A multi-damage-associated molecular pattern targeting opsonic peptide attenuates gut ischemia/reperfusion-induced

Takayuki Kato1, Takuya Murao1, Atsushi Murao1

  • 1Center for Immunology and Inflammation, The Feinstein Institutes for Medical Research, Manhasset, NY.

Surgery
|July 20, 2025
PubMed
Abstract

Insights

Opsonic peptide 18, a novel scavenger of damage-associated molecular patterns (DAMPs), significantly reduced inflammation and lung injury following gut ischemia-reperfusion in mice. This peptide improved survival rates, highlighting its therapeutic potential.

Area of Science:

  • Immunology
  • Gastroenterology
  • Pulmonology

Background:

  • Gut ischemia-reperfusion injury releases damage-associated molecular patterns (DAMPs), worsening inflammation and organ damage.
  • Opsonic peptide 18 is a novel molecule designed to scavenge multiple DAMPs by promoting phagocytic clearance.
  • This study investigates the efficacy of opsonic peptide 18 in mitigating lung injury following gut ischemia-reperfusion.

Purpose of the Study:

  • To evaluate the therapeutic potential of opsonic peptide 18 in a mouse model of gut ischemia-reperfusion-induced lung injury.
  • To assess the impact of opsonic peptide 18 on systemic inflammation, lung inflammation, and tissue damage.

Main Methods:

  • Male C57BL6/J mice underwent superior mesenteric artery occlusion to induce gut ischemia-reperfusion.
  • Mice received intraperitoneal opsonic peptide 18 or vehicle at reperfusion.
  • Systemic inflammatory markers, pulmonary cytokine and chemokine gene expression, lung myeloperoxidase activity, tissue injury, cell death, and survival rates were assessed.

Main Results:

  • Opsonic peptide 18 significantly reduced serum levels of IL-6, AST, ALT, and LDH by 45%, 32%, 59%, and 48%, respectively.
  • Pulmonary gene expression of IL-6, IL-1β, iNOS, KC, and MIP-2 was decreased by 73.2%, 75.3%, 77.5%, 63.9%, and 64.3%, respectively.
  • Opsonic peptide 18 attenuated lung myeloperoxidase activity, histologic injury, and cell death, significantly improving overall survival.

Conclusions:

  • Opsonic peptide 18 effectively reduces inflammation and mitigates lung injury caused by gut ischemia-reperfusion.
  • Targeting multiple DAMPs simultaneously presents a promising therapeutic strategy for gut ischemia-reperfusion-induced lung inflammation and injury.