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Blood, 15 March 2008, Vol. 111, No. 6, pp. 3070-3080.
Prepublished online as a Blood First Edition Paper on January 8, 2008; DOI 10.1182/blood-2007-07-104018.


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IMMUNOBIOLOGY

Phagocytosis-independent antimicrobial activity of mast cells by means of extracellular trap formation

Maren von Köckritz-Blickwede1, Oliver Goldmann1, Pontus Thulin2, Katja Heinemann1, Anna Norrby-Teglund2, Manfred Rohde3, and Eva Medina1

1 Infection Immunology Research Group, Helmholtz Center for Infection Research, Braunschweig, Germany; 2 Center for Infectious Medicine, Karolinska Institute, Department of Medicine, Karolinska University Hospital, Stockholm, Sweden; and 3 Department of Microbial Pathogenesis, Helmholtz Center for Infection Research, Braunschweig, Germany

These days it has been increasingly recognized that mast cells (MCs) are critical components of host defense against pathogens. In this study, we have provided the first evidence that MCs can kill bacteria by entrapping them in extracellular structures similar to the extracellular traps described for neutrophils (NETs). We took advantage of the ability of MCs to kill the human pathogen Streptococcus pyogenes by a phagocytosis-independent mechanism in order to characterize the extracellular antimicrobial activity of MCs. Close contact of bacteria and MCs was required for full antimicrobial activity. Immunofluorescence and electron microscopy revealed that S pyogenes was entrapped by extracellular structures produced by MCs (MCETs), which are composed of DNA, histones, tryptase, and the antimicrobial peptide LL-37. Disruption of MCETs significantly reduced the antimicrobial effect of MCs, suggesting that intact extracellular webs are critical for effective inhibition of bacterial growth. Similar to NETs, production of MCETs was mediated by a reactive oxygen species (ROS)–dependent cell death mechanism accompanied by disruption of the nuclear envelope, which can be induced after stimulation of MCs with phorbol-12-myristate-13-acetate (PMA), H2O2, or bacterial pathogens. Our study provides the first experimental evidence of antimicrobial extracellular traps formation by an immune cell population other than neutrophils.


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