Celastrol mitigates inflammation in sepsis by inhibiting the PKM2-dependent Warburg effect

Piao Luo1,2, Qian Zhang1,2, Tian-Yu Zhong3

  • 1Artemisinin Research Center, and Institute of Chinese Materia Medica, Chinese Academy of Chinese Medical Sciences, Beijing, 100700, China.

Abstract

Insights

Celastrol (Cel) effectively treats sepsis by reducing inflammation and inhibiting the Warburg effect. This natural compound targets key proteins like pyruvate kinase M2 (PKM2) and high mobility group box 1 (HMGB1) to combat life-threatening organ dysfunction.

Area of Science:

  • Biochemistry
  • Immunology
  • Pharmacology

Background:

  • Sepsis is a life-threatening condition characterized by organ dysfunction due to a dysregulated host response to infection.
  • Currently, no specific therapies exist for sepsis, highlighting the need for novel treatment strategies.
  • Celastrol (Cel), a natural anti-inflammatory compound, shows promise for treating systemic inflammatory diseases.

Purpose of the Study:

  • To investigate the pharmacological activity of Celastrol (Cel) in preclinical models of endotoxemia and sepsis.
  • To elucidate the molecular mechanisms underlying Cel's therapeutic effects in sepsis.
  • To identify specific protein targets of Cel using advanced biochemical screening methods.

Main Methods:

  • Evaluated Cel's anti-inflammatory effects in mouse models of endotoxemia and sepsis, as well as in lipopolysaccharide (LPS)-stimulated macrophage cultures.
  • Employed activity-based protein profiling (ABPP) to identify potential protein targets of Cel.
  • Validated Cel-protein interactions using biophysical techniques, including cellular thermal shift assays (CETSA) and surface plasmon resonance (SPR).
  • Determined Cel binding sites through point mutagenesis and assessed functional consequences via gene knockdown.

Main Results:

  • Celastrol demonstrated protective effects against lethal endotoxemia and improved survival in sepsis models.
  • Cel significantly reduced pro-inflammatory cytokine levels in LPS-treated mice and macrophages (P < 0.05).
  • Cel binds to Cys424 of pyruvate kinase M2 (PKM2), inhibiting its activity and suppressing the Warburg effect (aerobic glycolysis).
  • Cel also binds to Cys106 of high mobility group box 1 (HMGB1), reducing interleukin-1β (IL-1β) secretion.
  • Cel was found to bind to cysteine residues in lactate dehydrogenase A (LDHA).

Conclusions:

  • Celastrol exhibits significant anti-inflammatory properties and therapeutic potential in sepsis models.
  • Cel's mechanism involves targeting pyruvate kinase M2 (PKM2) and high mobility group box 1 (HMGB1) proteins.
  • Inhibition of PKM2 by Cel suppresses the Warburg effect, a metabolic hallmark observed in sepsis.
  • Cel's action on HMGB1 reduces the secretion of pro-inflammatory cytokine IL-1β, contributing to its anti-septic effects.

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