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Association of Neutrophil Extracellular Traps with the Development of Idiopathic Osteonecrosis of the Femoral Head

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Title: Association of Neutrophil Extracellular Traps with the Development of Idiopathic Osteonecrosis of the Femoral Head
Authors: Nonokawa, Mayu Browse this author
Shimizu, Tomohiro Browse this author →KAKEN DB
Yoshinari, Miku Browse this author
Hashimoto, Yamato Browse this author
Nakamura, Yusuke Browse this author
Takahashi, Daisuke Browse this author →KAKEN DB
Asano, Tsuyoshi Browse this author →KAKEN DB
Nishibata, Yuka Browse this author
Masuda, Sakiko Browse this author →KAKEN DB
Nakazawa, Daigo Browse this author →KAKEN DB
Tanaka, Satoshi Browse this author →KAKEN DB
Tomaru, Utano Browse this author →KAKEN DB
Iwasaki, Norimasa Browse this author →KAKEN DB
Ishizu, Akihiro Browse this author →KAKEN DB
Issue Date: Nov-2020
Publisher: Elsevier
Journal Title: The American Journal of Pathology
Volume: 190
Issue: 11
Start Page: 2282
End Page: 2289
Publisher DOI: 10.1016/j.ajpath.2020.07.008
PMID: 32702358
Abstract: Idiopathic osteonecrosis of the femoral head (ONFH) is defined as necrosis of osteocytes due to a non-traumatic ischemia of the femoral head. Iatrogenic glucocorticoid administration and habitual alcohol intake are regarded as risk factors. It has been suggested that glucocorticoid-induced activation of platelets contributes to the local blood flow disturbance of the femoral head. Both activated platelets and alcohol can induce neutrophil extracellular traps (NETs). To determine the association of NETs with the development of idiopathic ONFH, surgically resected femoral heads of patients with idiopathic ONFH and osteoarthritis were assessed for existence of NET-forming neutrophils by immunofluorescence staining. NET-forming neutrophils were present in small vessels surrounding the femoral head of patients with idiopathic ONFH but not osteoarthritis. Moreover, Wistar-Kyoto rats were intravenously injected with NET-forming neutrophils or neutrophils without NET induction, and then the ischemic state of the tissue around the femoral head was evaluated by immunohistochemistry for hypoxia-inducible factor-1 alpha. NET-forming neutrophils circulated into the tissue around the femoral head, and hypoxia-inducible factor-1 alpha expression in the tissue was higher compared with that of rats intravenously administered with neutrophils without NET induction. Furthermore, ischemic change of osteocytes was observed in the femoral head of rats given an i.v. injection of NET-forming neutrophils. The collective findings suggest that NETs are possibly associated with the development of idiopathic ONFH.
Type: article
URI: http://hdl.handle.net/2115/83387
Appears in Collections:保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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