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Updated: Jan 16, 2026

Visualizing Macrophage Extracellular Traps Using Confocal Microscopy
Published on: October 19, 2017
The Dual Role of Macrophage Extracellular Traps in Host Defense and Disease: Mechanisms and Therapeutic Implications
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.
Abstract:
Macrophage extracellular traps (METs), which are extracellular immune structures released by macrophages, consist primarily of double-stranded DNA, histones, elastase, matrix metalloproteinase, myeloperoxidase, and other components. Recent studies have found that various pathogens (such as bacteria, fungi, and parasites) and environmental pollutants could induce the formation of METs through different mechanisms to help the host resist infection. However, accumulating evidence suggests that METs play a double-edged role in immune response, enhancing host defense while potentially contributing to tissue damage under certain pathological conditions. This review summarizes the mechanisms underlying the formation of METs, including different pathways triggered by various pathogens and environmental pollutants. We also discussed the role of METs in respiratory diseases, autoimmune diseases, metabolic diseases, tumors, and transplantation and injury, as well as recent advances in MET-targeted drugs, aiming to provide new insights for improving treatment strategies of relevant diseases.
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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