Improved emergency myelopoiesis and survival in neonatal sepsis by caspase-1/11 ablation

Lori F Gentile1, Angela L Cuenca, Alex G Cuenca

  • 1Department of Surgery, University of Florida College of Medicine, Gainesville, FL, USA.

Immunology
|February 17, 2015
PubMed

Insights

Neonatal sepsis survival improves when caspase-1/11 is blocked, independent of NLRP3 inflammasome. This enhances immune cell function and reduces bacterial load, suggesting a new therapeutic target for infant sepsis.

Area of Science:

  • Immunology
  • Neonatal Sepsis
  • Inflammasome Biology

Background:

  • Neonatal sepsis causes over a million deaths annually, particularly in premature infants.
  • The inflammasome, via caspase-1, regulates IL-1β and IL-18, crucial for innate immunity.
  • Caspase-1 activity in endotoxic shock suggests a role in excessive inflammation and mortality.

Purpose of the Study:

  • To investigate the role of caspase-1 and the inflammasome in neonatal inflammation, immunity, and myelopoiesis during polymicrobial sepsis.
  • To determine if caspase-1/11 signaling impacts survival, inflammatory responses, and host defense in neonatal sepsis.

Main Methods:

  • Utilized a low-lethality caecal slurry model of intra-abdominal sepsis in neonatal (5-7 days) wild-type and caspase-1/11(-/-) mice.
  • Assessed survival rates, serum and peritoneal inflammatory cytokine concentrations, bone marrow and splenic hematopoietic stem cell expansion, and peritoneal immune cell recruitment and function.

Main Results:

  • Ablation of caspase-1/11 significantly improved neonatal survival (P < 0.001) with reduced inflammatory cytokines.
  • Caspase-1/11 deficiency led to increased hematopoietic stem cell expansion and granulocyte-macrophage colony-stimulating factors.
  • Absence of caspase-1/11 enhanced neutrophil and macrophage recruitment, phagocytosis, and decreased bacterial colonization.

Conclusions:

  • Endogenous caspase-1/11 activity, independent of the NLRP3 inflammasome, exacerbates neonatal sepsis inflammation and impairs protective immunity.
  • Blocking caspase-1/11 signaling improves neonatal survival by enhancing immune cell function and reducing bacterial burden.
  • Caspase-1/11 represents a potential therapeutic target for improving outcomes in neonatal sepsis.