Acute Myocardial Infarction (AMI):
Duchenne Muscular Dystrophy (DMD):
COVID-19: High PTX3 levels predict disease severity and mortality, reflecting dysregulated complement activation .
Sepsis: Plasma PTX3 ≥200 ng/mL associates with organ failure and mortality .
TNF-α induces PTX3 in alveolar epithelial cells via JNK signaling, contributing to acute lung injury .
Inducers: Proinflammatory cytokines (TNF-α, IL-1β), microbial components (LPS), and tissue damage .
Signaling Pathways:
Cell Type | Primary Inducer | Pathway | Outcome |
---|---|---|---|
Alveolar Epithelial | TNF-α | JNK-dependent | PTX3 release exacerbates lung injury |
Endothelial | IL-1β/LPS | NF-κB/MAPK | Tissue factor upregulation → Thrombosis |
Inhibition: Blocking PTX3 in autoimmune diseases (e.g., ANCA-associated vasculitis) reduces complement-mediated damage .
Agonism: Recombinant PTX3 enhances antifungal immunity in immunocompromised hosts .
MRGSHHHHHH GMASMTGGQQ MGRDLYDDDD KDRWGSMENS DDYDLMYVNL DNEIDNGLHP TEDPTPCDCG QEHSEWDKLF IMLENSQMRE RMLLQATDDV LRGELQRLRE ELGRLAESLA RPCAPGAPAE ARLTSALDEL LQATRDAGRR LARMEGAEAQ RPEEAGRALA AVLEELRQTR ADLHAVQGWA ARSWLPAGCE TAILFPMRSK KIFGSVHPVR PMRLESFSAC IWVKATDVLN KTILFSYGTK RNPYEIQLYL SYQSIVFVVG GEENKLVAEA MVSLGRWTHL CGTWNSEEGL TSLWVNGELA ATTVEMATGH IVPEGGILQI GQEKNGCCVG GGFDETLAFS GRLTGFNIWD SVLSNEEIRE TGGAESCHIR GNIVGWGVTE IQPHGGAQYV S.
PTX3 has a unique octameric structure that differs significantly from other pentraxins. Recent structural studies using a hybrid approach combining cryoelectron microscopy and AlphaFold revealed PTX3 forms a glycosylated D4 symmetrical octameric complex stabilized by an extensive disulfide network . The structure consists of C-terminal pentraxin domains connected to N-terminal regions forming two long tetrameric coiled coils with two hinge regions .
The PTX3 gene is localized to chromosome 3 in humans and comprises three exons encoding the leader signal peptide, N-terminal domain, and C-terminal pentraxin domain . The protein is stored in specific granules of neutrophils, allowing for rapid release in response to inflammatory signals . This storage mechanism differs from the traditional view of inflammatory mediators requiring de novo synthesis.
Methodological approach: To study PTX3 structure and localization:
Use cryoelectron microscopy combined with computational methods like AlphaFold for structural determination
Employ fluorescence microscopy with specific antibodies to visualize cellular localization
Perform subcellular fractionation followed by Western blotting to identify the specific granules containing PTX3
PTX3 expression is primarily induced by inflammatory stimuli through several mechanisms:
Inflammatory cytokines: TNFα and IL-1β are potent inducers, with IL-1 being a major trigger of local PTX3 production in sterile tissue damage .
Pattern recognition receptor signaling: TLR agonists and microbial moieties can trigger PTX3 production. In urinary tract infections, PTX3 production by uroepithelial cells is controlled by the TLR4/MyD88 signaling pathway .
Transcription factors: The human PTX3 gene promoter contains binding sites for inflammatory transcription factors including PU.1, AP-1, NF-κB, Sp-1, and NF-IL-6 .
Signaling pathways: The PI3K/Akt axis and JNK activate PTX3 transcription .
Epigenetic regulation: Methylation of PTX3 enhancer and promoter regions has been implicated in PTX3 gene silencing in human colorectal and esophageal cancer cell lines .
Methodological approach: To investigate PTX3 regulation:
Use reporter gene assays with PTX3 promoter constructs to identify regulatory elements
Perform chromatin immunoprecipitation to detect transcription factor binding
Apply pharmacological inhibitors or siRNA against specific signaling molecules to determine pathway involvement
Analyze DNA methylation patterns in the PTX3 gene using bisulfite sequencing
PTX3 is produced by various cell types in response to inflammatory stimuli:
PTX3 release mechanisms vary by cell type:
Neutrophils: Release preformed PTX3 from specific granules in response to microbial recognition, TLR agonists (LPS, R848, Pam3CSK4, flagellin), inflammatory cytokines (TNF), and PMA . Release is time-dependent, significant at 1 hour and maximal at 16 hours .
Other cells: Produce PTX3 in a gene expression-dependent fashion .
Released PTX3 can partially localize in neutrophil extracellular traps (NETs) formed by extruded DNA . Notably, eosinophils and basophils do not contain preformed PTX3 .
PTX3 serves as a non-redundant component of humoral innate immunity with several key functions:
Pathogen recognition: PTX3 binds to various bacteria (Pseudomonas aeruginosa, Klebsiella pneumoniae, Neisseria meningitidis, and uropathogenic E. coli) and viruses (cytomegalovirus, influenza virus type A) .
Opsonization: PTX3 enhances pathogen recognition and phagocytosis by immune cells. PTX3-deficient neutrophils show defective microbial recognition and phagocytosis, particularly against Aspergillus fumigatus .
Complement modulation: PTX3 interacts with components of the complement system.
Adaptive immunity enhancement: PTX3 improves antibody responses to certain antigens. Administration of PTX3 reverses defective humoral responses to vaccination with outer membrane vesicles of N. meningitidis in PTX3-deficient mice .
Genetic studies confirm the relevance of PTX3 in human defense, showing associations between PTX3 genetic variants and susceptibility to Mycobacterium tuberculosis pulmonary infection, acute pyelonephritis and cystitis, and P. aeruginosa lung infection in cystic fibrosis patients .
PTX3 exhibits context-dependent functions that can either protect the host or contribute to pathology:
Protective mechanisms:
Antimicrobial defense: PTX3 recognizes and binds to pathogens, facilitating clearance. PTX3-deficient mice show defective bacterial clearance and exacerbated inflammatory responses .
Antiviral activity: PTX3 binds to human and murine cytomegalovirus, reducing viral entry into cells. It also acts as a receptor decoy for specific strains of influenza A virus .
Vaccination enhancement: PTX3 improves antibody responses to antigens, as demonstrated in vaccination protocols using N. meningitidis outer membrane vesicles .
Pathological mechanisms:
Excessive inflammation: In certain contexts, PTX3 can promote immunopathology .
Cancer progression: In cervical cancer, PTX3 contributes to tumorigenesis and metastasis .
This dual nature suggests PTX3 functions as a balancing factor in immune responses, with effects dependent on specific disease context, timing, and concentration .
Methodological approach: To study this duality:
Use tissue-specific PTX3 knockout models rather than global knockouts
Investigate temporal aspects of PTX3 function using inducible expression systems
Compare PTX3 effects across different disease models
Analyze PTX3 structure-function relationships through mutagenesis studies
PTX3 shows particular promise as a biomarker for pulmonary arterial hypertension (PAH):
Diagnostic potential:
Differentiation between related conditions:
In connective tissue disease-associated PAH (CTD-PAH), PTX3 concentrations are significantly higher than in CTD patients without PAH (5.02±0.69 vs. 2.40±0.14 ng/mL) .
ROC analysis showed PTX3 (area under the curve 0.866) is superior to BNP for screening PAH in CTD patients .
Using a PTX3 threshold of 2.85 ng/mL provides 94.1% sensitivity and 73.5% specificity for CTD-PAH .
Independence from other markers:
Biomarker | Mean Level in PAH | Mean Level in Controls | Threshold | Sensitivity | Specificity |
---|---|---|---|---|---|
PTX3 | 4.40±0.37 ng/mL | 1.94±0.09 ng/mL | 2.84 ng/mL | 74.0% | 84.0% |
PTX3 (CTD-PAH) | 5.02±0.69 ng/mL | 2.40±0.14 ng/mL (CTD without PAH) | 2.85 ng/mL | 94.1% | 73.5% |
Methodological approach: To develop PTX3 as a biomarker:
Standardize sample collection, processing, and ELISA techniques
Establish reference ranges across different populations
Conduct large-scale validation studies in diverse patient cohorts
Investigate the impact of comorbidities on PTX3 levels
PTX3 has been implicated in cancer progression, particularly in cervical cancer:
Clinical correlations: Increased PTX3 expression is significantly associated with tumor grade (P < 0.011) and differentiation (P < 0.019) in cervical cancer patients .
Effect on cellular processes:
Proliferation: PTX3 knockdown inhibits cell viability and colony-forming ability in cervical cancer cell lines .
Cell cycle regulation: PTX3 affects the G2/M phase by modulating cell cycle regulators (cyclin B1, cdc2, cdc25c, p-cdc2, p-cdc25c, p21, and p27) .
Migration and invasion: PTX3 knockdown decreases migration and invasion by inhibiting matrix metalloproteinases (MMP-2, MMP-9) and urokinase plasminogen activator (uPA) .
In vivo effects:
Methodological approach for studying PTX3 in cancer:
Use lentivirus-mediated shRNA for stable knockdown in cancer cell lines
Establish xenograft models to evaluate in vivo effects
Perform immunohistochemistry on patient samples to correlate expression with clinical parameters
Investigate potential upstream regulators and downstream effectors using pathway analysis
Genetic association studies have revealed important links between PTX3 variants and infection susceptibility:
Bacterial infections:
PTX3 genetic variants associate with increased susceptibility to Mycobacterium tuberculosis pulmonary infection .
PTX3 polymorphisms link to susceptibility to acute pyelonephritis and cystitis .
In cystic fibrosis patients, certain PTX3 variants correlate with increased risk of P. aeruginosa lung infection .
Viral infections:
These genetic associations support findings from experimental models demonstrating PTX3's role in pathogen recognition and clearance.
Methodological approach to study genetic variants:
Perform genome-wide association studies in patient cohorts with specific infections
Use targeted sequencing of the PTX3 gene to identify relevant polymorphisms
Develop in vitro functional assays to assess the impact of variants on protein function
Create humanized mouse models expressing specific PTX3 variants
Researchers should consider multiple complementary approaches when investigating PTX3:
Structural studies:
Cellular studies:
Isolation of neutrophil precursors (promyelocytes, myelocytes, bone marrow-segmented neutrophils) to study PTX3 expression during development
Subcellular fractionation to localize PTX3 in specific granules
Stimulation with various agonists (TLR ligands, cytokines, pathogens) to study release kinetics
Gene modulation strategies:
In vivo models:
Global PTX3-deficient mice to study systemic effects
Tissue-specific conditional knockout models
Transgenic mice overexpressing PTX3
Therapeutic administration of recombinant PTX3 in disease models
Clinical approaches:
Measurement of plasma PTX3 levels in patient cohorts
Immunohistochemical analysis of PTX3 expression in tissue samples
Genetic association studies
Experimental Approach | Application | Advantages | Limitations |
---|---|---|---|
Neutrophil studies | Storage and release mechanisms | Reflects rapid response capability | Complex isolation procedures |
Lentiviral knockdown | Cancer cell behavior | Stable, long-term suppression | Potential off-target effects |
PTX3-/- mice | Infection susceptibility | Whole-organism response | Developmental compensation |
Plasma measurement | Biomarker development | Non-invasive, clinically applicable | Influenced by multiple factors |
Pentraxin-3 (PTX3) is a member of the pentraxin superfamily, which includes evolutionarily conserved proteins involved in innate immunity and inflammation. PTX3 is classified as a long pentraxin, distinguishing it from the short pentraxins such as C-reactive protein (CRP) and serum amyloid P component (SAP). PTX3 was first identified in the early 1990s as an inducible gene by interleukin-1 (IL-1) and tumor necrosis factor-alpha (TNF-α) .
PTX3 is a glycoprotein composed of 381 amino acids and has a molecular weight of approximately 45 kDa. It contains a unique N-terminal domain and a C-terminal pentraxin domain, which is characteristic of the pentraxin family. PTX3 is produced by various cell types, including endothelial cells, fibroblasts, mononuclear phagocytes, and dendritic cells, in response to primary pro-inflammatory signals and microbial recognition .
PTX3 plays a crucial role in the regulation of innate immunity, inflammation, and tissue remodeling. It acts as a soluble pattern recognition molecule, recognizing and binding to microbial moieties and damaged tissues. This binding facilitates the activation of the complement system, opsonization of pathogens, and regulation of inflammation. PTX3 is also involved in tissue repair and remodeling, making it a multifunctional protein with significant implications in various physiological and pathological processes .
PTX3 has emerged as a valuable biomarker for various diseases due to its role in inflammation and immune responses. Elevated levels of PTX3 have been observed in conditions such as cardiovascular diseases, infections, and cancer. For instance, PTX3 levels are significantly correlated with the severity of lower respiratory tract infections (LRTIs) in children, making it a potential diagnostic and prognostic marker for these infections . Additionally, PTX3 is being investigated for its role in bone homeostasis and pathology, further highlighting its clinical relevance .
Human recombinant PTX3 is produced using recombinant DNA technology, which involves the insertion of the PTX3 gene into an expression system, such as bacteria or mammalian cells, to produce the protein in large quantities. Recombinant PTX3 is used in research to study its biological functions and potential therapeutic applications. It provides a consistent and reliable source of the protein for experimental purposes, enabling scientists to explore its role in various diseases and develop targeted therapies.