M1 Macrophages Increase Endothelial Permeability and Enhance p38 Phosphorylation via PPAR-γ/CXCL13-CXCR5 in Sepsis

Wen Chen1, Yi Wang2, Ye Zhou1

  • 1General Practice Department of Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Abstract

Insights

M1 macrophages increase sepsis-induced endothelial barrier dysfunction by inhibiting PPAR-γ, leading to CXCL13 upregulation. Targeting the PPAR-γ/CXCL13-CXCR5 pathway offers a potential therapeutic strategy for sepsis.

Area of Science:

  • Immunology
  • Vascular Biology
  • Molecular Medicine

Background:

  • Sepsis involves vascular endothelial hyperpermeability and barrier disruption.
  • M1 macrophages exacerbate sepsis inflammation via pro-inflammatory cytokines and chemokines.

Purpose of the Study:

  • Investigate the functional link between M1 macrophages and human umbilical vein endothelial cells (HUVECs).
  • Elucidate the molecular mechanisms driving M1 macrophage-induced endothelial dysfunction in sepsis.

Main Methods:

  • Co-culture of HUVECs with M1 macrophages, with or without rosiglitazone (PPAR-γ agonist).
  • CXCR5 knockdown using shRNA lentivirus.
  • Sepsis induction via cecal ligation and puncture in mice.
  • Assessment of endothelial permeability using TEER and FITC-dextran assays.

Main Results:

  • M1 macrophages increased endothelial permeability and p38 phosphorylation while decreasing tight junction proteins in HUVECs.
  • CXCL13 was upregulated in M1 macrophages and correlated with endothelial dysfunction.
  • Rosiglitazone or CXCR5 knockdown partially reversed these detrimental effects.
  • RSG treatment improved sepsis outcomes in mice, reducing inflammatory markers and improving survival.

Conclusions:

  • M1 macrophages induce endothelial hyperpermeability in sepsis by inhibiting PPAR-γ, which increases CXCL13 production.
  • The PPAR-γ/CXCL13-CXCR5 signaling pathway presents a potential therapeutic target for sepsis treatment.