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Table 3 Summary the major effect of the studies describing NETs in CRC

From: The emerging role of neutrophilic extracellular traps in intestinal disease

Study design

Cell type

Potential mechanisms to induce NET formation

The role of NET in tumor progression

Frist author, References

In vivo and in vitro

Murine colorectal (MC38) cells, HCT116, Hepa1-6, and Huh7 cell lines

Increased citrullinated histones and circulating MPO-DNA levels were related to poor survival of CRC patients

NETs can directly alter the metabolic programming of cancer cells to increase tumor growth and shorter survival time

Yazdani et al. [129]

In vivo, in vitro nd ex vivo

Human colorectal cell line HCT116 or luciferase-labeled HCT116 cells

TLR9 and the mitogen-activated protein kinase signaling pathway

LPS-induced formation of NETs in promoting the development of tumors and metastasis

Wang et al. [130]

In vitro and Ex vivo

Human acute myeloid leukemia (AML) cells, Caco-2 cells

–

Confirmed presence of NETs within the primary tumor sites of CRC and gradually dispersed to the tumor boundary, particularly to nearby metastatic lymph nodes

Arelaki et al. [122]

In vivo and in vitro

DKs-8(WT allele) cells and DKO-1 (KRASmutant)cells

Exoxsomes from KRAS mutant CRC increase IL-8 production and provoke NET formation

Released NETs increase CRC cells growth

Shang et al. [131]

In vivo, in vitro,and Ex vivo

Human hepatocellular carcinoma, human cell line HT29, mice cell line MC38

Elevated tumorous interleukin (IL)-8 expression triggered by NETs and overproduced IL-8 in turn activate neutrophils towards NETs formation

Increased NETs boosted tumorous proliferation and invasion and contributed to onset of CRC liver metastasis

Yang et al. [132]

In vivo and in vitro

Human colon carcinoma cell line (HT-29), murine colon carcinoma subline with low CEACAM1 expression (MC38CC1-),murine colon carcinoma subline stably transfected with CEACAM1 long isoform[MC38CC1L]

NET-associated carcinoembryonic Ag cell adhesion molecule 1 (CEACAM1) as an essential element for this interaction

NETs can promote colon carcinoma cell adhesion, migration and metastasis

Rayes et al. [133]

In vivo and in vitro

Murine Lewis Lung carcinoma cell subline H59, Murine colon carcinoma cell line MC38

Primary colon cancer cells provoked NETs generation

Prime adhesion of CTCs to the liver and degradation of NETs decreased CRC cell adhesion and spontaneous metastasis to the liver and lung

Rayes et al. [118]

In vivo and Ex vivo

human colon cancer cell line HCT116,

The transmembrane protein CCDC25 as a NET-DNA receptor on cancer cells that senses extracellular DNA and subsequently activates the ILK-β-parvin pathway to enhance cell motility

A transmembrane DNA receptor that mediates NET-dependent metastasis

Yang et al. [136]

In vivo and in vitro

Human hepatoma cell line HepG2, murine colon carcinoma MC38

Neutrophil infiltration and NET formation reduced by adeno-associated virus (AAV) based DNase I gene therapy

Reduced liver metastasis

Xia et al. [137]

Ex vivo

Human umbilical vein endothelial cells (HUVECs)

platelets from CRC patients stimulated healthy neutrophils to extrude NETs, which could be inhibited by the depletion of HMGB1

NETs induce the procoagulant activity PCA and promote hypercoagulable state in CRC

Zhang et al. [142]

Guglietta et al. [139]

In vivo, in vitro,and Ex vivo

MC38 and Luciferase-expressing MC38 cells (MC38/Luc)

NET triggered HMGB1 release and activated TLR9-dependent pathways

NETs further fuel cancer cells adhesion, proliferation, migration, and invasionthe and reduce more than fourfold disease free survival

Tohme et al. [128]

Ex Vitro

Systemic neutrophils were isolated from human

 

Adverse patient outcomes were associated with increased preoperative NETs production

Richardson et al. [142, 143]