Dehydroandrographolide facilitates M2 macrophage polarization by downregulating DUSP3 to inhibit sepsis-associated

Yanyan Shao1, Weihao Yu1, Hailun Cai1

  • 1Department of Pediatrics, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou City, China.

Abstract

Insights

Dehydroandrographolide (Deh) combats sepsis-induced acute kidney injury (AKI) by promoting M2 macrophage polarization. This action, achieved by downregulating DUSP3, reduces inflammation and protects kidney function in sepsis models.

Area of Science:

  • Immunology
  • Nephrology
  • Pharmacology

Background:

  • Sepsis significantly elevates mortality, especially when combined with acute kidney injury (AKI).
  • M2 macrophages are crucial for secreting anti-inflammatory and tissue repair mediators.
  • Understanding Dehydroandrographolide's (Deh) role in sepsis-associated AKI is vital for therapeutic development.

Purpose of the Study:

  • To investigate the therapeutic potential of Dehydroandrographolide (Deh) in sepsis-associated AKI.
  • To elucidate the mechanism by which Deh influences M2 macrophage polarization in sepsis.
  • To assess Deh's effects both in vitro using lipopolysaccharide (LPS)-induced macrophages and in vivo using a cecal ligation and puncture (CLP)-induced AKI mouse model.

Main Methods:

  • Assessed inflammatory factor levels using ELISA kits.
  • Analyzed M1 and M2 macrophage marker expression.
  • Quantified dual specificity phosphatase 3 (DUSP3) expression.
  • Evaluated cell apoptosis via flow cytometry and TUNEL staining.
  • Performed renal histological assessment using H&E staining.

Main Results:

  • Deh reduced LPS-induced inflammation in macrophages and promoted M1 to M2 polarization by downregulating DUSP3.
  • DUSP3 overexpression reversed Deh's anti-inflammatory and M2 polarization effects.
  • In vivo, Deh improved renal function, reduced pathological injury, suppressed inflammation and apoptosis, and downregulated DUSP3 in sepsis-induced mice.

Conclusions:

  • Dehydroandrographolide (Deh) effectively mitigates sepsis-associated AKI.
  • Deh facilitates M2 macrophage polarization through DUSP3 downregulation.
  • Targeting DUSP3 with Deh presents a promising therapeutic strategy for septic AKI.