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Updated: May 16, 2025

In Vitro Stimulation and Visualization of Extracellular Trap Release in Differentiated Human Monocyte-derived Macrophages
Published on: November 1, 2019
PLC and PAD2 Regulate Extracellular Calcium-Triggered Release of Macrophage Extracellular DNA Traps
Neha Mishra1, Magdalena Mohs1, Nico Wittmann2
1Section of Rheumatology, Department of Medicine A, University Medicine Greifswald, Greifswald, Germany.
Abstract:
Macrophages can respond to infection or cellular stress by forming inflammasomes or by releasing extracellular traps (ETs) of DNA through METosis. While ETs have been extensively studied in neutrophils, there are fewer studies on METosis. We show that extracellular calcium and LPS enable human monocyte-derived macrophages (hMDM) to release extracellular DNA decorated with myeloperoxidase (MPO) and citrullinated histone, alongside ASC aggregation and IL-1ß maturation, indicating NLRP3 inflammasome activation. Compared with m-CSF differentiated macrophages only gm-CSF differentiated macrophages expressed macrophage elastase (MMP12) and METs released by the latter had significantly more bactericidal activity toward E. coli. Mechanistically, phospholipase C and peptidyl arginine deiminase-2 inhibition attenuate MET release. Interestingly, NLRP3 inflammasome blockade by MCC950 had a significant effect on MET release. Finally, MET release was completely blocked by plasma membrane stabilization by punicalagin. Altogether, we demonstrate that extracellular calcium-activated hMDM extrude DNA, containing citrullinated histones, MPO, MMP12, and ASC specks and released METs kill bacteria independent of hMDM phagocytotic activity. We believe that calcium-activated hMDM adds a physiologically relevant condition to calcium ionophore induced cell death that may be important in autoimmunity.
Insights
Calcium-activated human macrophages release extracellular DNA traps (METs) containing antimicrobial proteins and inflammasome components. These METs exhibit potent bactericidal activity, independent of phagocytosis, offering new insights into innate immunity.
Area of Science:
- Immunology
- Cell Biology
- Biochemistry
Background:
- Macrophages combat pathogens via inflammasomes and extracellular traps (ETs).
- Neutrophil ETosis is well-studied, but macrophage ETosis (METosis) is less understood.
- METosis involves DNA release, inflammasome activation, and potential roles in infection and autoimmunity.
Purpose of the Study:
- To investigate the mechanisms and functions of METosis in human monocyte-derived macrophages (hMDMs).
- To determine the role of extracellular calcium and inflammasome activation in MET release.
- To assess the bactericidal activity of METs produced by hMDMs.
Main Methods:
- hMDMs were differentiated using m-CSF and gm-CSF.
- METosis was induced using extracellular calcium and LPS.
- Analysis included DNA, myeloperoxidase (MPO), citrullinated histone, ASC specks, and IL-1ß.
- Bactericidal activity against E. coli was measured.
- Inhibitors for phospholipase C, peptidyl arginine deiminase-2, and NLRP3 inflammasome (MCC950) were used.
- Plasma membrane stabilization with punicalagin was tested.
Main Results:
- Extracellular calcium and LPS induced MET release in hMDMs, characterized by DNA, MPO, citrullinated histone, ASC specks, and IL-1ß.
- gm-CSF differentiated macrophages expressed MMP12 and released METs with higher bactericidal activity than m-CSF differentiated macrophages.
- MET release was dependent on phospholipase C, peptidyl arginine deiminase-2, and NLRP3 inflammasome activation.
- Punicalagin blocked MET release by stabilizing the plasma membrane.
- Released METs killed E. coli independently of hMDM phagocytosis.
Conclusions:
- Extracellular calcium-activated hMDMs release DNA-based METs with potent antimicrobial properties.
- METosis is linked to NLRP3 inflammasome activation and involves specific enzymatic pathways.
- Calcium-activated METosis represents a significant innate immune mechanism with implications for autoimmunity.
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