Effect of CCL2 antisense oligodeoxynucleotides on bacterial translocation and subsequent sepsis in severely burned

Kenji Shigematsu1, Mari Kogiso, Makiko Kobayashi

  • 1Department of Internal Medicine, The University of Texas Medical Branch, Galveston, TX 77555-0435, USA.

Insights

Gene therapy using CCL2 antisense oligodeoxynucleotides prevents Enterococcus faecalis sepsis in burned mice. This approach inhibits M2 macrophage generation, promoting M1 macrophage function and controlling bacterial translocation.

Area of Science:

  • Immunology
  • Microbiology
  • Gene Therapy

Background:

  • Severely burned mice are prone to sepsis from Enterococcus faecalis due to impaired M1 macrophage generation.
  • CCL2 drives M2 macrophage accumulation, which inhibits the conversion of resident macrophages into M1 macrophages.

Purpose of the Study:

  • To investigate the efficacy of CCL2 antisense oligodeoxynucleotides (ODNs) in protecting burned mice against E. faecalis infection.
  • To determine if CCL2 inhibition can restore M1 macrophage function and prevent sepsis.

Main Methods:

  • Burned mice were orally infected with E. faecalis and treated with CCL2 antisense ODNs.
  • Macrophage populations (M1 and M2) in mesenteric lymph nodes (MLNs) were analyzed.
  • In vitro studies assessed M1 macrophage induction using transwell cultures.
  • Bacterial growth and sepsis development were monitored.

Main Results:

  • CCL2 antisense ODN treatment prevented M2 macrophage accumulation in MLNs of burned mice.
  • M1 macrophage induction was restored in vitro when using macrophages from ODN-treated mice.
  • Bacterial translocation and sepsis were significantly reduced in burned mice treated with CCL2 antisense ODNs.
  • Oral E. faecalis infection led to sepsis in untreated burned mice, but not in ODN-treated mice.

Conclusions:

  • CCL2 antisense ODNs effectively control bacterial translocation and prevent sepsis in burned mice orally infected with E. faecalis.
  • This gene therapy approach restores macrophage function, shifting the balance towards protective M1 macrophages.
  • Targeting CCL2 offers a promising strategy for managing post-burn infections.

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