Melatonin alleviates sepsis-induced acute lung injury by inhibiting necroptosis via reducing circulating mtDNA

Yuce Peng1, Jia Xu2, Lingyu Wei2

  • 1Department of Cardiology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Abstract

Insights

Melatonin protects against sepsis-induced acute lung injury (ALI) by inhibiting necroptosis and STING pathway activation. This study reveals melatonin

Area of Science:

  • Immunology
  • Cell Biology
  • Pathophysiology

Background:

  • Sepsis frequently causes acute lung injury (ALI), a condition with high mortality.
  • Melatonin (Mel) demonstrates protective effects against sepsis-induced ALI, but its mechanism is not fully understood.

Purpose of the Study:

  • To elucidate the mechanism by which melatonin mitigates sepsis-induced ALI.
  • To investigate the role of necroptosis and the STING pathway in melatonin's protective effects.

Main Methods:

  • A cecal ligation and puncture (CLP) mouse model was used to induce sepsis.
  • ALI severity was assessed using histological analysis, lung wet/dry ratio, and serum biomarkers.
  • Inflammatory cytokines, circulating mitochondrial DNA (mtDNA), necroptosis, and STING pathway activation were quantified.

Main Results:

  • Sepsis increased circulating mtDNA and activated necroptosis and STING pathways.
  • Melatonin treatment reduced ALI severity, inflammation, and mtDNA release, while suppressing necroptosis.
  • Melatonin inhibited STING activation, which was crucial for its protective effects against sepsis-induced ALI.

Conclusions:

  • Melatonin mitigates sepsis-induced ALI by suppressing necroptosis via STING pathway inhibition and reduced mtDNA release.
  • Melatonin presents a potential therapeutic strategy for managing sepsis-induced ALI.