Division of Inflammation Research, Center for Molecular Medicine, Jichi Medical University, Tochigi, Japan; Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University, Tochigi, Japan.
Division of Inflammation Research, Center for Molecular Medicine, Jichi Medical University, Tochigi, Japan.
J Mol Cell Cardiol. 2023 Jul;180:58-68. doi: 10.1016/j.yjmcc.2023.05.003. Epub 2023 May 10.
Sepsis is a life-threatening syndrome, and its associated mortality is increased when cardiac dysfunction and damage (septic cardiomyopathy [SCM]) occur. Although inflammation is involved in the pathophysiology of SCM, the mechanism of how inflammation induces SCM in vivo has remained obscure. NLRP3 inflammasome is a critical component of the innate immune system that activates caspase-1 (Casp1) and causes the maturation of IL-1β and IL-18 as well as the processing of gasdermin D (GSDMD). Here, we investigated the role of the NLRP3 inflammasome in a murine model of lipopolysaccharide (LPS)-induced SCM. LPS injection induced cardiac dysfunction, damage, and lethality, which was significantly prevented in NLRP3 mice, compared to wild-type (WT) mice. LPS injection upregulated mRNA levels of inflammatory cytokines (Il6, Tnfa, and Ifng) in the heart, liver, and spleen of WT mice, and this upregulation was prevented in NLRP3 mice. LPS injection increased plasma levels of inflammatory cytokines (IL-1β, IL-18, and TNF-α) in WT mice, and this increase was markedly inhibited in NLRP3 mice. LPS-induced SCM was also prevented in Casp1/11 mice, but not in Casp11, IL-1β, IL-1α, or GSDMD mice. Notably, LPS-induced SCM was apparently prevented in IL-1β mice transduced with adeno-associated virus vector expressing IL-18 binding protein (IL-18BP). Furthermore, splenectomy, irradiation, or macrophage depletion alleviated LPS-induced SCM. Our findings demonstrate that the cross-regulation of NLRP3 inflammasome-driven IL-1β and IL-18 contributes to the pathophysiology of SCM and provide new insights into the mechanism underlying the pathogenesis of SCM.
脓毒症是一种危及生命的综合征,当发生心功能障碍和损伤(脓毒性心肌病[SCM])时,其相关死亡率会增加。尽管炎症参与了 SCM 的病理生理学过程,但炎症如何在体内诱导 SCM 的机制仍不清楚。NLRP3 炎性体是先天免疫系统的关键组成部分,可激活半胱天冬酶-1(Caspase-1),并导致 IL-1β 和 IL-18 的成熟以及 GSDMD 的加工。在这里,我们研究了 NLRP3 炎性体在脂多糖(LPS)诱导的 SCM 小鼠模型中的作用。LPS 注射诱导心脏功能障碍、损伤和致死,与野生型(WT)小鼠相比,NLRP3 小鼠明显预防了这些情况。LPS 注射上调 WT 小鼠心脏、肝脏和脾脏中炎症细胞因子(Il6、Tnfa 和 Ifng)的 mRNA 水平,而 NLRP3 小鼠则阻止了这种上调。LPS 注射增加了 WT 小鼠血浆中炎症细胞因子(IL-1β、IL-18 和 TNF-α)的水平,而 NLRP3 小鼠则明显抑制了这种增加。Casp1/11 小鼠也预防了 LPS 诱导的 SCM,但 Casp11、IL-1β、IL-1α 或 GSDMD 小鼠则没有。值得注意的是,转导表达 IL-18 结合蛋白(IL-18BP)的腺相关病毒载体的 IL-1β 小鼠明显预防了 LPS 诱导的 SCM。此外,脾切除术、辐照或巨噬细胞耗竭缓解了 LPS 诱导的 SCM。我们的研究结果表明,NLRP3 炎性体驱动的 IL-1β 和 IL-18 的交叉调节有助于 SCM 的病理生理学,并为 SCM 发病机制的机制提供了新的见解。
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