Danger signals from mitochondrial DAMPS in trauma and post-injury sepsis

C J Hauser1, L E Otterbein2

  • 1Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA. cjhauser@bidmc.harvard.edu.

Insights

Host danger responses initiate inflammation via pattern recognition receptors (PRR) encountering alarmins. Mitochondria (MT), originating from bacteria, play a key role in these sterile and infective inflammatory pathways.

Area of Science:

  • Immunology
  • Cell Biology
  • Molecular Biology

Background:

  • Host defense relies on 'danger responses' to sterile and infective threats.
  • Pattern recognition receptors (PRR) detect pathogen-associated molecular patterns (PAMPs) and danger-associated molecular patterns (DAMPs).
  • Inflammation is a common outcome of PRR activation by diverse alarmins, explaining clinical similarities between sterile and infective responses.

Purpose of the Study:

  • To explore the role of mitochondria (MT) in initiating host danger responses.
  • To review the molecular mechanisms by which mitochondrial components act as alarmins.
  • To understand how MT contribute to sterile and infective inflammatory pathways.

Main Methods:

  • Review of existing literature on danger responses, PRRs, and alarmins.
  • Analysis of the evolutionary relationship between mitochondria and bacteria.
  • Discussion of known mitochondrial alarmins and their signaling pathways.

Main Results:

  • Mitochondria are evolutionarily linked to bacteria, positioning them at the intersection of sterile and infective danger signaling.
  • Released mitochondrial components act as potent alarmins, triggering a wide range of inflammatory events.
  • Overlapping signaling pathways involving PRRs and alarmins explain the shared clinical features of sterile and infective inflammation.

Conclusions:

  • Mitochondrial danger signals contribute significantly to the inflammatory response.
  • Understanding mitochondrial alarmins is crucial for deciphering the complex interplay between sterile and infective inflammation.
  • Mitochondria represent a key target for modulating inflammatory conditions.

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