The Dual Role of Macrophage Extracellular Traps in Host Defense and Disease: Mechanisms and Therapeutic Implications

Zhiyu Chen1, Fei Gao1

  • 1Department of Emergency, The Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi People's Hospital, Wuxi Medical Center, Nanjing Medical University, Wuxi 214023, China.

Biomolecules
|September 27, 2025
PubMed

Insights

Macrophage extracellular traps (METs) are immune structures that help fight infection but can also cause tissue damage. This review explores MET formation, their dual role in diseases, and potential new drug targets.

Area of Science:

  • Immunology
  • Cell Biology
  • Pathology

Background:

  • Macrophage extracellular traps (METs) are DNA-based structures released by macrophages to trap pathogens.
  • MET formation can be triggered by diverse stimuli, including microbial invaders and environmental toxins.
  • METs exhibit a dual role, contributing to host defense but also potentially causing tissue damage in disease.

Purpose of the Study:

  • To review the mechanisms of MET formation induced by various pathogens and environmental pollutants.
  • To discuss the involvement of METs in a range of diseases, including respiratory, autoimmune, and metabolic disorders, as well as cancer and transplantation.
  • To highlight recent advancements in MET-targeted therapies for improved disease management.

Main Methods:

  • Literature review of studies on MET formation and function.
  • Synthesis of current knowledge on METs in various pathological conditions.
  • Analysis of emerging therapeutic strategies targeting METs.

Main Results:

  • METs are induced by a wide array of pathogens and environmental factors through distinct pathways.
  • METs are implicated in the pathogenesis of numerous diseases, including inflammatory conditions and cancer.
  • Targeting METs presents a promising avenue for novel therapeutic interventions.

Conclusions:

  • METs are critical components of the innate immune system with complex roles in health and disease.
  • Understanding MET formation and function is essential for developing effective treatments for MET-associated pathologies.
  • Further research into MET-targeted drugs could revolutionize the management of various inflammatory and autoimmune diseases.

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