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调节性 T 细胞和中性粒细胞胞外诱捕网相互作用导致脓毒症免疫抑制的发生。

Treg and neutrophil extracellular trap interaction contributes to the development of immunosuppression in sepsis.

机构信息

Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China.

Shanghai Key Laboratory of Perioperative Stress and Protection, Shanghai, China.

出版信息

JCI Insight. 2024 Jun 18;9(14):e180132. doi: 10.1172/jci.insight.180132.


DOI:10.1172/jci.insight.180132
PMID:38888975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11383165/
Abstract

The excessive formation and release of neutrophil extracellular traps (NETs) in sepsis may represent a substantial mechanism contributing to multiorgan damage, which is associated with a poor prognosis. However, the precise role of NETs in mediating the transition from innate immunity to adaptive immunity during the progression of inflammation and sepsis remains incompletely elucidated. In this study, we provide evidence that, despite a reduction in the number of CD4+ T cells in the late stage of sepsis, there is a notable upregulation in the proportion of Tregs. Mechanistically, we have identified that NETs can induce metabolic reprogramming of naive CD4+ T cells through the Akt/mTOR/SREBP2 pathway, resulting in enhanced cholesterol metabolism, thereby promoting their conversion into Tregs and augmenting their functional capacity. Collectively, our findings highlight the potential therapeutic strategy of targeting intracellular cholesterol normalization for the management of immunosuppressed patients with sepsis.

摘要

中性粒细胞胞外诱捕网(NETs)在脓毒症中的过度形成和释放可能代表了导致多器官损伤的一个重要机制,与预后不良相关。然而,NETs 在介导炎症和脓毒症进展过程中从固有免疫向适应性免疫的转变中的确切作用仍不完全清楚。在这项研究中,我们提供了证据表明,尽管脓毒症晚期 CD4+T 细胞的数量减少,但 Tregs 的比例显著上调。从机制上讲,我们已经确定 NETs 可以通过 Akt/mTOR/SREBP2 途径诱导幼稚 CD4+T 细胞的代谢重编程,导致胆固醇代谢增强,从而促进它们转化为 Tregs 并增强其功能能力。总之,我们的研究结果强调了针对细胞内胆固醇正常化的潜在治疗策略,以管理脓毒症免疫抑制患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/2b82bcf3932e/jciinsight-9-180132-g146.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/02335c98bb9b/jciinsight-9-180132-g140.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/7ae1c7e327c9/jciinsight-9-180132-g141.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/0e33de829991/jciinsight-9-180132-g142.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/8baa3dc45763/jciinsight-9-180132-g143.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/8e4b6e94b3c5/jciinsight-9-180132-g144.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/d43dd2469745/jciinsight-9-180132-g145.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/2b82bcf3932e/jciinsight-9-180132-g146.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/02335c98bb9b/jciinsight-9-180132-g140.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/7ae1c7e327c9/jciinsight-9-180132-g141.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/0e33de829991/jciinsight-9-180132-g142.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/8baa3dc45763/jciinsight-9-180132-g143.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/8e4b6e94b3c5/jciinsight-9-180132-g144.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/d43dd2469745/jciinsight-9-180132-g145.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e23/11383165/2b82bcf3932e/jciinsight-9-180132-g146.jpg

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引用本文的文献

[1]
Neutrophil extracellular traps in sepsis: trade-off between pros and cons.

Burns Trauma. 2025-7-15

[2]
The homeostasis and heterogeneity of regulatory T cells in sepsis.

Burns Trauma. 2025-7-15

[3]
The Multifaceted Role of Regulatory T Cells in Sepsis: Mechanisms, Heterogeneity, and Pathogen-Tailored Therapies.

Int J Mol Sci. 2025-8-1

[4]
Neutrophil Extracellular Traps in the Prognosis of Sepsis: A Current Update.

Medicina (Kaunas). 2025-6-25

[5]
Exploring the role of palmitoylation in sepsis: mechanistic insights and future perspectives.

Mol Med. 2025-6-3

[6]
Exploring neutrophil extracellular traps: mechanisms of immune regulation and future therapeutic potential.

Exp Hematol Oncol. 2025-5-29

[7]
Probiotic-based irrigation solution reduces neutrophil extracellular trap formation and stimulates CRAMP antimicrobial peptide expression in rat teeth with induced periapical lesions.

Clin Oral Investig. 2025-5-28

[8]
Unraveling immunosenescence in sepsis: from cellular mechanisms to therapeutics.

Cell Death Dis. 2025-5-16

[9]
Targeting neutrophil extracellular traps in cancer progression and metastasis.

Theranostics. 2025-4-22

[10]
Metabolic reprogram and T cell differentiation in inflammation: current evidence and future perspectives.

Cell Death Discov. 2025-3-28

本文引用的文献

[1]
Adenosine 2A receptor antagonists promote lymphocyte proliferation in sepsis by inhibiting Treg expression of PD-L1 in spleen.

Immunology. 2024-4

[2]
Toll-like receptor 4 (TLR4): new insight immune and aging.

Immun Ageing. 2023-11-24

[3]
Hepatic SREBP signaling requires SPRING to govern systemic lipid metabolism in mice and humans.

Nat Commun. 2023-8-25

[4]
Cells resident to precision templated 40-µm pore scaffolds generate small extracellular vesicles that affect CD4 T cell phenotypes through regulatory TLR4 signaling.

Acta Biomater. 2023-8

[5]
GPR109A controls neutrophil extracellular traps formation and improve early sepsis by regulating ROS/PAD4/Cit-H3 signal axis.

Exp Hematol Oncol. 2023-1-31

[6]
Neutrophil, neutrophil extracellular traps and endothelial cell dysfunction in sepsis.

Clin Transl Med. 2023-1

[7]
Dysregulation of neutrophil death in sepsis.

Front Immunol. 2022

[8]
Cholesterol sulfate alleviates ulcerative colitis by promoting cholesterol biosynthesis in colonic epithelial cells.

Nat Commun. 2022-7-30

[9]
TLR4 regulates RORγt regulatory T-cell responses and susceptibility to colon inflammation through interaction with Akkermansia muciniphila.

Microbiome. 2022-6-27

[10]
Neutrophil extracellular traps mediate mA modification and regulates sepsis-associated acute lung injury by activating ferroptosis in alveolar epithelial cells.

Int J Biol Sci. 2022

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