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Peer-reviewedCC BY 4.0Scientific Reports

Potential involvement of S100A8/S100A9 and neutrophil extracellular traps in rheumatic heart disease valvular injury

Abstract

Rheumatic heart disease (RHD) causes immune-mediated valvular inflammation and fibrosis, but the contribution of neutrophil extracellular traps (NETs) remains unclear. We integrated mitral valve transcriptomics with histological, molecular and echocardiographic assessments in a rat RHD model. Transcriptomic analysis included four rats per group; each subsequent experiment included three rats per group. RHD valves showed inflammatory infiltration, collagen remodeling and increased S100A8/S100A9 expression, alongside enhanced myeloperoxidase (MPO) and citrullinated histone H3 (citH3) staining. S100A8/A9 and MPO showed partial local colocalization, whereas the measured echocardiographic parameters did not differ significantly between groups at the terminal assessment. Exploratory screening using nominal P < 0.05 and |log₂ fold change| > 1 identified 89 genes, nine of which overlapped a NET-related gene set. These included S100A8 and S100A9, with nominal P values of 0.009565 and 0.002586 and Benjamini–Hochberg-adjusted P values of 0.419214 and 0.297275, respectively. The combined findings support a possible contribution of S100A8/S100A9-associated NET responses to valvular inflammation and remodeling. However, the exploratory transcriptomic evidence, small experimental groups and absence of functional perturbation leave the proposed causal pathway in RHD unconfirmed.

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BibTeX
@article{wen2026potential,
  title = {{Potential involvement of S100A8/S100A9 and neutrophil extracellular traps in rheumatic heart disease valvular injury}},
  author = {Jianlin Wen and Li Wang and Guangze Wu and Yuan Huang and Zhiyu Zeng},
  journal = {Scientific Reports},
  year = {2026},
  month = oct,
  doi = {10.1038/s41598-026-76532-7},
  url = {https://www.nature.com/articles/s41598-026-76532-7},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Potential involvement of S100A8/S100A9 and neutrophil extracellular traps in rheumatic heart disease valvular injury
AU  - Jianlin Wen
AU  - Li Wang
AU  - Guangze Wu
AU  - Yuan Huang
AU  - Zhiyu Zeng
PY  - 2026
DA  - 2026/10/14
JO  - Scientific Reports
DO  - 10.1038/s41598-026-76532-7
UR  - https://www.nature.com/articles/s41598-026-76532-7
AB  - Rheumatic heart disease (RHD) causes immune-mediated valvular inflammation and fibrosis, but the contribution of neutrophil extracellular traps (NETs) remains unclear. We integrated mitral valve transcriptomics with histological, molecular and echocardiographic assessments in a rat RHD model. Transcriptomic analysis included four rats per group; each subsequent experiment included three rats per group. RHD valves showed inflammatory infiltration, collagen remodeling and increased S100A8/S100A9 expression, alongside enhanced myeloperoxidase (MPO) and citrullinated histone H3 (citH3) staining. S100A8/A9 and MPO showed partial local colocalization, whereas the measured echocardiographic parameters did not differ significantly between groups at the terminal assessment. Exploratory screening using nominal P < 0.05 and |log₂ fold change| > 1 identified 89 genes, nine of which overlapped a NET-related gene set. These included S100A8 and S100A9, with nominal P values of 0.009565 and 0.002586 and Benjamini–Hochberg-adjusted P values of 0.419214 and 0.297275, respectively. The combined findings support a possible contribution of S100A8/S100A9-associated NET responses to valvular inflammation and remodeling. However, the exploratory transcriptomic evidence, small experimental groups and absence of functional perturbation leave the proposed causal pathway in RHD unconfirmed.
SN  - 2045-2322
ER  -