Inhibition of mitophagy drives macrophage activation and antibacterial defense during sepsis

Danish Patoli1,2, Franck Mignotte1,2, Valérie Deckert1,2

  • 1Université de Bourgogne Franche-Comté (UBFC), UMR 1231, INSERM/AgroSup Dijon/Université de Bourgogne, Dijon, France.

Insights

Inhibiting mitophagy in macrophages activates these cells to fight infection, improving survival in sepsis models. This mechanism is also observed in human sepsis patients, suggesting a therapeutic target.

Area of Science:

  • Immunology
  • Cell Biology
  • Mitochondrial Biology

Background:

  • Mitochondria are crucial for innate and adaptive immunity.
  • Mitophagy, the process of clearing damaged mitochondria, is vital for cell homeostasis, but its role in macrophage function and host defense requires further investigation.

Purpose of the Study:

  • To investigate the role of mitophagy in macrophage activation and host defense during infection.
  • To determine the mechanisms by which mitophagy influences macrophage function and sepsis outcomes.

Main Methods:

  • Utilized lipopolysaccharide (LPS) and interferon-gamma (IFN-γ) to inhibit mitophagy in macrophages.
  • Investigated the role of PINK1, STAT1, and inflammatory caspases (1 and 11) in mitophagy regulation.
  • Assessed macrophage activation, mitochondrial reactive oxygen species (ROS), and bacterial clearance in a murine model of polymicrobial infection (cecal ligature and puncture).
  • Analyzed mitophagy levels in blood monocytes from critically ill patients with sepsis.

Main Results:

  • LPS and IFN-γ inhibited PINK1-dependent mitophagy via STAT1-dependent activation of caspases 1 and 11.
  • Mitophagy inhibition promoted classical macrophage activation in a mitochondrial ROS-dependent manner, enhancing bacterial clearance and survival in a sepsis model.
  • Pharmacological inhibition of mitophagy or using PINK1-deficient bone marrow improved sepsis outcomes.
  • Mitochondrial uncouplers that promote mitophagy reversed macrophage activation and led to immunoparalysis.
  • Mitophagy was found to be inhibited in blood monocytes of sepsis patients compared to nonseptic individuals.

Conclusions:

  • Inhibition of mitophagy is a physiological mechanism that activates myeloid cells, contributing to host defense.
  • This mitophagy inhibition enhances bactericidal activity and improves survival rates in sepsis.
  • The findings suggest that modulating mitophagy could be a therapeutic strategy for sepsis and other inflammatory conditions.

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