Transient receptor potential melastatin 7 aggravates necrotizing enterocolitis by promoting an inflammatory response

Qingxiang Li1,2, Xianming Lei1,2, Hong Liu1,2

  • 1Department of Neonatology, Guizhou Children's Hospital, Zunyi, China.

Translational Pediatrics
|January 16, 2023
PubMed

Insights

Necrotizing enterocolitis (NEC) in children involves increased Transient Receptor Potential Melastatin 7 (TRPM7) and NLRP3 inflammasome activation. A TRPM7 inhibitor, NS8593, demonstrated therapeutic potential by reducing inflammation and protecting against NEC.

Area of Science:

  • Pediatric Gastroenterology
  • Molecular Biology
  • Inflammation Research

Background:

  • Necrotizing enterocolitis (NEC) is a severe condition in infants with high mortality.
  • The exact pathophysiology of NEC remains largely unknown.
  • Transient Receptor Potential Melastatin 7 (TRPM7) is implicated in inflammatory processes.

Purpose of the Study:

  • To investigate the role of TRPM7 in pediatric NEC.
  • To explore the therapeutic efficacy of the TRPM7 inhibitor NS8593 in NEC.

Main Methods:

  • Assessed TRPM7 and NLRP3 expression and inflammation markers in NEC patients via RT-PCR, Western blot, and ELISA.
  • Induced NEC in human intestinal cell lines and a rat model using lipopolysaccharides (LPS).
  • Evaluated the effects of TRPM7 inhibition on cytokine production, reactive oxygen species (ROS), and inflammasome activation.

Main Results:

  • Elevated TRPM7 and NLRP3 expression and increased pro-inflammatory cytokines (IL-1β, IL-6, TNF-α) were observed in children with NEC.
  • TRPM7 inhibition by NS8593 reduced LPS-induced cytokine release and NLRP3 inflammasome activation in cell lines.
  • In vivo studies showed TRPM7 involvement in NEC pathogenesis and a therapeutic effect of NS8593 in a rat model.

Conclusions:

  • TRPM7 plays a promoting role in NEC development, potentially through NLRP3 inflammasome activation.
  • TRPM7 inhibitors like NS8593 can attenuate LPS-induced inflammation, reduce ROS, and offer protective effects in NEC models.
Abstract