Mycophenolic Acid Synergizing with Lipopolysaccharide to Induce Interleukin-1β Release via Activation of Caspase-1

Xue-Chan Huang1, Yi He2, Jian Zhuang1

  • 1Southern Medical University, Guangzhou, Guangdong 510515, China.

Abstract

Insights

Mycophenolic acid (MPA) combined with lipopolysaccharide (LPS) increases interleukin-1β (IL-1β) release by activating caspase-1, not by boosting pro-IL-1β. This suggests potential overactivation of caspase-1 in immunosuppressed patients during infection.

Area of Science:

  • Immunology
  • Molecular Biology

Background:

  • Previous studies indicated mycophenolic acid (MPA) synergizes with lipopolysaccharide (LPS) to promote interleukin-1β (IL-1β) release, but the underlying mechanism remained unclear.
  • This study investigated the synergistic mechanism of MPA and LPS in inducing IL-1β release.

Purpose of the Study:

  • To elucidate the molecular mechanism by which MPA and LPS synergistically induce IL-1β release.
  • To determine whether the synergy involves enhanced pro-IL-1β production or caspase-1 activation.

Main Methods:

  • Human blood cells, THP-1 cells, and monocytes were stimulated with LPS and treated with MPA.
  • IL-1β levels in supernatants were measured by ELISA.
  • mRNA expression of IL-1β was quantified using real-time PCR.
  • Intracellular protein levels of NF-κB, pro-IL-1β, NLRP3, and caspase-1 were analyzed by Western blot.

Main Results:

  • MPA alone did not induce IL-1β, but synergized with LPS in a dose-dependent manner to increase IL-1β secretion.
  • MPA and LPS co-treatment increased IL-1β mRNA expression similarly to LPS alone.
  • MPA did not affect NF-κB p-p65 or pro-IL-1β levels but activated the NLRP3 inflammasome.
  • Inhibition of caspase-1 with Ac-YVAD-cmk significantly attenuated IL-1β secretion.

Conclusions:

  • MPA synergizes with LPS to induce IL-1β release primarily through the activation of caspase-1, independent of increased pro-IL-1β production.
  • These findings suggest that patients on mycophenolate mofetil may experience heightened caspase-1 activity during infections, potentially enhancing host defense.
  • The study highlights a specific molecular pathway for MPA-LPS-induced IL-1β release, relevant to immunosuppressed individuals.

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