The RIPK3 Scaffold Regulates Lung Inflammation During Pseudomonas Aeruginosa Pneumonia

John D Lyons1, Pratyusha Mandal2, Shunsuke Otani1

  • 1Department of Surgery, Emory Critical Care Center.

Insights

Receptor-interacting protein kinase 3 (RIPK3) scaffold function, not its kinase activity, drives lung inflammation and mortality during Pseudomonas aeruginosa infection. Inhibiting RIPK3

Area of Science:

  • Immunology
  • Molecular Biology
  • Pathology

Background:

  • Receptor-interacting protein kinase 3 (RIPK3) has dual roles: kinase activity in necroptosis and scaffold function in cytokine production.
  • The specific role of RIPK3's kinase versus scaffold function in Pseudomonas aeruginosa pneumonia pathogenesis is unclear.

Purpose of the Study:

  • To investigate whether RIPK3's kinase or scaffold domains mediate pathology during Pseudomonas aeruginosa infection.
  • To explore RIPK3's role in Pseudomonas-induced inflammation and cell death in vitro and in vivo.

Main Methods:

  • Mice with RIPK3 gene deletions or mutations were infected with Pseudomonas aeruginosa to assess survival and inflammation.
  • Murine immune cells and human airway epithelial cells were studied in vitro for Pseudomonas-induced cytokine production and cell death.
  • RIPK3 binding interactions were blocked using the viral inhibitor M45, and RIPK3 was inhibited using siRNA.

Main Results:

  • Deletion of RIPK3 reduced inflammation and mortality in a mouse model of Pseudomonas pneumonia.
  • RIPK3 kinase inactivation did not affect mortality or inflammation, indicating the kinase domain is not essential.
  • RIPK3's scaffold domain, specifically its RIP homotypic interaction motif (RHIM), was required for driving cytokine production and inflammation, independent of kinase activity.
  • Blocking RIPK3 RHIM interactions with M45 reduced in vitro inflammation, and siRNA knockdown decreased inflammation in human cells.

Conclusions:

  • The RIPK3 scaffold domain, not its kinase activity, drives detrimental pulmonary inflammation and mortality in Pseudomonas aeruginosa pneumonia.
  • This inflammatory response relies on the RIPK3 RHIM, distinct from kinase-mediated necroptosis.
  • Inhibiting RIPK3 RHIM signaling presents a potential therapeutic strategy to mitigate lung inflammation during bacterial infections.

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