Blocking GSDME-mediated pyroptosis in renal tubular epithelial cells alleviates disease activity in lupus mice

Guihu Luo1,2, Yi He1, Fangyuan Yang1

  • 1The Third Affiliated Hospital of Southern Medical University, Department of Rheumatology and Immunology, Guangzhou, China.

Cell Death Discovery
|March 13, 2022
PubMed

Insights

Gasdermin E (GSDME)-mediated pyroptosis contributes to systemic lupus erythematosus (SLE) pathogenesis. Inhibiting GSDME pyroptosis in lupus mice ameliorated disease activity, suggesting GSDME as a potential therapeutic target for SLE.

Area of Science:

  • Immunology
  • Cell Biology
  • Pathology

Background:

  • Systemic lupus erythematosus (SLE) is linked to increased apoptosis and impaired clearance of apoptotic cells, leading to secondary necrosis.
  • Recent research implicates gasdermin E (GSDME)-mediated pyroptosis in secondary necrosis.

Purpose of the Study:

  • To investigate the role of GSDME-mediated pyroptosis in the disease activity of lupus.
  • To explore GSDME as a potential therapeutic target for SLE.

Main Methods:

  • Assessed GSDME expression in renal tubules of lupus mice and SLE patients.
  • Utilized GSDME knockout and SP600125 (a GSDME inhibitor) in a lupus mouse model.
  • Induced pyroptosis in HK2 cells using TNF-α/CHX or SLE sera in vitro.
  • Evaluated the effects of GSDME inhibition on pyroptosis and lupus-like features.

Main Results:

  • Elevated GSDME expression was found in the kidneys of lupus mice and SLE patients.
  • GSDME knockout or SP600125 treatment reduced lupus-like symptoms in mice by inhibiting pyroptosis.
  • In vitro studies confirmed GSDME and caspase-3 dependency in pyroptosis induction by SLE-related stimuli.
  • SP600125 effectively suppressed GSDME expression and pyroptosis in kidney cells.

Conclusions:

  • GSDME-mediated pyroptosis is associated with the pathogenesis of SLE.
  • Targeting GSDME presents a promising therapeutic strategy for treating SLE.

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