Table 3.

Studies evaluating the procoagulant activity of NETs ex vivo

ReferenceSpeciesMethod of neutrophil isolationMethod/duration of NET inductionCoagulation assayMain conclusions
Oemcke et al 200953  Human Gradient centrifugation Glucose oxidase (60 min) or IL8 (60 min) or M1 protein-fibrinogen complexes (60 min) Chromogenic assay for PK hydrolysis in plasma NETs bind FXII and HK, and promote PK hydrolysis in plasma 
Fuchs et al 201098  Human Gradient centrifugation PMA (4 h), glucose oxydase (1U/ml, 4 h) Electron and fluorescent microscopy after flowing plasma, suspension of platelets or whole blood over NETs seeded in a flow chamber or on glass cover slide NETs bind platelets and promote platelet activation and aggregation. 
NETs bind RBCs, VWF, fibrinogen, and fibronectin. 
NETs promote resistance to tPA-mediated fibrinolysis 
Gould et al 2014101  Human Gradient centrifugation PMA 150 min Thrombin generation in PPP or PRP NETs enhance thrombin generation 
Noubouossie et al 201724  Human Magnetic bead-based negative selection PMA, calcium ionophore and LPS. Contact system in buffer NETS do not trigger contact system activation in buffer, do not trigger thrombin generation in plasma, and do not amplify low TF-initiated TG in PFP. 
4 h Thrombin generation in PFP and PRP 
Ivanov et al 201757  Human Gradient centrifugation PMA: 90 min Thrombin generation in plasma NETs shorten lag time of thrombin generation. 
Wang et al 2018102  Mouse Gradient centrifugation PMA: 3 h Thrombin generation in plasma NETs form complexes with microvesicles to enhance TG in plasma 
ReferenceSpeciesMethod of neutrophil isolationMethod/duration of NET inductionCoagulation assayMain conclusions
Oemcke et al 200953  Human Gradient centrifugation Glucose oxidase (60 min) or IL8 (60 min) or M1 protein-fibrinogen complexes (60 min) Chromogenic assay for PK hydrolysis in plasma NETs bind FXII and HK, and promote PK hydrolysis in plasma 
Fuchs et al 201098  Human Gradient centrifugation PMA (4 h), glucose oxydase (1U/ml, 4 h) Electron and fluorescent microscopy after flowing plasma, suspension of platelets or whole blood over NETs seeded in a flow chamber or on glass cover slide NETs bind platelets and promote platelet activation and aggregation. 
NETs bind RBCs, VWF, fibrinogen, and fibronectin. 
NETs promote resistance to tPA-mediated fibrinolysis 
Gould et al 2014101  Human Gradient centrifugation PMA 150 min Thrombin generation in PPP or PRP NETs enhance thrombin generation 
Noubouossie et al 201724  Human Magnetic bead-based negative selection PMA, calcium ionophore and LPS. Contact system in buffer NETS do not trigger contact system activation in buffer, do not trigger thrombin generation in plasma, and do not amplify low TF-initiated TG in PFP. 
4 h Thrombin generation in PFP and PRP 
Ivanov et al 201757  Human Gradient centrifugation PMA: 90 min Thrombin generation in plasma NETs shorten lag time of thrombin generation. 
Wang et al 2018102  Mouse Gradient centrifugation PMA: 3 h Thrombin generation in plasma NETs form complexes with microvesicles to enhance TG in plasma 

LPS, lipopolysaccharide; PMA, phorbol myristate acetate; tPA, tissue-type plasminogen activator.

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