RT Journal Article SR Electronic T1 Targeting Neutrophils Extracellular Traps (NETs) reduces multiple organ injury in a COVID-19 mouse model JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.04.27.489676 DO 10.1101/2022.04.27.489676 A1 Flavio P. Veras A1 Giovanni F. Gomes A1 Bruna M. S. Silva A1 Cicero J. L. R. Almeida A1 Camila Meirelles S. Silva A1 Ayda H. Schneider A1 Emily S. Corneo A1 Caio S. Bonilha A1 Sabrina S. Batah A1 Ronaldo Martins A1 Eurico Arruda A1 Alexandre T. Fabro A1 José C. Alves-Filho A1 Thiago M. Cunha A1 Fernando Q. Cunha YR 2022 UL http://biorxiv.org/content/early/2022/04/27/2022.04.27.489676.abstract AB COVID-19 is characterized by severe acute lung injury, which is associated with neutrophils infiltration and release of neutrophil extracellular traps (NETs). COVID-19 treatment options are scarce. Previous work has shown an increase in NETs release in the lung and plasma of COVID-19 patients suggesting that drugs that prevent NETs formation or release could be potential therapeutic approaches for COVID-19 treatment. Here, we report the efficacy of NET-degrading DNase I treatment in a murine model of COVID-19. DNase I decreased detectable levels of NETs, improved clinical disease, and reduced lung, heart, and kidney injuries in SARS-CoV-2-infected K18-hACE2 mice. Furthermore, our findings indicate a potential deleterious role for NETs lung tissue in vivo and lung epithelial (A549) cells in vitro, which might explain part of the pathophysiology of severe COVID-19. This deleterious effect was diminished by the treatment with DNase I. Together, our results support the role of NETs in COVID-19 immunopathology and highlight NETs disruption pharmacological approaches as a potential strategy to ameliorate COVID-19 clinical outcomes.Competing Interest StatementThe authors have declared no competing interest.