Neutrophils and aortic medial amyloid: mutually beneficial or a dangerous combination?

Alana Maerivoet1, Sarah Shirley1,2, Rebecca Price1

  • 1Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, United Kingdom.

Frontiers in Immunology
|February 23, 2026
PubMed
Abstract

Insights

Neutrophil degranulation products inhibit medin amyloid fibril formation and associated toxicity. However, inhibiting cysteine proteases unexpectedly increased medin

Area of Science:

  • Biochemistry
  • Cell Biology
  • Pathology

Background:

  • Amyloid deposition and inflammation are linked in various human diseases.
  • Medin peptide forms common amyloid in the aortic medial layer, but its disease role is unclear.

Purpose of the Study:

  • Investigate neutrophil degranulation effects on medin fibril formation.
  • Explore inhibition of neutrophil proteases on medin aggregation.

Main Methods:

  • In vitro medin fibril formation assays.
  • Thioflavin T fluorescence and transmission electron microscopy.
  • Cell viability analyses.

Main Results:

  • Neutrophil supernatants reduced medin fibril formation and toxicity.
  • MMP and serine protease inhibitors reversed these effects.
  • Cysteine protease inhibition showed low fibril formation but increased cell toxicity.

Conclusions:

  • Neutrophil-mediated inflammation influences medin-associated pathologies.
  • Protease activity modulation offers therapeutic intervention strategies for medin-related diseases.