Department of Anesthesiology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Department of Anesthesiology, The Second Hospital of Dalian Medical University, 467 Zhongshan Road, Dalian, ZIP: 116027, Liaoning, China.
BMC Geriatr. 2021 Apr 1;21(1):225. doi: 10.1186/s12877-021-02173-2.
Sepsis is a critical challenge for the older adults as the immune function is less responsive by aging. Although cell numbers seem preserved in the older adults, macrophages present age-related function decline, which including reduced chemokines, phagocytosis, and autophagy. ABT-263, an inhibitor of the anti-apoptotic protein Bcl-2, is reported had a senolytic effect which can selectively clear the senescent cells in vivo and rejuvenate the aged tissues.
We treated the aged (12-16 months) and young (4-6 months) C57BL/6 mouse with ABT-263, then gave the animals cecal slurry injection to induce sepsis to observe the effect of senolytic compound ABT-263 on the survival rate of sepsis. Additionally, we isolated peritoneal macrophages from the aged mouse to investigate the cell function and molecular mechanism. 3-methyladenine (3-MA), a phosphatidylinositol 3-kinases (PI3K) inhibitor, and rapamycin, an autophagy-enhancer, were used to block or mimic the autophagy, respectively. RT-PCR and Western Blot were used to detect autophagy related gene and protein changes in sepsis. EGFP-expressing E. coli was used as a marker to evaluate the phagocytic ability of macrophages.
The results showed ABT-263 treatment improved the survival rate of sepsis in the aged mouse which related to autophagy, while blocking the autophagy can eliminate this effect. It is revealed that ABT-263 enhanced the phagocytic ability of the peritoneal macrophages by increasing the Trem-2 receptor. Additionally, ABT-263 blocked the binding of Bcl-2 to Beclin-1, thus induced Beclin-1-dependent autophagy.
ABT-263 enhanced the macrophage function in aged mouse by increasing the Trem-2 receptors and inducing a beclin-1-dependent autophagy, consequently, protected the aged mouse from sepsis.
由于衰老导致免疫功能反应降低,败血症对老年人来说是一个严重的挑战。尽管老年人的细胞数量似乎保持不变,但巨噬细胞的功能随着年龄的增长而下降,包括趋化因子、吞噬作用和自噬减少。ABT-263 是一种抗凋亡蛋白 Bcl-2 的抑制剂,据报道具有衰老选择性清除作用,可在体内选择性清除衰老细胞并使衰老组织恢复活力。
我们用 ABT-263 处理老年(12-16 个月)和年轻(4-6 个月)C57BL/6 小鼠,然后给动物注射盲肠内容物以诱导败血症,观察衰老选择性清除化合物 ABT-263 对败血症存活率的影响。此外,我们从老年小鼠中分离出腹腔巨噬细胞,研究细胞功能和分子机制。3-甲基腺嘌呤(3-MA),一种磷酸肌醇 3-激酶(PI3K)抑制剂,和雷帕霉素,一种自噬增强剂,分别用于阻断或模拟自噬。RT-PCR 和 Western Blot 用于检测败血症中自噬相关基因和蛋白的变化。用表达 EGFP 的大肠杆菌作为标记物来评估巨噬细胞的吞噬能力。
结果表明,ABT-263 处理可提高老年小鼠败血症的存活率,这与自噬有关,而阻断自噬可以消除这种作用。结果表明,ABT-263 通过增加 Trem-2 受体增强了腹腔巨噬细胞的吞噬能力。此外,ABT-263 阻断了 Bcl-2 与 Beclin-1 的结合,从而诱导了 Beclin-1 依赖性自噬。
ABT-263 通过增加 Trem-2 受体和诱导 Beclin-1 依赖性自噬增强了老年小鼠巨噬细胞的功能,从而保护老年小鼠免受败血症的侵害。