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MicroRNA-155 potentiates the inflammatory response in hypothermia by suppressing IL-10 production
Adrian T Billeter1, Jason Hellmann2, Henry Roberts3
1Price Institute of Surgical Research, Hiram C. Polk, Jr., M.D. Department of Surgery, and adrianbilleter@bluewin.ch.
Abstract:
Therapeutic hypothermia is commonly used to improve neurological outcomes in patients after cardiac arrest. However, therapeutic hypothermia increases sepsis risk and unintentional hypothermia in surgical patients increases infectious complications. Nonetheless, the molecular mechanisms by which hypothermia dysregulates innate immunity are incompletely understood. We found that exposure of human monocytes to cold (32°C) potentiated LPS-induced production of TNF and IL-6, while blunting IL-10 production. This dysregulation was associated with increased expression of microRNA-155 (miR-155), which potentiates Toll-like receptor (TLR) signaling by negatively regulating Ship1 and Socs1. Indeed, Ship1 and Socs1 were suppressed at 32°C and miR-155 antagomirs increased Ship1 and Socs1 and reversed the alterations in cytokine production in cold-exposed monocytes. In contrast, miR-155 mimics phenocopied the effects of cold exposure, reducing Ship1 and Socs1 and altering TNF and IL-10 production. In a murine model of LPS-induced peritonitis, cold exposure potentiated hypothermia and decreased survival (10 vs. 50%; P < 0.05), effects that were associated with increased miR-155, suppression of Ship1 and Socs1, and alterations in TNF and IL-10. Importantly, miR-155-deficiency reduced hypothermia and improved survival (78 vs. 32%, P < 0.05), which was associated with increased Ship1, Socs1, and IL-10. These results establish a causal role of miR-155 in the dysregulation of the inflammatory response to hypothermia.
Insights
Hypothermia impairs innate immunity by increasing microRNA-155 (miR-155), which suppresses Ship1 and Socs1, leading to altered cytokine production and reduced survival. Inhibiting miR-155 improves immune response and survival during hypothermia.
Area of Science:
- Immunology
- Molecular Biology
- Physiology
Background:
- Therapeutic hypothermia improves neurological outcomes post-cardiac arrest but increases sepsis risk.
- Unintentional hypothermia in surgery correlates with infectious complications.
- Molecular mechanisms of hypothermia-induced innate immune dysregulation remain unclear.
Purpose of the Study:
- Investigate how hypothermia affects innate immune responses.
- Elucidate the role of microRNA-155 (miR-155) in hypothermia-induced immune dysregulation.
- Determine the impact of miR-155 on inflammatory cytokine production and patient outcomes.
Main Methods:
- Exposed human monocytes to cold (32°C) and stimulated with lipopolysaccharide (LPS).
- Measured cytokine production (TNF, IL-6, IL-10) and expression of miR-155, Ship1, and Socs1.
- Utilized miR-155 antagomirs and mimics to assess functional effects.
- Employed a murine model of LPS-induced peritonitis under cold exposure.
- Assessed survival rates and immune markers in miR-155-deficient mice.
Main Results:
- Cold exposure potentiated LPS-induced TNF and IL-6, while blunting IL-10 production in monocytes.
- Hypothermia increased miR-155 expression, suppressing Ship1 and Socs1.
- miR-155 inhibition reversed cold-induced cytokine alterations; miR-155 mimics replicated them.
- In mice, cold exposure increased miR-155, suppressed Ship1/Socs1, reduced survival, and altered cytokine profiles.
- miR-155 deficiency improved survival and normalized immune responses under hypothermia.
Conclusions:
- Hypothermia dysregulates innate immunity through increased miR-155.
- miR-155 negatively regulates Ship1 and Socs1, impacting Toll-like receptor signaling.
- miR-155 plays a causal role in hypothermia-induced immune dysfunction and reduced survival.
- Targeting miR-155 may offer therapeutic potential for managing immune complications during hypothermia.
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