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Early-age-related changes in proteostasis augment immunopathogenesis of sepsis and acute lung injury
Manish Bodas1, Taehong Min, Neeraj Vij
1Department of Pediatric Respiratory Sciences, Johns Hopkins University, Baltimore, Maryland, United States of America.
Insights
Early age-related proteostasis imbalance exacerbates inflammation in sepsis and acute lung injury. Salubrinal shows therapeutic potential by reducing NFκB-mediated inflammation in adult subjects.
Area of Science:
- Immunology
- Cellular Biology
- Aging Research
Background:
- Proteasomal activity decline is linked to age-related disorders, but early mechanisms remain unclear.
- Investigated early-age-related mechanisms augmenting sepsis and acute lung injury immunopathogenesis.
Purpose of the Study:
- To elucidate age-related changes in proteostasis and their impact on inflammation in pediatric versus adult mice.
- To assess the therapeutic potential of salubrinal in mitigating age-associated inflammatory responses.
Main Methods:
- Compared pediatric and adult C57BL/6 mice subjected to sepsis (CLP) or acute lung injury (ALI) models.
- Analyzed inflammatory markers (IL-6, MPO), proteasomal subunit PSMB6, ubiquitinated proteins, unfolded protein response (UPR), and NFκB signaling.
- Utilized in vitro cell models and in vivo salubrinal treatment to evaluate therapeutic efficacy.
Main Results:
- Adult mice exhibited higher basal IL-6 and MPO levels, indicating increased inflammation.
- Reduced PSMB6 expression in adults led to protein ubiquitination, UPR activation, and elevated NFκB.
- Salubrinal effectively controlled IL-6 secretion and pro-inflammatory cell recruitment in adult mice.
Conclusions:
- Early-age-related proteostasis imbalance is a novel mechanism driving NFκB-mediated inflammation in sepsis and ALI.
- Salubrinal demonstrates therapeutic efficacy in reducing NFκB-mediated inflammation in adult and older individuals.
Background:
The decline of proteasomal activity is known to be associated with the age-related disorders but the early events involved in this process are not apparent. To address this, we investigated the early-age-related (pediatric vs. adult) mechanisms that augment immunopathogenesis of sepsis and acute lung injury.
Methodology/Principal Findings:
The 3-weeks (pediatric) and 6-months (adult) old C57BL/6 mice were selected as the study groups. Mice were subjected to 1×20 cecal ligation and puncture (CLP) mediated sepsis or intratracheal Psuedomonas aeruginosa (Pa)-LPS induced acute lung injury (ALI).We observed a significant increase in basal levels of pro-inflammatory cytokine, IL-6 and neutrophil activity marker, myeloperoxidase (MPO) in the adult mice compared to the pediatric indicating the age-related constitutive increase in inflammatory response. Next, we found that age-related decrease in PSMB6 (proteasomal subunit) expression in adult mice results in accumulation of ubiquitinated proteins that triggers the unfolded protein response (UPR). We identified that Pa-LPS induced activation of UPR modifier, p97/VCP (valosin-containing protein) in the adult mice lungs correlates with increase in Pa-LPS induced NFκB levels. Moreover, we observed a constitutive increase in p-eIF2α indicating a protective ER stress response to accumulation of ubiquitinated-proteins. We used MG-132 treatment of HBE cells as an in vitro model to standardize the efficacy of salubrinal (inhibitor of eIF2α de-phosphorylation) in controlling the accumulation of ubiquitinated proteins and the NFκB levels. Finally, we evaluated the therapeutic efficacy of salubrinal to correct proteostasis-imbalance in the adult mice based on its ability to control CLP induced IL-6 secretion or recruitment of pro-inflammatory cells.
Conclusions/Significance:
Our data demonstrate the critical role of early-age-related proteostasis-imbalance as a novel mechanism that augments the NFκB mediated inflammation in sepsis and ALI. Moreover, our data suggest the therapeutic efficacy of salubrinal in restraining NFκB mediated inflammation in the adult or older subjects.
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