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Updated: Jun 21, 2025

Alveolar Macrophage Phagocytosis and Bacteria Clearance in Mice
Published on: March 2, 2019
Extracellular vesicles from alveolar macrophages harboring phagocytosed methicillin-resistant Staphylococcus aureus
Songjie Bai1, Xuehuan Wen1, Bingyu Li1
1Department of Critical Care Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China.
Abstract:
Methicillin-resistant Staphylococcus aureus (MRSA) infection, a major cause of hospital- and community-acquired pneumonia, still has a high mortality rate. Extracellular vesicles (EVs), as crucial mediators of intercellular communication, have a significant impact on infectious diseases. However, the role of EVs from alveolar macrophages (AMs) in MRSA pneumonia remains unclear. We report that AMs phagocytose MRSA and release more EVs in mice with MRSA pneumonia. EVs from AMs harboring phagocytosed MRSA exhibit significant proinflammatory effects and induce necroptosis by delivering tumor necrosis factor α (TNF-α) and miR-146a-5p. Mechanically, the upregulated miR-146a-5p in these EVs enhances the phosphorylation of RIPK1, RIPK3, and MLKL by targeting TNF receptor-associated factor 6 (TRAF6), thereby promoting TNF-α-induced necroptosis. The combination of a TNF-α antagonist and an miR-146a-5p antagomir effectively improves the outcomes of mice with MRSA pneumonia. Overall, we reveal the pronecrotic effect of EVs from MRSA-infected AMs and provide a promising target for the prevention and treatment of MRSA pneumonia.
Insights
Extracellular vesicles (EVs) from MRSA-infected macrophages worsen pneumonia by delivering inflammatory signals. Targeting these EVs and their cargo offers a new therapeutic strategy for Methicillin-resistant Staphylococcus aureus (MRSA) pneumonia.
Area of Science:
- Immunology
- Microbiology
- Cell Biology
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) causes severe pneumonia with high mortality.
- Extracellular vesicles (EVs) mediate cell-to-cell communication and influence infectious diseases.
- The specific role of EVs from alveolar macrophages (AMs) in MRSA pneumonia is not well understood.
Purpose of the Study:
- To investigate the function of EVs released by AMs during MRSA pneumonia.
- To elucidate the molecular mechanisms by which these EVs impact disease progression.
- To identify potential therapeutic targets for MRSA pneumonia.
Main Methods:
- MRSA infection model in mice.
- Isolation and characterization of EVs from AMs.
- Analysis of EV cargo (TNF-α and miR-146a-5p).
- Investigation of necroptosis pathways (RIPK1, RIPK3, MLKL, TRAF6).
- Therapeutic intervention using TNF-α antagonist and miR-146a-5p antagomir.
Main Results:
- MRSA-infected AMs release increased EVs.
- AM-derived EVs carrying MRSA promote inflammation and induce necroptosis.
- Upregulated miR-146a-5p in EVs enhances RIPK1/RIPK3/MLKL phosphorylation via TRAF6, promoting TNF-α-induced necroptosis.
- Combined blockade of TNF-α and miR-146a-5p improved outcomes in mice.
Conclusions:
- EVs from MRSA-infected AMs possess a pro-necroptotic effect.
- These EVs deliver TNF-α and miR-146a-5p to induce necroptosis.
- Targeting these EVs and their molecular components presents a promising therapeutic avenue for MRSA pneumonia.
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