Recognition and control of neutrophil extracellular trap formation by MICL

Recognition and control of neutrophil extracellular trap formation by MICL

14 August 2024 | Mariano Malamud, Lauren Whitehead, Alasdair McIntosh, Fabio Colella, Anke J. Roelofs, Takato Kusakabe, Ivy M. Dambuza, Annie Phillips-Brookes, Fabian Salazar, Federico Perez, Romye Shoesmith, Przemyslaw Zakrzewski, Emily A. Sey, Cecilia Rodrigues, Petruta L. Morvay, Pierre Redelingshuys, Tina Bedekovic, Maria J. G. Fernandes, Rugayyah Almizraq, Donald R. Branch, Borko Amulic, Jamie Harvey, Diane Stewart, Raif Yuceil, 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
The article investigates the role of myeloid inhibitory C-type lectin-like (MICL) in regulating neutrophil extracellular trap (NET) formation and its implications in disease. MICL is an inhibitory C-type lectin receptor that directly recognizes DNA in NETs, playing a crucial role in controlling neutrophil activation and NET formation. Loss or inhibition of MICL leads to uncontrolled NET formation through the ROS–PAD4 pathway, resulting in an auto-inflammatory feedback loop. This dysregulation exacerbates pathology in rheumatoid arthritis, both in mouse models and human patients, where autoantibodies to MICL inhibit its key functions. Anti-MICL autoantibodies are also detected in patients with other diseases linked to aberrant NET formation, such as lupus and severe COVID-19. However, in the context of fungal infections, such as Aspergillus fumigatus, dysregulation of NET release by MICL is protective. The study highlights that the recognition of NETs by MICL is a fundamental autoregulatory pathway that controls neutrophil activity and NET formation, with implications for both inflammatory and infectious diseases.The article investigates the role of myeloid inhibitory C-type lectin-like (MICL) in regulating neutrophil extracellular trap (NET) formation and its implications in disease. MICL is an inhibitory C-type lectin receptor that directly recognizes DNA in NETs, playing a crucial role in controlling neutrophil activation and NET formation. Loss or inhibition of MICL leads to uncontrolled NET formation through the ROS–PAD4 pathway, resulting in an auto-inflammatory feedback loop. This dysregulation exacerbates pathology in rheumatoid arthritis, both in mouse models and human patients, where autoantibodies to MICL inhibit its key functions. Anti-MICL autoantibodies are also detected in patients with other diseases linked to aberrant NET formation, such as lupus and severe COVID-19. However, in the context of fungal infections, such as Aspergillus fumigatus, dysregulation of NET release by MICL is protective. The study highlights that the recognition of NETs by MICL is a fundamental autoregulatory pathway that controls neutrophil activity and NET formation, with implications for both inflammatory and infectious diseases.
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