C-176 inhibits macrophage polarization towards M1-subtype and ameliorates LPS induced acute kidney injury

Xiao Leng1, Qirui Li2, Wanqi Chen3

  • 1School of Basic Medical Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, China; Center for Scientific Research, Chengdu Medical College, Chengdu, China; Development and Regeneration Key Laboratory of Sichuan Province, Chengdu Medical College, Chengdu, China.

PubMed

Insights

The STING pathway inhibitor C-176 protects against sepsis-induced acute kidney injury (SI-AKI) by reducing M1 macrophage polarization and inflammation. This study highlights C-176 as a potential therapeutic for SI-AKI and related kidney diseases.

Area of Science:

  • Nephrology
  • Immunology
  • Molecular Biology

Background:

  • Sepsis-induced acute kidney injury (SI-AKI) is a critical condition with high mortality and progression risk to chronic kidney disease (CKD).
  • M1 macrophages and the cyclic GMP-AMP synthase-stimulator of interferon genes (cGAS-STING) pathway are implicated in renal inflammation during AKI.
  • The interplay between STING pathway activation and M1 macrophage increase in SI-AKI requires further elucidation.

Purpose of the Study:

  • To investigate the protective effects of the STING pathway inhibitor C-176 on lipopolysaccharide (LPS)-induced acute kidney injury (AKI).
  • To elucidate the underlying mechanisms of C-176 action, focusing on macrophage polarization and inflammatory responses.

Main Methods:

  • Utilized an LPS and interferon-gamma (IFN-γ) induced M1 macrophage model and an LPS-induced sepsis AKI mouse model.
  • Administered C-176 in vivo and in vitro to assess its impact on renal function, macrophage infiltration, and polarization.
  • Analyzed pro-inflammatory cytokine levels (IL-6, TNF-α) and STING-IRF3 signaling pathway activation.

Main Results:

  • C-176 intervention alleviated kidney injury and improved renal function in the mouse model.
  • C-176 reduced macrophage infiltration, decreased M1 macrophage proportion, and mitigated renal inflammation.
  • In vitro, C-176 inhibited M0 to M1 macrophage polarization, promoted M2 polarization, and reduced pro-inflammatory cytokines by suppressing STING-IRF3 signaling.

Conclusions:

  • C-176 demonstrates protective effects against LPS-induced AKI by modulating macrophage polarization and inflammatory signaling.
  • Inhibition of the STING pathway is a viable therapeutic strategy for SI-AKI.
  • Findings offer insights into SI-AKI pathogenesis and potential treatment avenues.

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