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. 2021 Jun 11;12(6):606. doi: 10.1038/s41419-021-03896-1

Fig. 8. NETs induce intestinal barrier injury through the TLR9–ER stress–ROS signaling pathway.

Fig. 8

In the case of sepsis, increased neutrophils migrate and aggregate in the intestine and trigger NETosis. Excessive NETs formation can activate the TLR9–ER stress–ROS signaling pathway, which enhances intestinal epithelial cell apoptosis and the inflammatory response. Uncontrolled intestinal epithelial cell injury results in intestinal barrier disruption, leading to bacterial translocation.