Azithromycin decreases NALP3 mRNA stability in monocytes to limit inflammasome-dependent inflammation

Elizabeth A Lendermon1, Tiffany A Coon1, Joseph S Bednash1,2

  • 1Pulmonary, Allergy, & Critical Care Medicine, Department of Medicine, University of Pittsburgh, UPMC Montefiore, NW 628, Pittsburgh, PA, 15213, USA.

Respiratory Research
|June 30, 2017
PubMed
Abstract

Insights

Azithromycin reduces inflammation by decreasing levels of NALP3 inflammasome components in monocytes. This antibiotic works by destabilizing NLRP3 mRNA, thereby lowering IL-1β production and mediating its anti-inflammatory effects.

Area of Science:

  • Immunology
  • Pharmacology

Background:

  • Azithromycin, an antibiotic, has known anti-inflammatory effects, but the underlying molecular mechanisms are not fully understood.
  • Inflammasome activity, particularly IL-1β-mediated inflammation, is a key target of azithromycin's anti-inflammatory action.
  • This study focuses on the NACHT, LRR, and PYD domains-containing protein 3 (NALP3) inflammasome in human monocytes.

Purpose of the Study:

  • To investigate the precise molecular mechanisms by which azithromycin modulates NALP3 inflammasome activity in human monocytes.
  • To elucidate how azithromycin affects NALP3 protein and NLRP3 gene expression.
  • To determine the impact of azithromycin on NF-κB signaling pathway.

Main Methods:

  • THP-1 monocytes were treated with azithromycin and LPS to assess NALP3 and IL-1β protein levels via immunoblotting.
  • Quantitative PCR (qPCR) and mRNA stability assays (using actinomycin D) were employed to analyze NLRP3 gene transcript levels and decay.
  • Luciferase reporter assays in THP-1 Lucia and HEK cells were used to evaluate NF-κB activity and the effect of azithromycin on NLRP3 promoter and UTR activity.

Main Results:

  • Azithromycin significantly reduced IL-1β and NALP3 protein levels in LPS-stimulated monocytes.
  • The antibiotic was found to decrease NLRP3 mRNA stability, accelerating transcript decay, and also reduced NF-κB activity.
  • Reporter assays confirmed that azithromycin affects 3' UTR activity but not the NLRP3 promoter activity.

Conclusions:

  • Azithromycin exerts immunomodulatory effects in monocytes by destabilizing NLRP3 mRNA, a key inflammasome component.
  • This mRNA destabilization leads to reduced NALP3 protein levels and subsequently decreased IL-1β-mediated inflammation.
  • The findings reveal a novel mechanism for azithromycin's anti-inflammatory action involving inflammasome regulation at the mRNA level.

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