Targeting Neutrophil Extracellular Traps to Mitigate Post-Traumatic Lower-Extremity Soft Tissue Injury

Abstract

Tissue damage from ischemia reperfusion (IR) injury occurs when blood supply is restored to the tissue following a period of ischemia, such as after a traumatic injury and subsequent repair. A significant source of tissue damage following IR injury is also due to the intense immune system reaction. Here, we target the early immune involvement, specifically neutrophils, to target neutrophil extracellular trap formation to mitigate tissue damage following IR injury. In a mouse model of IR injury, we have investigated multiple PAD4 pathway inhibitors (Cl-Amidine and GDK-199) and found that while these treatments do decrease NET formation in the tissue, a significant reduction in muscle fibrosis was not achieved. However, targeting a different NET-related pathway, TLR9 inhibition, with hydroxychloroquine (Plaquenil(registered trademark)) was shown to decrease IR related skeletal muscle fibrosis and increase muscle regeneration at 5 and 7 days post injury.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2019
Accession Number
AD1096159

Entities

People

  • Benjamin Lévi

Organizations

  • University of Michigan

Tags

DTIC Thesaurus Topics

  • Arteries
  • Blood
  • Diseases And Disorders
  • Endothelial Cells
  • Fibrosis
  • Immune System
  • Inhibition
  • Inhibitors
  • Lower Extremity
  • Medical Personnel
  • Muscles
  • Skeletal Muscle
  • Soft Tissues
  • Tissues
  • Vascular Diseases
  • Vascular System Injuries
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Immunology and Pathology
  • Trauma Surgery or Emergency Medicine.