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Anti-inflammatory roles of p38α MAPK in macrophages are context dependent and require IL-10
Abbas Raza1, Jessica W Crothers2, Mahalia M McGill3
1Division of Immunobiology, Department of Medicine, College of Medicine, University of Vermont, Burlington, Vermont, USA.
Abstract:
The p38 MAPK pathway was originally identified as a master regulator of proinflammatory cytokine production by myeloid cells. Numerous drugs targeting this kinase showed promise in preclinical models of inflammatory disease, but so far, none have shown efficacy in clinical trials. The reasons behind this are unclear, but may, in part, be explained by emerging anti-inflammatory functions of this kinase or overly refined selectivity of second-generation pharmacologic inhibitors. Here, we show that p38α signaling in macrophages plays pro- and anti-inflammatory functions in vivo and in vitro, with the outcome depending on the stimulus, output, kinetics, or mode of kinase inhibition (genetic vs. pharmacologic). Different pharmacologic inhibitors of p38 exhibit opposing effects, with second-generation inhibitors acting more specifically but inhibiting anti-inflammatory functions. Functionally, we show that the anti-inflammatory functions of p38α in macrophages are critically dependent on production of IL-10. Accordingly, in the absence of IL-10, inhibition of p38α signaling in macrophages is protective in a spontaneous model of colitis. Taken together, our results shed light on the limited clinical efficacy of drugs targeting p38 and suggest that their therapeutic efficacy can be significantly enhanced by simultaneous modulation of p38-dependent anti-inflammatory mediators, such as IL-10.
Insights
The p38 mitogen-activated protein kinase (MAPK) pathway has dual roles in inflammation. Inhibiting this pathway may require targeting its anti-inflammatory functions, like Interleukin-10 (IL-10) production, for therapeutic benefit.
Area of Science:
- Immunology
- Molecular Biology
- Pharmacology
Background:
- The p38 MAPK pathway is a key regulator of inflammatory responses in myeloid cells.
- Despite preclinical promise, p38 inhibitors have failed in clinical trials for inflammatory diseases.
- Potential reasons for failure include the pathway's complex roles and inhibitor selectivity.
Purpose of the Study:
- To investigate the dual pro- and anti-inflammatory functions of p38α signaling in macrophages.
- To understand how different inhibition methods affect p38α activity and inflammatory outcomes.
- To explore strategies for enhancing the therapeutic efficacy of p38 inhibitors.
Main Methods:
- In vivo and in vitro experiments using macrophages.
- Comparison of genetic versus pharmacologic inhibition of p38α.
- Assessment of cytokine production, including Interleukin-10 (IL-10).
- Evaluation in a spontaneous model of colitis.
Main Results:
- p38α signaling exhibits both pro- and anti-inflammatory functions, dependent on stimulus and inhibition method.
- Second-generation p38 inhibitors show increased specificity but can block anti-inflammatory actions.
- Anti-inflammatory roles of p38α are linked to IL-10 production.
- Inhibition of p38α is protective in a colitis model when IL-10 is absent.
Conclusions:
- The complex roles of p38α signaling contribute to the limited clinical success of p38 inhibitors.
- Targeting p38 MAPK may require strategies that account for its anti-inflammatory functions.
- Simultaneous modulation of p38-dependent mediators like IL-10 could improve therapeutic outcomes.
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