Menaquinone-4 Alleviates Sepsis-Associated Acute Lung Injury via Activating SIRT3-p53/SLC7A11 Pathway

Nan Gao1,2, Xiao-Yu Liu1,2, Jie Chen1,2

  • 1China-Japan Friendship Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.

PubMed
Abstract

Insights

Menaquinone-4 (MK-4) reduces sepsis-associated acute lung injury by suppressing ferroptosis. It upregulates Sirt3, inhibits the p53/SLC7A11 pathway, and lowers oxidative stress and inflammation, offering a potential therapeutic strategy for sepsis.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Pathology

Background:

  • Sepsis-associated acute lung injury (SI-ALI) involves damage to alveolar epithelial and capillary endothelial cells.
  • Menaquinone-4 (MK-4), a vitamin K component, possesses antioxidant properties by neutralizing reactive oxygen species (ROS).
  • The precise role and clinical relevance of MK-4 in SI-ALI necessitate further investigation.

Purpose of the Study:

  • To elucidate the mechanisms by which MK-4 influences SI-ALI.
  • To evaluate MK-4's therapeutic potential in a mouse model of sepsis-induced ALI.
  • To investigate MK-4's effects on oxidative stress, inflammation, and ferroptosis pathways.

Main Methods:

  • Cecal ligation and puncture (CLP) was used to induce sepsis in C57BL/6N wild-type mice.
  • Mice received MK-4, 3-TYP, or erastin via intraperitoneal injection.
  • Lung tissue and blood samples were collected 24 hours post-CLP for pathological, oxidative stress, and protein expression analyses.

Main Results:

  • MK-4 treatment mitigated lung inflammation and SI-ALI progression.
  • MK-4 upregulated Sirt3 expression and downregulated ROS and inflammatory factors.
  • MK-4 inhibited ferroptosis by suppressing the p53/SLC7A11 signaling pathway via p53 deacetylation, independent of GPX4.

Conclusions:

  • MK-4 acts as a ferroptosis suppressor, offering protection against SI-ALI.
  • Upregulation of Sirt3 and inhibition of the p53/SLC7A11 pathway are key mechanisms of MK-4's protective effects.
  • MK-4 demonstrates potential as a novel therapeutic agent for SI-ALI and sepsis.