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Ginger intake suppresses neutrophil extracellular trap formation in autoimmune mice and healthy humans
Ramadan A. Ali, … , Jason S. Knight, M. Kristen Demoruelle
Ramadan A. Ali, … , Jason S. Knight, M. Kristen Demoruelle
Published September 22, 2023
Citation Information: JCI Insight. 2023;8(18):e172011. https://doi.org/10.1172/jci.insight.172011.
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Research Article Immunology

Ginger intake suppresses neutrophil extracellular trap formation in autoimmune mice and healthy humans

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Abstract

We previously reported that treatment of mice with 6-gingerol, the most abundant phytochemical in ginger root, leads to phosphodiesterase inhibition that counteracts neutrophil hyperactivity in models of antiphospholipid syndrome (APS) and lupus. Here, we explored the extent to which oral intake of a whole-ginger extract would similarly impact neutrophils in both autoimmune mice and healthy humans. In vitro, a solubilized ginger extract was able to attenuate neutrophil extracellular trap formation (NETosis) by human neutrophils through a mechanism that was dependent upon the cyclic AMP–dependent kinase, protein kinase A. When mice with features of either APS or lupus were administered a ginger extract orally, they demonstrated reduced circulating NETs, as well as the tempering of other disease outcomes, such as large-vein thrombosis (APS) and autoantibody production (lupus). In a pilot clinical trial, which was validated in a second cohort, daily intake of a ginger supplement for 7 days by healthy volunteers boosted neutrophil cAMP, inhibited NETosis in response to disease-relevant stimuli, and reduced circulating plasma NET levels. In summary, this work demonstrates that ginger intake restrains neutrophil hyperactivity in autoimmune mouse models and that ginger consumption by healthy individuals makes their neutrophils more resistant to NETosis.

Authors

Ramadan A. Ali, Valerie C. Minarchick, Miela Zahavi, Christine E. Rysenga, Kristin A. Sturm, Claire K. Hoy, Cyrus Sarosh, Jason S. Knight, M. Kristen Demoruelle

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Figure 3

Ginger prevents APS IgG–mediated acceleration of venous thrombosis.

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Ginger prevents APS IgG–mediated acceleration of venous thrombosis.
(A) ...
(A) Schematic of the electrolytic model of venous thrombosis. Direct current results in the release of free radicals within the inferior vena cava, activating endothelial cells and initiating a thrombogenic environment in the setting of constant blood flow. (B) MPO-DNA complexes were measured in the serum of mice 24 hours after treatment with control IgG or APS IgG in the presence or absence of ginger (n = 7–9 mice/group). (C) Thrombus formation was assessed at 24 hours, and thrombus weight was measured (n = 7–9/group). (D and E) Thrombi (n = 6–8 mice/group) were sectioned and stained for the neutrophil marker Ly6G or with simple hematoxylin and eosin (H&E). Representative thrombus sections (scale bar, high power = 250 μm, low power = 3,000 μm) and neutrophils counts are presented. *P < 0.05, **P < 0.01, ***P < 0.001, and ****P < 0.0001 by 1-way ANOVA corrected with Dunnett’s test.

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