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Extracellular heme:DNA complexes promote oxidative stress and inflammation during lupus-associated hemolysis - PubMed

4 hours ago
  • #lupus
  • #hemolysis
  • #oxidative stress
  • Extracellular heme:DNA complexes contribute to oxidative stress and inflammation in lupus-associated hemolysis.
  • Hemolysis releases damage-associated molecular patterns, including free heme and extracellular DNA (ecDNA).
  • G-quadruplex (G4) structures in ecDNA are detected in both mice and lupus patients.
  • Heme and G4 ecDNA form catalytic complexes (DNAzymes) that drive oxidative stress and tissue injury.
  • Mice lacking DNase1l3 show elevated ecDNA, reduced heme oxygenase-1, and increased kidney damage.
  • ecDNA triggers toll-like receptor 9-dependent inflammatory responses in vitro and in vivo.
  • Concurrent release of heme and ecDNA during hemolysis exacerbates lupus pathogenesis.