Deoxyribonuclease

Last updated

Deoxyribonuclease (DNase, for short) refers to a group of glycoprotein endonucleases which are enzymes that catalyze the hydrolytic cleavage of phosphodiester linkages in the DNA backbone, thus degrading DNA. The role of the DNase enzyme in cells includes breaking down extracellular DNA (ecDNA) excreted by apoptosis, necrosis, and neutrophil extracellular traps (NET) of cells to help reduce inflammatory responses that otherwise are elicited. A wide variety of deoxyribonucleases are known and fall into one of two families (DNase I or DNase II), which differ in their substrate specificities, chemical mechanisms, and biological functions. Laboratory applications of DNase include purifying proteins when extracted from prokaryotic organisms. Additionally, DNase has been applied as a treatment for diseases that are caused by ecDNA in the blood plasma. Assays of DNase are emerging in the research field as well.

Contents

Types

The two main types of DNase found in animals are known as deoxyribonuclease I (DNase I) and deoxyribonuclease II (DNase II). These two families have subcategories within them.

The DNase I Family: DNase I, DNase1L1, DNase 1L2, DNase1L3

The first set of DNases is DNase I. This family consisted of DNase I, DNase1L1, DNase 1L2, and DNase1L3. DNase I cleaves DNA to form two oligonucleotide-end products with 5’-phospho and 3’-hydroxy ends and is produced mainly by organs of the digestive system. The DNase I family requires Ca2+ and Mg2+ cations as activators and selectively expressed. [1] In terms of pH, the DNAses I family is active in normal pH of around 6.5 to 8.

The DNase II Family: DNase II α and DNase II β

The second set of DNAases is DNase II. This family consisted of DNase II α and DNase II β. Like DNAase I, DNAase II cleaves DNA to form two oligonucleotide-end products with 5’-hydroxy and 3’-phospho ends. This type of DNAase is more widely expressed in tissues due to high expression in macrophages but limited cell-type expression. Unlike DNAase I, they do not need Ca2+ and Mg2+ cations as activators. [2] In terms of pH, the DNAase II family is expressed in acidic pH. The cleavage pattern of DNase II is altered in the presence of Dimethyl sulfoxide(DMSO), which significantly affects the structure of DNA.

Structure

Although both DNase I and II are glycoprotein endonucleases, DNase I has a monomeric sandwich-type structure with a carbohydrate side chain whereas DNase II has a dimeric quaternary structure.

Glycoprotein DNase I 3D structure PDB: 3DNI DNase 1 image 1.png
Glycoprotein DNase I 3D structure PDB: 3DNI

DNase I Structure: DNase I is a glycoprotein with a molecular weight of 30,000 Da and a carbohydrate chain of 8-10 residues attached to Asn18 (orange). [3] It is an 𝛼,𝛽-protein with two 6-stranded 𝛽-pleated sheets which form the core of the structure. [4] These two core sheets run parallel, and all others run antiparallel. The 𝛽-pleated sheets lie in the center of the structure while the 𝛼-helices are denoted by the coils on the periphery. DNase I contains four ion-binding pockets, and requires Ca2+ and Mg2+ for hydrolyzing double-stranded DNA. [5] Two of the sites strongly bind Ca2+ while the other two coordinate Mg2+. Little has been published on the number and location of the Mg2+ binding sites, although it has been proposed that Mg2+ is located near the catalytic pocket and contributes to hydrolysis. [6] The two Ca2+ are shown in red in the image. They are bound to DNase I under crystallization conditions and are important for the structural integrity of the molecule by stabilizing the surface loop Asp198 to Thr204 (cyan), and by limiting the region of high thermal mobility in the flexible loop to residues Gly97 to Gly102 (yellow).

Glycoprotein DNase II 3D structure PDB: 5UNB DNase II.png
Glycoprotein DNase II 3D structure PDB: 5UNB

DNase II Structure: DNase II contains a homodimeric quaternary structure that is capable of binding double-stranded DNA within a U-shaped clamp architecture. The interior of the U-shaped clamp is largely electropositive, capable of binding negatively-charged DNA. Similar to DNase I, DNase II structure consists of a mixed 𝛼/𝛽 secondary structure with 9 𝛼-helices and 20 𝛽-pleated sheets. [7] Although unlike DNase I, DNase II does not require divalent metal ions for catalysis. [7] The structure consists of protomer A (cyan) and protomer B (green). Each structure consists of two catalytic motifs, which are labeled on protomer B for simplicity: His100 and Lys102 compose the first motif (blue) and His279 and Lys281 compose the second catalytic motif (red).

Mechanism of action for DNase enzymes DNase MOA.jpg
Mechanism of action for DNase enzymes

Mechanism

Some DNases cut, or "cleave", only residues at the ends of DNA molecules. This type of exonuclease is known as exodeoxyribonucleases. Others cleave anywhere along the chain, known as endodeoxyribonucleases (a subset of endonucleases.) [8] Some DNases are fairly indiscriminate about the DNA sequence at which they cut, while others, including restriction enzymes, are very sequence-specific. Other DNases cleave only double-stranded DNA, others are specific for single-stranded molecules, and others are active toward both.

The action of DNase occurs in three phases. The initial phase introduces multiple nicks in the phosphodiester backbone. The second phase produces acid-soluble nucleotides. The third phase, which is the terminal phase, consists of reduction of oligonucleotides, causing a hyperchromic shift in the UV data. [9]

DNase I Mechanism

DNase I predominantly targets double-stranded DNA, and to a lesser extent, some single-stranded DNA for cleavage. DNase I catalyzes nonspecific DNA cleavage by nicking phosphodiester linkages in one of the strands. Its cleavage site lies between the 3′-oxygen atom and the adjacent phosphorus atom, yielding 3′-hydroxyl and 5′-phosphoryl oligonucleotides with inversion of configuration at the phosphorus. The DNase enzyme relies on the presence of a divalent cation, which is usually Ca2+, for proper function. The active site of DNase I includes two histidine residues (His134 and His252) and two acidic residues (Glu78 and Asp 212), all of which are critical for the general acid-base catalysis of phosphodiester bonds. [10]

DNase II Mechanism

Deoxyribonuclease II (DNase II) is also known as acid deoxyribonuclease because it has optimal activity in the low pH environment of lysosomes where it is typically found in higher eukaryotes. Some forms of recombinant DNase II display a high level of activity in low pH in the absence of divalent metal ions, similar to eukaryotic DNase II. [7] Unlike DNase I, DNase II cleaves the phosphodiester bond between the 5'-oxygen atom and the adjacent phosphorus atom, yielding 3΄-phosphorylated and 5΄-hydroxyl nucleotides.

Applications

Laboratory applications

DNase is commonly used when purifying proteins that are extracted from prokaryotic organisms. Protein extraction often involves the degradation of the cell membrane. It is common for the degraded and fragile cell membrane to be lysed, releasing unwanted DNA and the desired proteins. The resulting DNA-protein extract is highly viscous and difficult to purify, in which case DNase is added to break it down. [11] The DNA is hydrolyzed but the proteins are unaffected and the extract can undergo further purification.

Treatment

Extracellular DNA (ecDNA) is DNA that is found in blood circulation. It appears as a result of apoptosis, necrosis, or neutrophil extracellular traps (NET)-osis of blood and tissue cells, but can also arise from the active secretion from living cells. EcDNA and their designated DNA binding proteins are able to activate DNA-sensing receptors, pattern recognition receptors (PRRs). PRRs are able to stimulate pathways that cause an inflammatory immune response. As a result, several studies of inflammatory diseases have found that there are high concentrations of ecDNA in blood plasma. For this reason, DNase has proven to be a possible treatment for the reduction of ecDNA in the blood plasma. DNases can be excreted both intracellularly and extracellularly and can cleave the DNA phosphodiester bond. This function can be used to maintain a low ecDNA concentration, therefore treating inflammation. Illnesses that result from DNA residue in blood have been targeted using the "breaking-down properties" of DNase. Studies have shown DNase to be able to act as a treatment by decreasing the viscosity of mucus. [12] [13] Administration of DNase varies dependent on the disease. It can and has been administered orally, intrapleurally, intravenously, intraperitoneally, and via inhalation. [14] Several studies continue to examine the application of DNase as treatment as well as ways to monitor health. For example, recently, DNase derived from pathogenic bacteria has been used as an indicator for wound infection monitoring. [15]

Respiratory diseases

Cystic fibrosis is a genetic disorder that affects the production of mucus, sweat, and digestive fluids, causing them to become more viscous rather than lubricant. DNase enzymes can be inhaled using a nebulizer by cystic fibrosis sufferers. DNase enzymes help because white blood cells accumulate in the mucus, and, when they break down, they release DNA, which adds to the 'stickiness' of the mucus. DNase enzymes break down the DNA, and the mucus is much easier to clear from the lungs. Specifically, DNase I, also known as FDA approved drug Pulmozyme (also known as dornase alfa) is used as a treatment to increase pulmonary function.

Other respiratory illness such as asthma, [16] pleural empyema, [12] and chronic obstructive pulmonary disease have also been found to be positively affected by DNases properties.

Furthermore, recent studies show that intrapleural tissue plasminogen activator (tPA), a protein that is responsible for the breakdown of blood clots, combined with deoxyribonuclease increase pleural drainage, decreases hospital length of stay, and decreases the need for surgery in parapneumonic effusions and empyema.

Other diseases

Sepsis is a life-threatening inflammatory disease caused by the body's extreme response to an infection. The body begins to attack itself as an inflammatory response encompasses the human body. As a result, high levels of ecDNA have been associated with the bloodstream and therefore, researchers have looked to DNase as an appropriate treatment. Studies have shown that DNase was successful in disrupting NETs and decreasing inflammatory responses. More research on the type and time of administration is needed to further establish DNase as an official treatment. [17] [18] [19]

Systemic lupus erythematosus (SLE) is an autoimmune disease that results in auto-antibody generation causing inflammation that results in damage to organs, joints, and kidneys. SLE has been linked with low levels of DNase I as apoptotic cells become self-antigens in this disease. DNase I has been investigated as a possible treatment to decrease the amount of apoptotic debris in the human system. It has been suggested that their difficulty might be due to the inability for the enzyme to break down the cell membrane of chromatin. Studies have shown conflicting results on this treatment, however, further research is being conducted to examine the therapeutic benefits of DNase I. [14] [18] [20]

Anti-tumor treatment. DNase is known to hold anti-tumor effects due to its ability to break down DNA. High levels of DNA are found to be in cancer patients' blood, suggesting that DNase I might be a possible treatment. There is still a lack of understanding as to why there are such high levels of ecDNA and whether or not DNase will act as an effective treatment. Several mice studies have shown positive results in anti-tumor progression utilizing intravenous DNase I. However, more investigations need to be carried out before being introduced to the public. [21] [14]

Assays

DNA absorbs ultraviolet (UV) light with a wavelength of maximal absorbance near 260 nm. This absorption is due to the pi electrons in the aromatic bases of the DNA. In dsDNA, or even regions of RNA where double-stranded structure occurs, the bases are stacked parallel to each other, and the overlap of the base molecular orbitals leads to a decrease in absorbance of UV light. This phenomenon is called the hypochromic effect. When DNase liberates nucleotides from dsDNA, the bases are no longer stacked as they are in dsDNA, so that orbital overlap is minimized and UV absorbance increases. This increase in absorbance underlies the basis of the Kunitz unit of DNase activity. One Kunitz unit is defined as the amount of enzyme added to 1 mg/ml salmon sperm DNA that causes an increase in absorbance of 0.001 per minute at the wavelength of 260 nm when acting upon highly polymerized DNA at 25 °C in a 0.1 M NaOAc (pH 5.0) buffer. The unit's name recognizes the Russian-American biochemist Moses Kunitz, who proposed the standard test in 1946. [22]

A standard enzyme preparation should be run in parallel with an unknown because standardization of DNA preparations and their degree of polymerization in solution is not possible.

Single Radial Enzyme Diffusion (SRED) This simple method for DNase I activity measurement was introduced by Nadano et al. and is based on the digestion of DNA in the agarose gel by DNase, which is present in samples punched into the gel. [14] DNase activity is represented by the size of a dispensed circular well in an agarose gel layer, in which DNA stained by ethidium bromide is uniformly distributed. After the incubation, a circular dark zone is formed as the enzyme diffuses from the well radially into the gel and cleaves DNA. SRED underwent many modifications, which led to an increase in sensitivity and safety, such as the replacement of ethidium bromide with SYBR Green I or other DNA gel stains. [23]

Colorimetric DNase I Activity Assay

Kinetic colorimetric DNase I activity assay is developed for the assessment of the stability of the human recombinant DNase I (Pulmozyme). The method was adjusted from a colorimetric endpoint enzyme activity assay based on the degradation of a DNA/methyl green complex. [24]

See also

Related Research Articles

A restriction enzyme, restriction endonuclease, REase, ENase orrestrictase is an enzyme that cleaves DNA into fragments at or near specific recognition sites within molecules known as restriction sites. Restriction enzymes are one class of the broader endonuclease group of enzymes. Restriction enzymes are commonly classified into five types, which differ in their structure and whether they cut their DNA substrate at their recognition site, or if the recognition and cleavage sites are separate from one another. To cut DNA, all restriction enzymes make two incisions, once through each sugar-phosphate backbone of the DNA double helix.

<span class="mw-page-title-main">Integrase</span> Class of enzymes

Retroviral integrase (IN) is an enzyme produced by a retrovirus that integrates its genetic information into that of the host cell it infects. Retroviral INs are not to be confused with phage integrases (recombinases) used in biotechnology, such as λ phage integrase, as discussed in site-specific recombination.

<span class="mw-page-title-main">Ribonuclease</span> Class of enzyme that catalyzes the degradation of RNA

Ribonuclease is a type of nuclease that catalyzes the degradation of RNA into smaller components. Ribonucleases can be divided into endoribonucleases and exoribonucleases, and comprise several sub-classes within the EC 2.7 and 3.1 classes of enzymes.

<span class="mw-page-title-main">Nuclease</span> Class of enzymes which cleave nucleic acids

In biochemistry, a nuclease is an enzyme capable of cleaving the phosphodiester bonds between nucleotides of nucleic acids. Nucleases variously effect single and double stranded breaks in their target molecules. In living organisms, they are essential machinery for many aspects of DNA repair. Defects in certain nucleases can cause genetic instability or immunodeficiency. Nucleases are also extensively used in molecular cloning.

<span class="mw-page-title-main">RecBCD</span> Family of protein complexes in bacteria

Exodeoxyribonuclease V is an enzyme of E. coli that initiates recombinational repair from potentially lethal double strand breaks in DNA which may result from ionizing radiation, replication errors, endonucleases, oxidative damage, and a host of other factors. The RecBCD enzyme is both a helicase that unwinds, or separates the strands of DNA, and a nuclease that makes single-stranded nicks in DNA. It catalyses exonucleolytic cleavage in either 5′- to 3′- or 3′- to 5′-direction to yield 5′-phosphooligonucleotides.

In molecular biology, endonucleases are enzymes that cleave the phosphodiester bond within a polynucleotide chain. Some, such as deoxyribonuclease I, cut DNA relatively nonspecifically, while many, typically called restriction endonucleases or restriction enzymes, cleave only at very specific nucleotide sequences. Endonucleases differ from exonucleases, which cleave the ends of recognition sequences instead of the middle (endo) portion. Some enzymes known as "exo-endonucleases", however, are not limited to either nuclease function, displaying qualities that are both endo- and exo-like. Evidence suggests that endonuclease activity experiences a lag compared to exonuclease activity.

<span class="mw-page-title-main">Exonuclease</span> Class of enzymes; type of nuclease

Exonucleases are enzymes that work by cleaving nucleotides one at a time from the end (exo) of a polynucleotide chain. A hydrolyzing reaction that breaks phosphodiester bonds at either the 3′ or the 5′ end occurs. Its close relative is the endonuclease, which cleaves phosphodiester bonds in the middle (endo) of a polynucleotide chain. Eukaryotes and prokaryotes have three types of exonucleases involved in the normal turnover of mRNA: 5′ to 3′ exonuclease (Xrn1), which is a dependent decapping protein; 3′ to 5′ exonuclease, an independent protein; and poly(A)-specific 3′ to 5′ exonuclease.

<span class="mw-page-title-main">Micrococcal nuclease</span> Class of enzymes

Micrococcal nuclease is an endo-exonuclease that preferentially digests single-stranded nucleic acids. The rate of cleavage is 30 times greater at the 5' side of A or T than at G or C and results in the production of mononucleotides and oligonucleotides with terminal 3'-phosphates. The enzyme is also active against double-stranded DNA and RNA and all sequences will be ultimately cleaved.

<span class="mw-page-title-main">AP endonuclease</span> Enzyme involved in DNA repair

Apurinic/apyrimidinic (AP) endonuclease is an enzyme that is involved in the DNA base excision repair pathway (BER). Its main role in the repair of damaged or mismatched nucleotides in DNA is to create a nick in the phosphodiester backbone of the AP site created when DNA glycosylase removes the damaged base.

<span class="mw-page-title-main">Deoxyribonuclease I</span> Protein-coding gene in the species Homo sapiens

Deoxyribonuclease I, is an endonuclease of the DNase family coded by the human gene DNASE1. DNase I is a nuclease that cleaves DNA preferentially at phosphodiester linkages adjacent to a pyrimidine nucleotide, yielding 5'-phosphate-terminated polynucleotides with a free hydroxyl group on position 3', on average producing tetranucleotides. It acts on single-stranded DNA, double-stranded DNA, and chromatin. In addition to its role as a waste-management endonuclease, it has been suggested to be one of the deoxyribonucleases responsible for DNA fragmentation during apoptosis.

Deoxyribonuclease II is an endonuclease that hydrolyzes phosphodiester linkages of deoxyribonucleotide in native and denatured DNA, yielding products with 3'-phosphates and 5'-hydroxyl ends, which occurs as a result of single-strand cleaving mechanism. As the name implies, it functions optimally at acid pH because it is commonly found in low pH environment of lysosomes.

<i>Hin</i>dIII Enzyme

HindIII (pronounced "Hin D Three") is a type II site-specific deoxyribonuclease restriction enzyme isolated from Haemophilus influenzae that cleaves the DNA palindromic sequence AAGCTT in the presence of the cofactor Mg2+ via hydrolysis.

<i>Bam</i>HI Restriction enzyme

BamHI is a type II restriction endonuclease, having the capacity for recognizing short sequences of DNA and specifically cleaving them at a target site. This exhibit focuses on the structure-function relations of BamHI as described by Newman, et al. (1995). BamHI binds at the recognition sequence 5'-GGATCC-3', and cleaves these sequences just after the 5'-guanine on each strand. This cleavage results in sticky ends which are 4 bp long. In its unbound form, BamHI displays a central b sheet, which resides in between α-helices.

<span class="mw-page-title-main">Nuclease S1</span> Class of enzymes

Nuclease S1 is an endonuclease enzyme that splits single-stranded DNA (ssDNA) and RNA into oligo- or mononucleotides. This enzyme catalyses the following chemical reaction

Deoxyribonuclease IV (phage-T4-induced) is catalyzes the degradation nucleotides in DsDNA by attacking the 5'-terminal end.

<i>Bgl</i>II Restriction enzyme

BglII is a type II restriction endonuclease isolated from certain strains of Bacillus globigii.

<span class="mw-page-title-main">Endonuclease/Exonuclease/phosphatase family</span>

Endonuclease/Exonuclease/phosphatase family is a structural domain found in the large family of proteins including magnesium dependent endonucleases and many phosphatases involved in intracellular signaling.

<span class="mw-page-title-main">DNASE1L3</span> Protein-coding gene in the species Homo sapiens

Deoxyribonuclease gamma is an enzyme that in humans is encoded by the DNASE1L3 gene.

In molecular biology, XhoI is a type II restriction enzyme EC that recognise the double-stranded DNA sequence CTCGAG and cleaves after C-1. Type II restriction endonucleases are components of prokaryotic DNA restriction-modification mechanisms that protect the organism against invading foreign DNA. These site-specific deoxyribonucleases catalyse the endonucleolytic cleavage of DNA to give specific double-stranded fragments with terminal 5'-phosphates.

Serratia marcescens nuclease is an enzyme. This enzyme catalyses the following chemical reaction

References

  1. Junowicz, E. (1973). "Studies on bovine pancreatic deoxyribonuclease A. II. The effect of different bivalent metals on the specificity of degradation of DNA". Biochim. Biophys. Acta. 312 (1): 85–102. doi:10.1016/0005-2787(73)90054-3. PMID   4353710.
  2. Ohkouchi, S.; Shibata, M; Sasaki, M; Koike, M; Safig, P; Peters, C; Nagata, S; Uchiyama, Y (2013). "Biogenesis and proteolytic processing of lysosomal DNase II". PLOS ONE. 8 (3): e59148. Bibcode:2013PLoSO...859148O. doi: 10.1371/journal.pone.0059148 . PMC   3596287 . PMID   23516607.
  3. Suck, D.; Oefner, C.; Kabsch, W. (1984). "Three-dimensional structure of bovine pancreatic DNase I at 2.5 A resolution". The EMBO Journal. 3 (10): 2423–2430. doi:10.1002/j.1460-2075.1984.tb02149.x. PMC   557703 . PMID   6499835.
  4. wwPDB.org. "wwPDB: Worldwide Protein Data Bank". www.wwpdb.org. Retrieved 2022-10-26.
  5. Guéroult, Marc; Picot, Daniel; Abi-Ghanem, Joséphine; Hartmann, Brigitte; Baaden, Marc (2010-11-18). Levitt, Michael (ed.). "How Cations Can Assist DNase I in DNA Binding and Hydrolysis". PLOS Computational Biology. 6 (11): e1001000. Bibcode:2010PLSCB...6E1000G. doi: 10.1371/journal.pcbi.1001000 . ISSN   1553-7358. PMC   2987838 . PMID   21124947.
  6. Jones, S. J.; Worrall, A. F.; Connolly, B. A. (1996-12-20). "Site-directed mutagenesis of the catalytic residues of bovine pancreatic deoxyribonuclease I". Journal of Molecular Biology. 264 (5): 1154–1163. doi:10.1006/jmbi.1996.0703. ISSN   0022-2836. PMID   9000637.
  7. 1 2 3 Varela-Ramirez, Armando; Abendroth, Jan; Mejia, Adrian A.; Phan, Isabelle Q.; Lorimer, Donald D.; Edwards, Thomas E.; Aguilera, Renato J. (2017-06-02). "Structure of acid deoxyribonuclease". Nucleic Acids Research. 45 (10): 6217–6227. doi:10.1093/nar/gkx222. ISSN   0305-1048. PMC   5449587 . PMID   28369538.
  8. Bowen RA, Austgen L, Rouge M (20 February 2000). "Restriction Endonucleases and DNA Modifying Enzymes". Nucleases: DNase and RNase. Archived from the original on 5 August 2004. Retrieved 8 January 2017.{{cite book}}: |work= ignored (help)
  9. Bernardi, Giorgio (1971-01-01), Boyer, Paul D. (ed.), "11 Spleen Acid Deoxyribonuclease", The Enzymes, Hydrolysis, vol. 4, Academic Press, pp. 271–287, doi:10.1016/S1874-6047(08)60371-6, ISBN   9780121227043 , retrieved 2022-10-27
  10. Lazarus, Robert A.; Wagener†, Jeffrey S. (2019), "Recombinant Human Deoxyribonuclease I", Pharmaceutical Biotechnology, Cham: Springer International Publishing, pp. 471–488, doi:10.1007/978-3-030-00710-2_22, ISBN   978-3-030-00709-6, PMC   7124075
  11. Ninfa AJ, Ballou DP, Benore M (2010). Fundamental Laboratory Approaches for Biochemistry and Biotechnology (2nd ed.). United States of America: John Wiley & Sons, Inc. p. 234. ISBN   978-0-470-08766-4.
  12. 1 2 Simpson, G.; Roomes, D.; Heron, M. (2006). "Effects of streptokinase and deoxyribonuclease on the viscosity of human surgical and empyema pus". Chest. 117 (6): 1728–1733. doi:10.1378/chest.117.6.1728. ISSN   0012-3692. PMID   10858409.
  13. J.B. Armstrong, J.C. White Liquefaction of viscous purulent exudates by deoxyribonuclease Lancet, 259 (1950), pp. 739-742
  14. 1 2 3 4 Lauková, Lucia; Konečná, Barbora; Janovičová, Ľubica; Vlková, Barbora; Celec, Peter (2020-07-11). "Deoxyribonucleases and Their Applications in Biomedicine". Biomolecules. 10 (7): 1036. doi: 10.3390/biom10071036 . ISSN   2218-273X. PMC   7407206 . PMID   32664541.
  15. Xiong Z, Achavananthadith S, Lian S, Madden LE, Ong ZX, Chua W, et al. (2021). "A wireless and battery-free wound infection sensor based on DNA hydrogel". Science Advances. 7 (47): eabj1617. Bibcode:2021SciA....7.1617X. doi:10.1126/sciadv.abj1617. PMC   8604401 . PMID   34797719.
  16. Boogaard, R.; Smit, F.; Schornagel, R.; Vaessen-Verberne, A. a. P. H.; Kouwenberg, J. M.; Hekkelaan, M.; Hendriks, T.; Feith, S. W. W.; Hop, W. C. J.; de Jongste, J. C.; Merkus, P. J. F. M. (2008). "Recombinant human deoxyribonuclease for the treatment of acute asthma in children". Thorax. 63 (2): 141–146. doi: 10.1136/thx.2007.081703 . ISSN   1468-3296. PMID   17675321. S2CID   309718.
  17. Chen, QiXing; Ye, Ling; Jin, YuHong; Zhang, Ning; Lou, TianZheng; Qiu, ZeLiang; Jin, Yue; Cheng, BaoLi; Fang, XiangMing (2012). "Circulating nucleosomes as a predictor of sepsis and organ dysfunction in critically ill patients". International Journal of Infectious Diseases. 16 (7): e558–564. doi: 10.1016/j.ijid.2012.03.007 . ISSN   1878-3511. PMID   22609014.
  18. 1 2 Janovičová, Ľubica; Čonka, Jozef; Lauková, Lucia; Celec, Peter (2022-10-01). "Variability of endogenous deoxyribonuclease activity and its pathophysiological consequences". Molecular and Cellular Probes. 65: 101844. doi:10.1016/j.mcp.2022.101844. ISSN   0890-8508. PMID   35803442. S2CID   250328196.
  19. Mai, Safiah H. C†; Khan, Momina*†; Dwivedi, Dhruva J.†‡; Ross, Catherine A.§; Zhou, Ji†; Gould, Travis J†; Gross, Peter L†‡; Weitz, Jeffrey I†‡; Fox-Robichaud, Alison E†‡∥; Liaw, Patricia C†‡∥ for the Canadian Critical Care Translational Biology Group. Delayed but not Early Treatment with DNase Reduces Organ Damage and Improves Outcome in a Murine Model of Sepsis. Shock: August 2015 - Volume 44 - Issue 2 - p 166–172 doi : 10.1097/SHK.0000000000000396
  20. Fernando Martínez Valle, Eva Balada, Josep Ordi-Ros, Miquel Vilardell-Tarres, DNase 1 and systemic lupus erythematosus, Autoimmunity Reviews, Volume 7, Issue 5,2008, Pages 359–363, ISSN   1568-9972, doi : 10.1016/j.autrev.2008.02.002.
  21. Trejo-Becerril, Catalina; Pérez-Cardenas, Enrique; Gutiérrez-Díaz, Blanca; De La Cruz-Sigüenza, Desiree; Taja-Chayeb, Lucía; González-Ballesteros, Mauricio; García-López, Patricia; Chanona, José; Dueñas-González, Alfonso (2016-07-26). "Antitumor Effects of Systemic DNase I and Proteases in an In Vivo Model". Integrative Cancer Therapies. 15 (4): NP35–NP43. doi:10.1177/1534735416631102. ISSN   1534-7354. PMC   5739158 . PMID   27146129.
  22. Rowlett, Russ. "K". A Dictionary of Units of Measurement. University of North Carolina at Chapel Hill. Retrieved 27 October 2022.
  23. Yasuda, T.; Takeshita, H; Nakazato, E.; Nakajima, T.; Hosomi, O.; Nakashima, Y.; Kishi, K. (1998). "Activity Measurement for Deoxyribonucleases I and II with Picogram Sensitivity Based on DNA/SYBR Green I Fluorescence". Anal. Biochem. 255 (2): 274–276. doi:10.1006/abio.1997.2496. PMID   9451514.
  24. Horney, D.L.; Webster, D.A. (1971). "Deoxyribonuclease: A sensitive assay using radial diffusion in agarose containing methyl green-DNA complex". Biochim. Biophys. Acta. 247 (1): 54–61. doi:10.1016/0005-2787(71)90806-9. PMID   4946282.