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Updated: Jan 8, 2026

Macrophage Differentiation and Polarization into an M2-Like Phenotype using a Human Monocyte-Like THP-1 Leukemia Cell Line
Published on: August 2, 2021
Hyperthermia induces reductive stress in murine macrophages
Rong Xu1, Xiu-Wen Liang2, Qi-Hai Cai3
1Department of Immunology and Microbiology, College of Life Science and Technology, Jinan University, Guangzhou 510632, China; State Key Laboratory of Bioactive Molecules and Druggability Assessment, Jinan University, Guangzhou 510632, China.
Heat stress causes cell death (PANoptosis) through reductive stress, not oxidative stress, by impairing the thioredoxin (Trx) system. Dual inhibition of caspases and RIPK3 protects against heat shock injuries.
Area of Science:
- Cellular Biology
- Molecular Mechanisms
- Stress Response
Background:
- Hyperthermia-induced heat stress (HS) causes organ injury and mortality.
- The precise molecular mechanisms of HS-induced cell death remain unclear.
- Existing research often focuses on oxidative stress, overlooking other contributing factors.
Purpose of the Study:
- To elucidate the mechanisms of HS-induced cell death in macrophages.
- To investigate the role of oxidative vs. reductive stress in HS-induced PANoptosis.
- To identify potential therapeutic targets for HS-associated diseases.
Main Methods:
- Macrophage cell culture subjected to heat stress.
- Assessment of cell death pathways (pyroptosis, apoptosis, necroptosis) and PANoptosome formation.
- Measurement of reactive oxygen species (ROS) and reductive stress markers (NADPH, thioredoxin system).
- Pharmacological inhibition of caspases and RIPK3.
- In vivo validation in a mouse model of HS-induced intestinal injury.
Main Results:
- HS induced PANoptosis independently of ROS, indicating oxidative stress is not the primary driver.
- HS led to reductive stress, characterized by NADPH accumulation and thioredoxin (Trx) system dysfunction.
- Trx1 aggregation impaired redox regulation, causing mitochondrial damage and DNA damage.
- Dual inhibition of caspases (IDN-6556) and RIPK3 (GSK'872) fully blocked HS-induced PANoptosis.
- The combined inhibition protected against HS-induced intestinal injury in vivo.
Conclusions:
- Reductive stress, mediated by thioredoxin system dysfunction, is the key driver of HS-induced PANoptosis, not oxidative stress.
- Targeting both caspases and RIPK3 offers a novel therapeutic strategy against heat shock-related pathologies.
- Understanding reductive stress mechanisms opens new avenues for treating hyperthermia-induced organ damage.
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