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NLRC3 在巨噬细胞中的表达通过调节 NF-κB-NFAT5 复合物在脓毒症免疫抑制期间损害糖酵解和宿主免疫防御。

NLRC3 expression in macrophage impairs glycolysis and host immune defense by modulating the NF-κB-NFAT5 complex during septic immunosuppression.

机构信息

Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; Institute of Anesthesiology and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

出版信息

Mol Ther. 2023 Jan 4;31(1):154-173. doi: 10.1016/j.ymthe.2022.08.023. Epub 2022 Sep 6.

Abstract

Impairment of innate immune cell function and metabolism underlies immunosuppression in sepsis; however, a promising therapy to orchestrate this impairment is currently lacking. In this study, high levels of NOD-like receptor family CARD domain containing-3 (NLRC3) correlated with the glycolytic defects of monocytes/macrophages from septic patients and mice that developed immunosuppression. Myeloid-specific NLRC3 deletion improved macrophage glycolysis and sepsis-induced immunosuppression. Mechanistically, NLRC3 inhibits nuclear factor (NF)-κB p65 binding to nuclear factor of activated T cells 5 (NFAT5), which further controls the expression of glycolytic genes and proinflammatory cytokines of immunosuppressive macrophages. This is achieved by decreasing NF-κB activation-co-induced by TNF-receptor-associated factor 6 (TRAF6) or mammalian target of rapamycin (mTOR)-and decreasing transcriptional co-activator p300 activity by inducing NLRC3 sequestration of mTOR and p300. Genetic inhibition of NLRC3 disrupted the NLRC3-mTOR-p300 complex and enhanced NF-κB binding to the NFAT5 promoter in concert with p300. Furthermore, intrapulmonary delivery of recombinant adeno-associated virus harboring a macrophage-specific NLRC3 deletion vector significantly improved the defense of septic mice that developed immunosuppression upon secondary intratracheal bacterial challenge. Collectively, these findings indicate that NLRC3 mediates critical aspects of innate immunity that contribute to an immunocompromised state during sepsis and identify potential therapeutic targets.

摘要

固有免疫细胞功能和代谢的损伤是脓毒症免疫抑制的基础;然而,目前缺乏一种有前途的治疗方法来协调这种损伤。在这项研究中,高水平的 NOD 样受体家族 CARD 结构域包含 3(NLRC3)与脓毒症患者和发生免疫抑制的小鼠单核细胞/巨噬细胞的糖酵解缺陷相关。髓样细胞特异性 NLRC3 缺失可改善巨噬细胞糖酵解和脓毒症引起的免疫抑制。从机制上讲,NLRC3 抑制核因子 (NF)-κB p65 与活化 T 细胞核因子 5(NFAT5)结合,进一步控制糖酵解基因和免疫抑制巨噬细胞的促炎细胞因子的表达。这是通过减少 NF-κB 激活来实现的,这种激活是由 TNF 受体相关因子 6(TRAF6)或哺乳动物雷帕霉素靶蛋白(mTOR)诱导的,并且通过诱导 NLRC3 对 mTOR 和 p300 的隔离来减少转录共激活剂 p300 的活性。NLRC3 的遗传抑制破坏了 NLRC3-mTOR-p300 复合物,并增强了 NF-κB 与 p300 结合到 NFAT5 启动子上。此外,肺部内递送携带巨噬细胞特异性 NLRC3 缺失载体的重组腺相关病毒显著改善了二次气管内细菌挑战后发生免疫抑制的脓毒症小鼠的防御能力。总之,这些发现表明 NLRC3 介导固有免疫的关键方面,导致脓毒症期间免疫受损状态,并确定潜在的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdc/9840117/f4ac388bd16b/fx1.jpg

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