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. 2015 Dec 11;99(2):265–278. doi: 10.1189/jlb.5BT0615-234R

Table 1.

Association of NETs with autoimmune diseases

Study Disease NETs measurement Results Proposed role of NETs
[4] Psoriasis In vitro Endogenous antimicrobial peptide (LL‐37) converts self‐DNA into a potent trigger of pDCs to release IFN‐α in psoriatic skin. NET protein content LL‐37 drives production of IFN‐α that contributes to autoimmunity.
[5] ANCA‐associated vasculitis In vivo NET formation in 15 renal biopsies The granule protein contents of NET may be the antigen source for pathogenic autoantibodies, ANCAs.
[14] ANCA‐associated vasculitis In vivo Association of increased NET formation with increased disease activity, as measured by the Birmingham Vasculitis Activity Score
[17] ANCA‐associated vasculitis In vivo NETs were found in glomerular crescents and in thrombi of patients with ANCA‐associated vasculitis. Increased NET formation may contribute to thrombus formation in ANCA‐associated vasculitis.
[8] APS In vitro Decreased degradation of NETs in sera of patients with APS was associated with increased levels of antibodies against NETs.
[9] APS In vitro Increased circulating levels of NETs were associated with the presence of APS autoantibodies; an APS autoantibody, β2GP1, interacted with neutrophils to stimulate NETosis. NETs may promote thrombin formation in APS.
[7] RA In vivo Increased NET formation was seen in synovial tissue, rheumatoid nodules, and skin; increased percentage of netting neutrophils was associated with increased serum CRP, ESR, ACPA, and IL‐17 NETs may be the source of citrullinated autoantigens that are pathogenic in RA.
[18] RA In vitro Increased NET formation compared with controls