Citrullination of NF-κB p65 by PAD2 as a Novel Therapeutic Target for Modulating Macrophage Polarization in Acute

Xin Yu1,2, Yujing Song3,4, Tao Dong1,5

  • 1Department of Surgery, University of Michigan Health System, Ann Arbor, MI, 48109, USA.

Insights

Peptidyl arginine deiminase 2 (PAD2) drives inflammation in acute lung injury (ALI) by altering macrophage polarization. A novel nanoparticle therapy targets PAD2 in M1 macrophages, reducing inflammation and promoting healing in Pseudomonas aeruginosa-induced ALI.

Area of Science:

  • Immunology
  • Molecular Biology
  • Nanomedicine

Background:

  • Peptidyl arginine deiminase 2 (PAD2) influences macrophage phenotypes.
  • The role of PAD2 in Pseudomonas aeruginosa (PA)-induced acute lung injury (ALI) remains unclear.
  • Understanding PAD2's mechanism in macrophage polarization is crucial for ALI treatment.

Purpose of the Study:

  • To elucidate the mechanisms of PAD2 in PA-induced ALI.
  • To identify novel PAD2 targets and pathways involved in macrophage polarization.
  • To develop a targeted nanomedicine for ALI treatment.

Main Methods:

  • Single-cell RNA sequencing and mass spectrometry-based proteomics were employed.
  • A novel citrullination site (R171) in NF-κB p65 was identified.
  • A targeted nanoparticle delivery system using gold nanoparticles (AuNPs), a PAD2 inhibitor (AFM41a), and an ICAM-1 antibody was developed.

Main Results:

  • PAD2-mediated citrullination at R171 modulates the PAD2-NF-κB p65-importin α3 pathway.
  • This pathway regulates M1/M2 macrophage polarization in ALI.
  • The targeted nanomedicine selectively delivered the PAD2 inhibitor to M1 macrophages, reducing inflammation and promoting M1-to-M2 polarization in vivo.
  • The nanomedicine effectively inhibited ALI.

Conclusions:

  • PAD2-mediated citrullination plays a significant role in macrophage polarization during ALI.
  • Targeting PAD2 with a novel nanoparticle-based strategy shows promise for treating PA-induced ALI.
  • This study introduces a new therapeutic avenue for inflammatory lung diseases.