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NLRC3 expression in macrophage impairs glycolysis and host immune defense by modulating the NF-κB-NFAT5 complex
Jiqian Xu1, Chenggang Gao2, Yajun He2
1Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; Institute of Anesthesiology and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Abstract:
Impairment of innate immune cell function and metabolism underlies immunosuppression in sepsis; however, a promising therapy to orchestrate this impairment is currently lacking. In this study, high levels of NOD-like receptor family CARD domain containing-3 (NLRC3) correlated with the glycolytic defects of monocytes/macrophages from septic patients and mice that developed immunosuppression. Myeloid-specific NLRC3 deletion improved macrophage glycolysis and sepsis-induced immunosuppression. Mechanistically, NLRC3 inhibits nuclear factor (NF)-κB p65 binding to nuclear factor of activated T cells 5 (NFAT5), which further controls the expression of glycolytic genes and proinflammatory cytokines of immunosuppressive macrophages. This is achieved by decreasing NF-κB activation-co-induced by TNF-receptor-associated factor 6 (TRAF6) or mammalian target of rapamycin (mTOR)-and decreasing transcriptional co-activator p300 activity by inducing NLRC3 sequestration of mTOR and p300. Genetic inhibition of NLRC3 disrupted the NLRC3-mTOR-p300 complex and enhanced NF-κB binding to the NFAT5 promoter in concert with p300. Furthermore, intrapulmonary delivery of recombinant adeno-associated virus harboring a macrophage-specific NLRC3 deletion vector significantly improved the defense of septic mice that developed immunosuppression upon secondary intratracheal bacterial challenge. Collectively, these findings indicate that NLRC3 mediates critical aspects of innate immunity that contribute to an immunocompromised state during sepsis and identify potential therapeutic targets.
Insights
NOD-like receptor family CARD domain containing-3 (NLRC3) impairs innate immune cell metabolism in sepsis. Deleting NLRC3 in myeloid cells restores macrophage function and improves sepsis outcomes, revealing NLRC3 as a therapeutic target.
Area of Science:
- Immunology
- Cellular Metabolism
- Infectious Disease
Background:
- Sepsis leads to immunosuppression by impairing innate immune cell function and metabolism.
- Current therapies to address sepsis-induced immunosuppression are limited.
- NOD-like receptor family CARD domain containing-3 (NLRC3) is implicated in immune regulation.
Purpose of the Study:
- To investigate the role of NLRC3 in sepsis-induced immunosuppression.
- To elucidate the molecular mechanisms by which NLRC3 affects immune cell metabolism and function.
- To evaluate NLRC3 as a potential therapeutic target for sepsis.
Main Methods:
- Correlated high NLRC3 levels with monocyte/macrophage glycolytic defects in septic patients and mice.
- Utilized myeloid-specific NLRC3 deletion in mouse models of sepsis.
- Investigated the interaction of NLRC3 with NF-κB p65, NFAT5, TRAF6, mTOR, and p300.
- Administered intrapulmonary recombinant adeno-associated virus with a macrophage-specific NLRC3 deletion vector.
Main Results:
- High NLRC3 levels were associated with impaired macrophage glycolysis and immunosuppression in sepsis.
- Myeloid-specific NLRC3 deletion improved macrophage glycolysis and sepsis outcomes.
- NLRC3 was found to inhibit NF-κB p65 binding to NFAT5 by sequestering mTOR and p300.
- Genetic inhibition of NLRC3 enhanced NF-κB binding to the NFAT5 promoter.
- Intrapulmonary delivery of NLRC3 deletion vector improved defense in septic mice.
Conclusions:
- NLRC3 plays a critical role in mediating innate immune dysfunction and immunosuppression during sepsis.
- Targeting NLRC3, particularly its interaction with mTOR and p300, offers a promising therapeutic strategy for sepsis.
- Restoring macrophage glycolysis through NLRC3 inhibition can enhance host defense against sepsis.
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