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Updated: Oct 14, 2025

Author Spotlight: THP-1 Macrophage Response to LPS/ATP — Unveiling the Pyroptosis, Apoptosis, and Necroptosis Spectrum
Published on: May 3, 2024
Dimethyl itaconate alleviates the pyroptosis of macrophages through oxidative stress
Shan-Shan Huang1, Dong-Yang Guo2, Bing-Bing Jia2
1The Second Clinical Medical Collage, Zhejiang Chinese Medicine University, Hangzhou, 310053, China.
Abstract:
Macrophages are involved in the pathophysiology of many diseases as critical cells of the innate immune system. Pyroptosis is a form of macrophage death that induces cytokinesis of phagocytic substances in the macrophages, thereby defending against infection. Dimethyl itaconate (DI) is an analog of itaconic acid with anti-inflammatory effects. However, the effect of dimethyl itaconate on macrophage pyroptosis has not been elucidated clearly. Thus, the present study aimed to analyze the effect of DI treatment on a macrophage pyroptosis model (Lipopolysaccharide, LPS + Adenosine Triphosphate, ATP). The results showed that 0.25 mM DI ameliorated macrophage pyroptosis and downregulated interleukin (IL)-1β expression. Then, real-time quantitative polymerase chain reaction (RT-qPCR) was used to confirm the result of RNA-sequencing of the upregulated oxidative stress-related genes (Gclc and Gss) and downregulated inflammation-related genes (IL-12β and IL-1β). In addition, Gene Ontology (GO) enrichment analysis showed that differential genes were associated with transcript levels and DNA replication. Kyoto encyclopedia of genes and genomes (KEGG) enrichment showed that signaling pathways, such as tumor necrosis factor (TNF), Jak, Toll-like receptor and IL-17, were altered after DI treatment. N-acetyl-L-cysteine (NAC) reversed the DI effect on the LPS + ATP-induced macrophage pyroptosis and upregulated the IL-1β expression. Oxidative stress-related protein Nrf2 is involved in the DI regulation of macrophage pyroptosis. Taken together, these findings suggested that DI alleviates the pyroptosis of macrophages through oxidative stress.
Insights
Dimethyl itaconate (DI) reduces macrophage pyroptosis, a key inflammatory cell death. This study shows DI alleviates pyroptosis by modulating oxidative stress and inflammatory gene expression.
Area of Science:
- Immunology
- Cell Biology
- Biochemistry
Background:
- Macrophages are crucial innate immune cells involved in disease pathophysiology.
- Pyroptosis is a pro-inflammatory form of programmed cell death in macrophages, essential for host defense.
- Dimethyl itaconate (DI), an itaconic acid analog, exhibits anti-inflammatory properties, but its role in macrophage pyroptosis remains unclear.
Purpose of the Study:
- To investigate the effect of dimethyl itaconate (DI) on lipopolysaccharide (LPS) + adenosine triphosphate (ATP)-induced macrophage pyroptosis.
- To elucidate the molecular mechanisms underlying DI's action on macrophage pyroptosis.
Main Methods:
- Macrophage pyroptosis model induced by LPS + ATP.
- Treatment with varying concentrations of dimethyl itaconate (DI).
- RNA-sequencing, real-time quantitative polymerase chain reaction (RT-qPCR), Gene Ontology (GO), and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis.
- Assessment of oxidative stress markers and Nrf2 protein.
Main Results:
- 0.25 mM DI significantly ameliorated macrophage pyroptosis and downregulated interleukin (IL)-1β expression.
- DI treatment altered the expression of oxidative stress-related genes (Gclc, Gss) and inflammation-related genes (IL-12β, IL-1β).
- DI modulated key inflammatory and immune signaling pathways, including TNF, Jak, Toll-like receptor, and IL-17.
- N-acetyl-L-cysteine (NAC) reversed DI's effects, and Nrf2 was identified as a key regulator in DI's mechanism.
Conclusions:
- Dimethyl itaconate (DI) effectively alleviates macrophage pyroptosis.
- DI exerts its protective effects by modulating oxidative stress pathways, involving the Nrf2 protein.
- These findings highlight DI as a potential therapeutic agent for inflammatory diseases characterized by pyroptosis.
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