Hepatic STAT3 inhibition amplifies the inflammatory response in obese mice during sepsis

Lauren Williamson1, Itay Ayalon1, Hui Shen1

  • 1Cincinnati Children's Hospital Medical Center, Division of Critical Care Medicine , Cincinnati, Ohio.

Insights

Obesity amplifies the inflammatory response during sepsis when STAT3 signaling is inhibited. This study shows STAT3 plays a key role in regulating sepsis inflammation, with obesity worsening outcomes.

Area of Science:

  • Immunology
  • Metabolic Disorders
  • Hepatology

Background:

  • Sepsis triggers a complex inflammatory response, crucial for pathogen clearance but potentially damaging if dysregulated.
  • Obesity is increasingly recognized as a risk factor influencing sepsis severity and outcomes.
  • The Janus kinase/signal transducers and activators of transcription (JAK/STAT) pathway, particularly STAT3, is implicated in inflammatory and metabolic processes.

Purpose of the Study:

  • To investigate the role of obesity in modulating the inflammatory response during sepsis, focusing on the hepatic JAK/STAT pathway.
  • To determine the impact of inhibiting Signal Transducer and Activator of Transcription 3 (STAT3) on sepsis outcomes in lean and obese mice.
  • To elucidate whether obesity exacerbates the effects of STAT3 inhibition on inflammation and liver injury during sepsis.

Main Methods:

  • Utilized male C57BL/6 mice fed either high-fat (60% kcal) or normal (16% kcal) diets to induce obesity.
  • Administered pharmacological systemic STAT3 inhibition using Stattic or genetic hepatic-specific STAT3 inhibition.
  • Induced sepsis via cecal ligation and puncture (CLP) and assessed body composition, inflammation markers, mortality, and liver injury.

Main Results:

  • Systemic STAT3 inhibition increased the inflammatory response during sepsis, an effect amplified by obesity.
  • Genetic hepatic STAT3 inhibition led to increased mortality, heightened inflammation, and significant liver injury.
  • Obese mice with hepatic STAT3 inhibition exhibited greater weight gain and fat mass, with increased neutrophil infiltration into the liver during sepsis.

Conclusions:

  • STAT3 is a critical regulator of the inflammatory response in sepsis, particularly within the liver.
  • Obesity significantly contributes to a dysregulated inflammatory response and poorer outcomes when STAT3 signaling is compromised during sepsis.
  • Targeting STAT3 or managing obesity may be crucial therapeutic strategies for sepsis patients.

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