14 August 2024 | Mariano Malamud, Lauren Whitehead, Alasdair McIntosh, Fabio Colella, Anke J. Roelofs, Takato Kusakabe, Ivy M. Dambuza, Annie Phillips-Brookes, Fabián Salazar, Federico Perez, Romey Shoesmith, Przemysław Zakrzewski, Emily A. Sey, Cecilia Rodrigues, Petra L. Morvay, Pierre Redelinghuys, Tina Bedekovic, Maria J. G. Fernandes, Ruqayyah Almizraq, Donald R. Branch, Borko Amulic, Jamie Harvey, Diane Stewart, Raif Yuecel, Delyth M. Reid, Alex McConnachie, Matthew C. Pickering, Marina Botto, Iliyan D. Iliev, Iain B. McInnes, Cosimo De Bari, Janet A. Willment & Gordon D. Brown
MICL recognizes and controls neutrophil extracellular trap (NET) formation. MICL, an inhibitory C-type lectin receptor, directly binds DNA in NETs, regulating neutrophil activation. Loss or inhibition of MICL leads to uncontrolled NET formation via the ROS–PAD4 pathway and auto-inflammatory feedback loops. In rheumatoid arthritis, MICL autoantibodies inhibit MICL function, exacerbating disease. Similar autoantibodies are found in lupus and severe COVID-19, where NETs contribute to pathology. Conversely, dysregulated NET release is protective against Aspergillus fumigatus infection. MICL functions as a pattern recognition receptor (PRR) for NETs, preventing excessive inflammation and NET formation. In arthritis models, MICL deficiency increases neutrophil activation and NET formation, leading to exacerbated disease. Anti-MICL antibodies block receptor function, increasing disease severity. In patients with rheumatoid arthritis, anti-MICL autoantibodies correlate with disease severity. MICL also regulates NET formation during fungal infections, with MICL-deficient mice showing increased resistance to Aspergillus fumigatus. MICL is a key regulator of neutrophil activation and NET formation, preventing autoimmune disease and invasive infections. Targeting MICL with antibodies could treat fungal infections, while blocking MICL-receptor interactions may benefit NET-mediated inflammatory diseases. This study highlights MICL's role in maintaining immune homeostasis and its potential as a therapeutic target.MICL recognizes and controls neutrophil extracellular trap (NET) formation. MICL, an inhibitory C-type lectin receptor, directly binds DNA in NETs, regulating neutrophil activation. Loss or inhibition of MICL leads to uncontrolled NET formation via the ROS–PAD4 pathway and auto-inflammatory feedback loops. In rheumatoid arthritis, MICL autoantibodies inhibit MICL function, exacerbating disease. Similar autoantibodies are found in lupus and severe COVID-19, where NETs contribute to pathology. Conversely, dysregulated NET release is protective against Aspergillus fumigatus infection. MICL functions as a pattern recognition receptor (PRR) for NETs, preventing excessive inflammation and NET formation. In arthritis models, MICL deficiency increases neutrophil activation and NET formation, leading to exacerbated disease. Anti-MICL antibodies block receptor function, increasing disease severity. In patients with rheumatoid arthritis, anti-MICL autoantibodies correlate with disease severity. MICL also regulates NET formation during fungal infections, with MICL-deficient mice showing increased resistance to Aspergillus fumigatus. MICL is a key regulator of neutrophil activation and NET formation, preventing autoimmune disease and invasive infections. Targeting MICL with antibodies could treat fungal infections, while blocking MICL-receptor interactions may benefit NET-mediated inflammatory diseases. This study highlights MICL's role in maintaining immune homeostasis and its potential as a therapeutic target.