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Published on: February 20, 2021
Modulation of the triggering receptor expressed on the myeloid cell type 1 pathway in murine septic shock
Sébastien Gibot1, Cecilia Buonsanti, Frédéric Massin
1Service de Réanimation Médicale, 29 bld du Maréchal de Lattre de Tassigny, Hôpital Central, 54035 Nancy, France. s.gibot@chu-nancy.fr
Abstract:
The triggering receptor expressed on myeloid cell type 1 (TREM-1) is a cell surface molecule that has been identified on both human and murine polymorphonuclear neutrophils and mature monocytes. The activation of TREM-1 in the presence of microbial components amplifies the inflammatory response and may be responsible for the hyperresponsiveness observed during the initial stage of sepsis. To investigate the effect of the modulation of the TREM-1 pathway during experimental murine sepsis, we used analogue synthetic peptides derived from the extracellular moiety of TREM-1. The TREM-1 ligand was expressed on both peritoneal and peripheral neutrophils during experimental peritonitis in mice. The TREM-1 peptides inhibited the recognition by TREM-1 of its ligand and protected endotoxinic mice from death. In septic rats, the TREM-1 peptides improved the hemodynamic status, attenuated the development of lactic acidosis, modulated the production of such proinflammatory cytokines as tumor necrosis factor alpha and interleukin-1beta, and improved survival. The protective effect of these peptides on arterial pressure could partly be explained by a decreased production of nitric oxide. These data suggest that in vivo modulation of TREM-1 might be a suitable therapeutic tool for the treatment of sepsis.
Insights
Synthetic peptides targeting the triggering receptor expressed on myeloid cell type 1 (TREM-1) pathway protected mice and rats from sepsis. Modulating TREM-1 shows promise as a novel therapeutic strategy for sepsis treatment.
Area of Science:
- Immunology
- Molecular Biology
- Pathology
Background:
- Triggering receptor expressed on myeloid cell type 1 (TREM-1) amplifies inflammatory responses, potentially contributing to sepsis hyperresponsiveness.
- TREM-1 is expressed on neutrophils and monocytes, key players in the innate immune response to infection.
Purpose of the Study:
- To investigate the therapeutic potential of modulating the TREM-1 pathway in experimental sepsis.
- To evaluate the efficacy of synthetic TREM-1 peptides in preclinical sepsis models.
Main Methods:
- Utilized analogue synthetic peptides derived from the extracellular domain of TREM-1.
- Administered peptides in experimental murine sepsis and peritonitis models.
- Assessed hemodynamic status, lactic acidosis, cytokine production, and survival in septic rats.
Main Results:
- TREM-1 peptides inhibited TREM-1 ligand recognition and protected mice from endotoxin-induced death.
- In septic rats, peptides improved hemodynamics, reduced lactic acidosis, and modulated pro-inflammatory cytokines (TNF-α, IL-1β).
- Peptide treatment improved survival rates in septic rats, partly via decreased nitric oxide production.
Conclusions:
- In vivo modulation of the TREM-1 pathway using synthetic peptides demonstrates significant therapeutic potential for sepsis.
- TREM-1 targeted peptides represent a promising novel therapeutic strategy for managing sepsis and its associated complications.
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