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Cited by 339

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

NETosis Delays Diabetic Wound Healing in Mice and Humans

Fadini, Gian Paolo, Menegazzo, Lisa, Rigato, Mauro, Scattolini, Valentina, Poncina, Nicol, Bruttocao, Andrea, Ciciliot, Stefano, Mammano, Fabio, Ciubotaru, Catalin Dacian, Brocco, Enrico, Marescotti, Maria Cristina, Cappellari, Roberta, Arrigoni, Giorgio, Millioni, Renato, Vigili de Kreutzenberg, Saula, Albiero, Mattia, Avogaro, Angelo·2016·Diabetes

Abstract

Upon activation, neutrophils undergo histone citrullination by protein arginine deiminase (PAD)4, exocytosis of chromatin and enzymes as neutrophil extracellular traps (NETs), and death. In diabetes, neutrophils are primed to release NETs and die by NETosis. Although this process is a defense against infection, NETosis can damage tissue. Therefore, we examined the effect of NETosis on the healing of diabetic foot ulcers (DFUs). Using proteomics, we found that NET components were enriched in nonhealing human DFUs. In an independent validation cohort, a high concentration of neutrophil elastase in the wound was associated with infection and a subsequent worsening of the ulcer. NET components (elastase, histones, neutrophil gelatinase-associated lipocalin, and proteinase-3) were elevated in the blood of patients with DFUs. Circulating elastase and proteinase-3 were associated with infection, and serum elastase predicted delayed healing. Neutrophils isolated from the blood of DFU patients showed an increased spontaneous NETosis but an impaired inducible NETosis. In mice, skin PAD4 activity was increased by diabetes, and FACS detection of histone citrullination, together with intravital microscopy, showed that NETosis occurred in the bed of excisional wounds. PAD4 inhibition by Cl-amidine reduced NETting neutrophils and rescued wound healing in diabetic mice. Cumulatively, these data suggest that NETosis delays DFU healing.

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Metadata

Authors
Fadini, G. P., Menegazzo, L., Rigato, M., Scattolini, V., Poncina, N., Bruttocao, A., Ciciliot, S., Mammano, F., Ciubotaru, C. D., Brocco, E., Marescotti, M. C., Cappellari, R., Arrigoni, G., Millioni, R., Vigili de Kreutzenberg, S., Albiero, M., & Avogaro, A.
Venue
Diabetes
Published
2016-01-06
Volume
65
Issue
4
Pages
1061-1071
ISSN
  • 0012-1797 (ISSN-L)
  • 1939-327X
OpenAlex
W2254774777
Cited by
339
References
24
FWCI
14.81
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: NETosis Delays Diabetic Wound Healing in Mice and Humans. https://app.cochat.ai/papers/10.2337/db15-0863
The paper
Fadini, G. P., Menegazzo, L., Rigato, M., Scattolini, V., Poncina, N., Bruttocao, A., Ciciliot, S., Mammano, F., Ciubotaru, C. D., Brocco, E., Marescotti, M. C., Cappellari, R., Arrigoni, G., Millioni, R., Vigili de Kreutzenberg, S., Albiero, M., & Avogaro, A. (2016). NETosis Delays Diabetic Wound Healing in Mice and Humans. Diabetes. https://doi.org/10.2337/db15-0863

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