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ER-mitochondria association negatively affects wound healing by regulating NLRP3 activation
Caterina Licini1, Gianluca Morroni2, Guendalina Lucarini1
1Department of Clinical and Molecular Sciences, Marche Polytechnic University, Ancona, Italy.
Abstract:
Methicillin-resistant Staphylococcus aureus (MRSA) is the most common causative agent of acute bacterial skin and skin-structure infections (ABSSSI), one of the major challenges to the health system worldwide. Although the use of antibiotics as the first line of intervention for MRSA-infected wounds is recommended, important side effects could occur, including cytotoxicity or immune dysregulation, thus affecting the repair process. Here, we show that the oxazolidinone antibiotic linezolid (LZD) impairs wound healing by aberrantly increasing interleukin 1 β (IL-1β) production in keratinocytes. Mechanistically, LZD triggers a reactive oxygen species (ROS)-independent mitochondrial damage that culminates in increased tethering between the endoplasmic reticulum (ER) and mitochondria, which in turn activates the NLR family pyrin domain-containing 3 (NLRP3) inflammasome complex by promoting its assembly to the mitochondrial surface. Downregulation of ER-mitochondria contact formation is sufficient to inhibit the LZD-driven NLRP3 inflammasome activation and IL-1β production, restoring wound closure. These results identify the ER-mitochondria association as a key factor for NLRP3 activation and reveal a new mechanism in the regulation of the wound healing process that might be clinically relevant.
Insights
The antibiotic linezolid (LZD) hinders wound healing by increasing IL-1β in skin cells. This occurs through ER-mitochondria interactions that activate the NLRP3 inflammasome, a process that can be blocked to restore healing.
Area of Science:
- Cell Biology
- Immunology
- Wound Healing Research
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) causes significant skin infections globally.
- Antibiotics like linezolid (LZD) are primary treatments but can impede wound repair.
- Understanding antibiotic side effects on healing is crucial for patient outcomes.
Purpose of the Study:
- To investigate the mechanism by which linezolid (LZD) impairs wound healing.
- To identify molecular pathways linking LZD treatment to delayed skin repair.
- To explore potential therapeutic targets for mitigating LZD-induced healing defects.
Main Methods:
- Utilized keratinocyte models to study LZD effects on wound healing.
- Investigated reactive oxygen species (ROS)-independent mitochondrial damage.
- Analyzed endoplasmic reticulum (ER)-mitochondria interactions and NLRP3 inflammasome activation.
- Assessed the impact of modulating ER-mitochondria contacts on IL-1β production and wound closure.
Main Results:
- Linezolid (LZD) treatment increased interleukin 1β (IL-1β) production in keratinocytes, impairing wound healing.
- LZD induced mitochondrial damage and enhanced ER-mitochondria tethering, independent of ROS.
- This increased tethering promoted NLRP3 inflammasome assembly and activation.
- Inhibiting ER-mitochondria contact formation restored normal wound closure by reducing IL-1β levels.
Conclusions:
- Linezolid (LZD) disrupts wound healing by activating the NLRP3 inflammasome via ER-mitochondria crosstalk.
- ER-mitochondria association is a critical regulator of NLRP3 inflammasome activation in this context.
- Targeting ER-mitochondria interactions may offer a strategy to improve wound healing during LZD therapy.
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