Reducing Abdominal Aortic Aneurysm Progression by Blocking Neutrophil Extracellular Traps Depends on Thrombus Formation.

Ibrahim, N.; Bleichert, S.; Klopf, J.; Kurzreiter, G.; Hayden, H.; Knobl, V.; Artner, T.; Krall, M.; Stiglbauer-Tscholakoff, A.; Oehler, R.; Petzelbauer, P.; Busch, A.; Bailey, MA.; Eilenberg, W.; Neumayer, C.; Brostjan, C.

Reducing Abdominal Aortic Aneurysm Progression by Blocking Neutrophil Extracellular Traps Depends on Thrombus Formation.

All Authors

Ibrahim, N.

Bleichert, S.

Klopf, J.

Kurzreiter, G.

Hayden, H.

Knobl, V.

Artner, T.

Krall, M.

Stiglbauer-Tscholakoff, A.

Oehler, R.

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LTHT Author

Bailey, Marc

LTHT Department

Leeds Vascular Institute

Publication Date

2024

Item Type

Journal Article

Abstract

Neutrophil extracellular traps (NETs) are implicated in the pathogenesis of abdominal aortic aneurysm (AAA), located in adventitia and intraluminal thrombus. We compared the therapeutic potential of targeting upstream or downstream effector molecules of NET formation in 2 murine AAA models based on angiotensin II or peri-adventitial elastase application. In both models, NETs were detected in formed aneurysms at treatment start. Although NET inhibitors failed in the elastase model, they prevented progression of angiotensin II-induced aneurysms with thrombus, which resembles established human disease (including thrombus development). Blockade of upstream NET mediators was more effective than interference with downstream NET molecules.