deiminase (PAD) 2 and 4, two potential mechanisms to mediate extracellular trap DNA release. We observed that NE was taken up by COPD BMDM, localized to the cytosol and nucleus, and retained proteinase activity in the cell. NE induced MET release at doses as low as 50 nM. NE treatment caused histone H3 clipping but no effect on histone H4 nor PAD 2 or 4 abundance or activity. In summary, NE activated COPD MET release by clipping histone H3, a prerequisite for chromatin decondensation.

Indexed as

Extracellular TrapsLeukocyte ElastasePulmonary Disease, Chronic ObstructiveDNAHistonesHumansInflammationMacrophagesNeutrophilsDNAHistonesLeukocyte Elastase

Identifiers

PMID37926919
PMCPMC10719474
OpenAlexW4388418258

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.