TY - JOUR
T1 - Neutralizing the pathological effects of extracellular histones with small polyanions
AU - Meara, Connor H.O’
AU - Coupland, Lucy A.
AU - Kordbacheh, Farzaneh
AU - Quah, Benjamin J.C.
AU - Chang, Chih Wei
AU - Simon Davis, David A.
AU - Bezos, Anna
AU - Browne, Anna M.
AU - Freeman, Craig
AU - Hammill, Dillon J.
AU - Chopra, Pradeep
AU - Pipa, Gergely
AU - Madge, Paul D.
AU - Gallant, Esther
AU - Segovis, Courtney
AU - Dulhunty, Angela F.
AU - Arnolda, Leonard F.
AU - Mitchell, Imogen
AU - Khachigian, Levon M.
AU - Stephens, Ross W.
AU - von Itzstein, Mark
AU - Parish, Christopher R.
N1 - Publisher Copyright:
© 2020, The Author(s).
PY - 2020/12
Y1 - 2020/12
N2 - Extracellular histones in neutrophil extracellular traps (NETs) or in chromatin from injured tissues are highly pathological, particularly when liberated by DNases. We report the development of small polyanions (SPAs) (~0.9–1.4 kDa) that interact electrostatically with histones, neutralizing their pathological effects. In vitro, SPAs inhibited the cytotoxic, platelet-activating and erythrocyte-damaging effects of histones, mechanistic studies revealing that SPAs block disruption of lipid-bilayers by histones. In vivo, SPAs significantly inhibited sepsis, deep-vein thrombosis, and cardiac and tissue-flap models of ischemia-reperfusion injury (IRI), but appeared to differ in their capacity to neutralize NET-bound versus free histones. Analysis of sera from sepsis and cardiac IRI patients supported these differential findings. Further investigations revealed this effect was likely due to the ability of certain SPAs to displace histones from NETs, thus destabilising the structure. Finally, based on our work, a non-toxic SPA that inhibits both NET-bound and free histone mediated pathologies was identified for clinical development.
AB - Extracellular histones in neutrophil extracellular traps (NETs) or in chromatin from injured tissues are highly pathological, particularly when liberated by DNases. We report the development of small polyanions (SPAs) (~0.9–1.4 kDa) that interact electrostatically with histones, neutralizing their pathological effects. In vitro, SPAs inhibited the cytotoxic, platelet-activating and erythrocyte-damaging effects of histones, mechanistic studies revealing that SPAs block disruption of lipid-bilayers by histones. In vivo, SPAs significantly inhibited sepsis, deep-vein thrombosis, and cardiac and tissue-flap models of ischemia-reperfusion injury (IRI), but appeared to differ in their capacity to neutralize NET-bound versus free histones. Analysis of sera from sepsis and cardiac IRI patients supported these differential findings. Further investigations revealed this effect was likely due to the ability of certain SPAs to displace histones from NETs, thus destabilising the structure. Finally, based on our work, a non-toxic SPA that inhibits both NET-bound and free histone mediated pathologies was identified for clinical development.
UR - http://www.scopus.com/inward/record.url?scp=85097606404&partnerID=8YFLogxK
U2 - 10.1038/s41467-020-20231-y
DO - 10.1038/s41467-020-20231-y
M3 - Article
SN - 2041-1723
VL - 11
JO - Nature Communications
JF - Nature Communications
IS - 1
M1 - 6408
ER -