Spermine protects mice against lethal sepsis partly by attenuating surrogate inflammatory markers

Shu Zhu1, Mala Ashok, Jianhua Li

  • 1Department of Emergency Medicine, North Shore University Hospital, New York University School of Medicine, Manhasset, New York 11030, United States of America.

Insights

Spermine, an endogenous polyamine, protects mice from lethal sepsis by reducing inflammatory responses. This study shows spermine attenuates sepsis- and high-mobility group box 1 (HMGB1)-induced inflammation, offering a potential therapeutic avenue.

Area of Science:

  • Immunology
  • Molecular Biology
  • Pharmacology

Background:

  • Sepsis pathogenesis involves dysregulated inflammatory responses to pathogen-associated molecular patterns (PAMPs) and damage-associated molecular patterns (DAMPs).
  • Spermine, a ubiquitous polyamine, is known to inhibit endotoxin-induced cytokine release in vitro.
  • The effects of spermine on sepsis- and HMGB1-induced inflammation were previously uncharacterized.

Purpose of the Study:

  • To investigate the protective effects of spermine against lethal sepsis in mice.
  • To determine if spermine attenuates sepsis-induced local and systemic inflammatory responses.
  • To assess spermine's in vitro efficacy in inhibiting HMGB1-induced inflammatory mediator release.

Main Methods:

  • Mice were administered spermine intraperitoneally (10 mg/kg, twice daily for 3 days) and then subjected to a lethal sepsis model.
  • Peritoneal and serum levels of sepsis surrogate markers (e.g., IL-6, KC, MCP-1, MIP-2, TIMP-1, sTNFR I, sTNFR II) were measured.
  • In vitro experiments assessed spermine's effect on HMGB1-induced inflammatory marker release from peritoneal macrophages.

Main Results:

  • Spermine administration conferred significant protection against lethal sepsis.
  • Spermine treatment markedly reduced peritoneal and serum levels of multiple sepsis surrogate markers during the late stage of sepsis.
  • In vitro, spermine effectively inhibited HMGB1-induced release of these inflammatory markers in peritoneal macrophages.

Conclusions:

  • Spermine confers protection against lethal sepsis in a mouse model.
  • The protective mechanism involves the attenuation of both sepsis- and HMGB1-induced inflammatory responses.
  • Spermine demonstrates potential as a therapeutic agent for sepsis by modulating key inflammatory pathways.

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