[HTML][HTML] Neutrophil extracellular traps released by neutrophils impair revascularization and vascular remodeling after stroke

L Kang, H Yu, X Yang, Y Zhu, X Bai, R Wang… - Nature …, 2020 - nature.com
L Kang, H Yu, X Yang, Y Zhu, X Bai, R Wang, Y Cao, H Xu, H Luo, L Lu, MJ Shi, Y Tian…
Nature communications, 2020nature.com
Neovascularization and vascular remodeling are functionally important for brain repair after
stroke. We show that neutrophils accumulate in the peri-infarct cortex during all stages of
ischemic stroke. Neutrophils producing intravascular and intraparenchymal neutrophil
extracellular traps (NETs) peak at 3–5 days. Neutrophil depletion reduces blood-brain
barrier (BBB) breakdown and enhances neovascularization at 14 days. Peptidylarginine
deiminase 4 (PAD4), an enzyme essential for NET formation, is upregulated in peri-ischemic …
Abstract
Neovascularization and vascular remodeling are functionally important for brain repair after stroke. We show that neutrophils accumulate in the peri-infarct cortex during all stages of ischemic stroke. Neutrophils producing intravascular and intraparenchymal neutrophil extracellular traps (NETs) peak at 3–5 days. Neutrophil depletion reduces blood-brain barrier (BBB) breakdown and enhances neovascularization at 14 days. Peptidylarginine deiminase 4 (PAD4), an enzyme essential for NET formation, is upregulated in peri-ischemic brains. Overexpression of PAD4 induces an increase in NET formation that is accompanied by reduced neovascularization and increased BBB damage. Disruption of NETs by DNase 1 and inhibition of NET formation by genetic ablation or pharmacologic inhibition of PAD increases neovascularization and vascular repair and improves functional recovery. Furthermore, PAD inhibition reduces stroke-induced STING-mediated production of IFN-β, and STING knockdown and IFN receptor-neutralizing antibody treatment reduces BBB breakdown and increases vascular plasticity. Collectively, our results indicate that NET release impairs vascular remodeling during stroke recovery.
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