MLKL Protects Pulmonary Endothelial Cells in Acute Lung Injury

Ying Li1,2, Yingxiang Liu1,2, Xueya Yao1,2

  • 1Department of Anesthesiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine; and.

Insights

Mixed lineage kinase domain-like pseudokinase (MLKL) facilitates autophagy in lung endothelial cells during acute lung injury. Activated MLKL accelerates phagophore closure via CHMP2A, protecting cells and reducing injury. This reveals a novel role for MLKL in cell survival.

Area of Science:

  • Cell Biology
  • Immunology
  • Pulmonary Medicine

Background:

  • The role of autophagy in LPS-induced acute lung injury (ALI) within pulmonary microvascular endothelial cells (PMVECs) remains debated.
  • Mixed lineage kinase domain-like pseudokinase (MLKL) is known for necroptosis but may also promote cell survival by facilitating autophagic flux under starvation conditions.

Purpose of the Study:

  • To investigate the role of MLKL in autophagy within PMVECs during LPS-induced ALI.
  • To elucidate the mechanism by which MLKL influences autophagic flux and its impact on ALI.

Main Methods:

  • Utilized a mouse PMVEC model and an LPS-induced ALI mouse model.
  • Assessed autophagic flux markers (LC3-II, SQSTM1/p62) and autophagosome-lysosome fusion using pHluorin-mKate2-human LC3 assay.
  • Investigated MLKL's role using MLKL inhibitors and siRNA, and its interaction with CHMP2A.

Main Results:

  • Short-term LPS stimulation (1-3h) induced MLKL phosphorylation (p-MLKL) and accelerated autophagic flux in PMVECs.
  • MLKL inhibition or knockdown reversed these effects, increasing vascular permeability and worsening ALI in mice.
  • p-MLKL formed multimers to facilitate phagophore closure, a process involving CHMP2A, which was upregulated by LPS.
  • CHMP2A knockdown inhibited LPS-induced autophagic flux, while its overexpression enhanced flux and attenuated ALI.

Conclusions:

  • Activated MLKL by short-term LPS exposure accelerates autophagic flux in PMVECs by promoting phagophore closure through CHMP2A.
  • This mechanism protects PMVECs and alleviates LPS-induced ALI, suggesting a novel cytoprotective role for MLKL in this context.

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