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Updated: Jan 27, 2026

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Simplified Human Neutrophil Extracellular Traps NETs Isolation and Handling
Published on: April 16, 2015
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Adenosine from a biologic source regulates neutrophil extracellular traps (NETs)
Kai Xu1,2, Kimberly A Cooney1, Eric Y Shin1
1Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Journal of Leukocyte Biology
|March 26, 2019
Summary
Adenosine (ADO) inhibits neutrophil extracellular trap (NET) formation. Mesenchymal stromal cells (MSCs) also reduce NETs via CD73, suggesting purine balance regulates NETosis for tissue homeostasis.
Area of Science:
- Immunology
- Cell Biology
- Biochemistry
Background:
- Neutrophil extracellular traps (NETs) are involved in various diseases.
- Endogenous regulation of NETs under basal conditions is poorly understood.
- Extracellular purines like adenosine (ADO) and ATP modulate neutrophil functions.
Purpose of the Study:
- To investigate the effect of adenosine on NET formation.
- To identify the specific adenosine receptors involved in NET regulation.
- To determine the role of mesenchymal stromal cells (MSCs) and CD73 in modulating NETs.
Main Methods:
- Human neutrophils isolated and stimulated to form NETs.
- NET production quantified using SYTOX green fluorescence and HNE-DNA ELISA.
- Adenosine receptor agonists/antagonists and MSC co-cultures were used.
Main Results:
- Adenosine significantly inhibited NET production.
- The adenosine A2A receptor (A2A R) agonist CSG21680 mimicked ADO's inhibitory effect.
- A2A R antagonist ZM241385 blocked ADO's inhibition.
- MSCs reduced NET formation in a CD73-dependent manner.
Conclusions:
- Extracellular purine balance, modulated by stromal cells, may regulate NETosis.
- Adenosine signaling via A2A R is a key inhibitory pathway for NET formation.
- CD73 on MSCs contributes to the regulation of NETosis in tissue environments.
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