RIP kinase 1-dependent endothelial necroptosis underlies systemic inflammatory response syndrome

Matija Zelic1, Justine E Roderick1, Joanne A O'Donnell1

  • 1Department of Molecular, Cell and Cancer Biology, and.

Insights

Receptor interacting protein kinase 1 (RIPK1) kinase activity drives shock and lethality. Nonhematopoietic cells, not cytokines, mediate protection, suggesting RIPK1 inhibitors could treat sepsis.

Area of Science:

  • Cellular signaling pathways
  • Immunology
  • Vascular biology

Background:

  • Receptor interacting protein kinase 1 (RIPK1) has dual kinase-dependent and -independent roles in cell death pathways like apoptosis and necroptosis.
  • TNF-induced shock models systemic inflammatory response syndrome (SIRS), characterized by a detrimental cytokine storm.
  • The role of RIPK1 kinase activity in SIRS pathogenesis and potential therapeutic targets remains incompletely understood.

Purpose of the Study:

  • To investigate the role of RIPK1 kinase activity in TNF-induced shock.
  • To determine whether hematopoietic or nonhematopoietic cells mediate protection from shock.
  • To identify the cellular mechanisms underlying tissue damage in this SIRS model.

Main Methods:

  • Utilized kinase-inactive Ripk1D138N/D138N mice and wild-type (WT) mice in bone marrow chimeric models.
  • Administered TNF or TNF/zVAD to induce shock and assessed survival, cytokine levels, vascular permeability, and clotting cascade activation.
  • Examined liver vascular endothelium and endothelial cell necroptosis marker (phospho-MLKL) in response to TNF treatment.

Main Results:

  • Kinase-inactive Ripk1D138N/D138N hematopoietic cells provided minimal protection from shock.
  • Mice with kinase-inactive Ripk1D138N/D138N nonhematopoietic cells were resistant to TNF-induced shock, indicating a nonhematopoietic protective role.
  • TNF-induced shock did not correlate with increased cytokine levels or predict survival.
  • Endothelial cell necroptosis in the liver vasculature was observed in WT but not Ripk1D138N/D138N mice, contributing to vascular leakage.

Conclusions:

  • RIPK1 kinase activity, rather than cytokine storm, is critical for TNF-induced shock lethality.
  • Nonhematopoietic cells, specifically the vascular endothelium, play a key role in mediating resistance to shock.
  • Endothelial cell necroptosis contributes to vascular damage in SIRS, positioning RIPK1 kinase inhibitors as potential therapeutics for shock and sepsis.

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