Table 2. Emerging biomarkers for NET formation

Biomarkers, reference Year Patient recruitment Clinical results Key mechanisms
Spu S100A9 [45] 2017 NA (Spu Neu≥60%, Spu Eos<3%),EA (SPu Neu<60%, Spu Eos≥3%),MGA (Spu Neu≥60%, Spu Eos≥3%),PGA (Spu Neu<60%, Spu Eos<3%) NA>EA and NA>PGACorrelation:+Spu Neu S100A9 induced: ↑The recruitment of Neu and Mφ ↑The release of IL-1β, IL-17, and IFN-γ
Serum S100A9 [21] 2021 NA (Spu Neu≥65%)Non-NA (Spu Neu<65%) NA>non-NAAssociation:+Serum IL-6, IL-17A, and TNF-α+Spu Neu S100A9 induced: ↓Tight-junction proteins in AECs ↑The release of IL-8 from AECs ↑The formation of NETs from Neu ↑The release of cytokines from Mφ
Serum SAA1 [20] 2021 NA (Spu Neu≥65%)Non-NA (Spu Neu<65%) NA>non-NAAssociation:+Serum S100A9 and IL-6+Spu Neu SAA1 induced: ↑The release of IL-6, IL-1β, and S100A9 from AECs ↑The formation of NETs from Neu ↑The release of cytokines from Mφ ↑The release of IL-17A from CD4+ T cells
Plasma CCL4 [16] 2023 ICS non-respondersICS responders ICS non-responders>ICS respondersCorrelation: –FEV1, FEV1/FVC, and PEF25%–75% CCL4L2 induced: ↑The formation of NETs from Neu ↑The recruitment of Neu ↑The release of IL-1β, IL-6, and IL-17
Spu IL-1β [22] 2024 NA (Spu Neu≥65%, Spu Eos<3%)EA (Spu Eos≥3%, Spu Neu<65%) NA (with high-dose ICSs)>EACorrelation:+Spu MPO and MMP-9 Downregulation of otulin induced: ↑The release of IL-1β from Mφ and AECsIL-1β induced: ↑The recruitment of Neu and ILC3s ↑The release of cytokines from Neu and ILC3
NA, neutrophilic asthma; IL, interleukin; EA, eosinophilic asthma; MGA, mixed-granulocytic asthma; AEC, airway epithelial cells; TNF, tumor necrosis factor-alpha; ICS, inhaled corticosteroid; NET, neutrophil extracellular traps.