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Published on: August 30, 2019
Low-dose pro-resolving mediators temporally reset the resolution response to microbial inflammation
Charles N Serhan1, Nan Chiang2, Robert Nshimiyimana2
1Department of Anesthesiology, Perioperative and Pain Medicine, Center for Experimental Therapeutics and Reperfusion Injury, Mass General Brigham and Harvard Medical School, 60 Fenwood Rd., Hale Building for Transformative Medicine 3-016, Boston, MA, 02115, USA. cserhan@bwh.harvard.edu.
Infections during ongoing inflammation disrupt natural resolution processes. Low-dose specialized pro-resolving mediators (SPMs) can reprogram these responses, accelerating healing and immune restoration.
Area of Science:
- Immunology
- Inflammation Resolution Biology
Background:
- Specialized pro-resolving mediators (SPMs) are crucial for resolving inflammation, clearing infections, and promoting tissue regeneration.
- SPMs orchestrate the endogenous resolution response to restore homeostasis during acute inflammation.
- This study investigates how infections impact resolution programs and if repetitive SPM administration can reprogram these responses.
Purpose of the Study:
- To determine if infections initiated during ongoing inflammation alter endogenous resolution programs.
- To investigate the potential of low-dose, repetitive SPM regimens to reprogram the resolution response.
Main Methods:
- Murine peritonitis model using zymosan followed by E. coli infection.
- Analysis of exudate leukocytes, lipid mediators, and SPM profiles via flow cytometry and mass spectrometry.
- Administration of a repetitive low-dose SPM panel (RvD1, RvD2, RvD5, MaR1, RvE2) followed by zymosan challenge.
- Assessment of leukocyte composition, resolution indices, and gene expression via RNA-sequencing.
Main Results:
- E. coli infection initiated temporal SPM production, but prior zymosan-induced inflammation delayed pathogen clearance and altered resolution indices.
- Metabololipidomics revealed distinct SPM clusters (RvD1, RvD5, MaR1) during infectious inflammation and resolution phases.
- Repetitive low-dose SPM administration accelerated PMN clearance and shortened the resolution interval by over 70% in a zymosan-induced inflammation model.
- RNA-sequencing indicated that low-dose SPMs modulated genes and pathways involved in immune response, chemokine clearance, and tissue repair.
Conclusions:
- Infections occurring during ongoing inflammation can reset inflammatory resolution mechanisms through specific SPM clusters.
- Low-dose SPM administration can effectively reprogram innate immune responses and pathways, promoting resolution.
- These findings highlight the therapeutic potential of SPMs in managing complex inflammatory conditions.
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