Shen Xiao-Fei, Zhao Yang, Cao Ke, Guan Wen-Xian, Li Xue, Zhang Qian, Zhao Yong, Ding Yi-Tao, Du Jun-Feng
Department of General Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Transplantation Biology Research Division, State Key Laboratory of Membrane Biology, Institute of Zoology, Chinese Academy of Sciences, Beijing, China.
Front Immunol. 2017 Aug 22;8:1023. doi: 10.3389/fimmu.2017.01023. eCollection 2017.
Sepsis is defined as an uncontrolled host response to infection, and no specific therapy or drugs have been used in clinical trials currently. Discovering new therapeutic targets for sepsis treatment has always been a central problem in the field of sepsis research. Neutrophils stand at the first line in controlling infection and have been identified to be dysregulated with impaired migration and antimicrobial function during sepsis. Based on our previous results on demonstrating wild-type p53-induced phosphatase 1 in controlling neutrophil development, we explored the possible relationship among Wip1, neutrophils, and sepsis in the present study. Wip1-deficient mice exhibited improved outcomes in cecal ligation and puncture (CLP)-induced sepsis model with enhanced bacterial clearance and less multi-organ damage. The protection seen in Wip1 KO mice was mainly due to an increased accumulation of neutrophils in the primary infectious locus mediated by the decreased internalization of CXCR2, as well as by an increased antimicrobial function. Additionally, we also identified a negative correlation between CXCR2 and Wip1 in human neutrophils during sepsis. Pharmacological inhibition of Wip1 with its inhibitor can also prevent the internalization of CXCR2 on human neutrophils treated with lipopolysaccharides and significantly improve the outcome in CLP-induced sepsis model. Taken together, our results demonstrate that Wip1 can negatively regulate neutrophil migration and antimicrobial immunity during sepsis and inhibition of Wip1 can be a potential therapeutic target for sepsis treatment.
脓毒症被定义为宿主对感染的失控反应,目前尚无特异性治疗方法或药物用于临床试验。寻找脓毒症治疗的新靶点一直是脓毒症研究领域的核心问题。中性粒细胞处于控制感染的第一线,在脓毒症期间,其迁移和抗菌功能受损,已被确定存在失调。基于我们之前关于证明野生型p53诱导的磷酸酶1在控制中性粒细胞发育方面的结果,我们在本研究中探讨了Wip1、中性粒细胞和脓毒症之间的可能关系。在盲肠结扎和穿刺(CLP)诱导的脓毒症模型中,Wip1基因缺陷小鼠的结局有所改善,细菌清除增强,多器官损伤减轻。Wip1基因敲除小鼠所表现出的保护作用主要是由于CXCR2内化减少介导的中性粒细胞在原发性感染部位的积累增加,以及抗菌功能增强。此外,我们还发现脓毒症期间人类中性粒细胞中CXCR2与Wip1呈负相关。用其抑制剂对Wip1进行药理抑制,也可以防止脂多糖处理的人类中性粒细胞上CXCR2的内化,并显著改善CLP诱导的脓毒症模型的结局。综上所述,我们的结果表明,Wip1在脓毒症期间可负向调节中性粒细胞迁移和抗菌免疫,抑制Wip1可能成为脓毒症治疗的潜在靶点。