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Updated: Oct 15, 2025

Real-Time, High-Throughput Microscopic Quantification of Human Neutrophil Extracellular Trap Release and Assessing the Pharmacology of Antagonists
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Neutrophil Extracellular Traps (NETs): Opportunities for Targeted Therapy.

D V Volkov1, G V Tetz2, Y P Rubtsov1

  • 1Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry RAS, Moscow, 117997 Russia.

Acta Naturae
|October 28, 2021
PubMed
Summary
This summary is machine-generated.

Advanced cancers resist therapy, especially solid tumors, due to the tumor microenvironment (TME). Neutrophil extracellular traps (NETs) in the TME impede CAR-T cell therapy. DNase I may overcome this resistance by degrading NETs.

Keywords:
NETosiscancerneutrophilstumor microenvironment

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Area of Science:

  • Immunology
  • Oncology
  • Biochemistry

Background:

  • Adoptive immunotherapy, particularly CAR-T cells, shows promise against hematological malignancies but faces challenges with solid tumors.
  • The tumor microenvironment (TME) is a key factor in solid tumor resistance to antitumor therapies.
  • Neutrophils and their extracellular traps (NETs) are increasingly recognized as significant contributors to the immunosuppressive TME and tumor progression.

Purpose of the Study:

  • To investigate the role of neutrophil extracellular traps (NETs) in mediating resistance of solid tumors to CAR-T cell therapy.
  • To explore the potential of deoxyribonuclease I (DNase I) as a therapeutic agent to degrade NETs and enhance CAR-T cell efficacy within the TME.
  • To review current strategies for mitigating the suppressive effects of NETs in the tumor microenvironment.

Main Methods:

  • Literature review of studies on CAR-T cell therapy, tumor microenvironment, neutrophils, NETs, and DNase I.
  • Analysis of the mechanisms by which NETs contribute to immune evasion and therapeutic resistance in solid tumors.
  • Evaluation of preclinical data and proposed therapeutic strategies involving DNase I for NET degradation.

Main Results:

  • NETs, composed of neutrophil DNA, form a physical barrier hindering CAR-T cell interaction with tumor cells.
  • The presence of NETs within the TME correlates with tumor development and metastasis.
  • DNase I has demonstrated potential in degrading NETs, suggesting a strategy to disrupt this barrier.

Conclusions:

  • NETs represent a significant obstacle for CAR-T cell-based antitumor therapy in solid tumors.
  • Targeting NETs with agents like DNase I holds promise for improving the effectiveness of adoptive immunotherapies.
  • Further research into NET-modulating strategies is crucial for advancing cancer treatment.