ALKBH5-Driven m6A Demethylation Boosts Inflammation and Autophagy in LPS-Stimulated Macrophages

Gui Wang1, Ting Zhou1, Shujun Zhou1

  • 1Department of Critical Care Medicine, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, Changzhou, China.

Abstract

Insights

Targeting ALKBH5, an m6A demethylase, may offer a novel therapy for Acute Respiratory Distress Syndrome (ARDS). Downregulating ALKBH5 in macrophages reduces inflammation and autophagy, mitigating ARDS severity.

Area of Science:

  • Immunology
  • Molecular Biology
  • Respiratory Medicine

Background:

  • Acute Respiratory Distress Syndrome (ARDS) is a severe lung condition with limited treatment options.
  • Alveolar macrophages play a key role in ARDS pathogenesis.
  • The role of m6A modification and its regulators in ARDS is not fully understood.

Purpose of the Study:

  • To investigate the function of ALKBH5 (N6-methyladenosine demethylase) in alveolar macrophages during ARDS.
  • To determine the impact of ALKBH5 on inflammation and autophagy in ARDS.
  • To explore ALKBH5 as a potential therapeutic target for ARDS.

Main Methods:

  • Primary mouse alveolar macrophages were stimulated with LPS and manipulated for ALKBH5 expression (knockdown/overexpression).
  • m6A levels, ULK1 mRNA modification, macrophage polarization, and autophagy were assessed in vitro.
  • Therapeutic effects of ALKBH5 downregulation were evaluated in an LPS-induced murine ARDS model.

Main Results:

  • ALKBH5 regulates m6A methylation in alveolar macrophages, with its downregulation reversing LPS-induced ULK1 mRNA m6A decrease.
  • ALKBH5 knockdown suppressed LPS-induced autophagy and M1 pro-inflammatory macrophage polarization.
  • In vivo, ALKBH5 downregulation attenuated lung injury, edema, and pro-inflammatory cytokine release in an ARDS model.

Conclusions:

  • ALKBH5-mediated m6A demethylation of ULK1 exacerbates ARDS by promoting macrophage autophagy and inflammation.
  • Targeting ALKBH5 presents a novel therapeutic strategy to disrupt pathogenic m6A demethylation and mitigate ARDS progression.

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