Legumain Restrains Granuloma Formation by Inhibiting mTORC1/STAT1-Mediated M1 Macrophage Polarization in Sarcoidosis

Mengyuan Liu1,2,3, Yueyin Han1,2,3, Bingbing Xie2,3

  • 1China-Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

Insights

Legumain (LGMN) restrains sarcoid granuloma formation by inhibiting M1 macrophage polarization. LGMN supplementation shows promise as a novel therapeutic strategy for treating sarcoidosis.

Area of Science:

  • Immunology
  • Cell Biology

Background:

  • Sarcoidosis is a systemic granulomatous disease with limited treatment options.
  • Macrophages are crucial in sarcoid granuloma initiation.
  • Legumain (LGMN), a cysteine protease, regulates macrophage polarization in cancer, but its role in sarcoidosis is unknown.

Purpose of the Study:

  • To investigate the role of LGMN in sarcoid granuloma formation.
  • To elucidate the mechanism by which LGMN affects macrophage polarization in sarcoidosis.
  • To evaluate LGMN as a potential therapeutic target for sarcoidosis.

Main Methods:

  • Investigated LGMN expression in a mouse model of sarcoid-like granulomas.
  • Utilized genetic deletion of Lgmn in a Propionibacterium acnes (P. acnes)-induced mouse model.
  • Examined the effect of LGMN on macrophage polarization (M1/M2) and the mTORC1/STAT1 pathway.
  • Administered Lgmn plasmid DNA via lipid nanoparticles in vivo to assess therapeutic potential.

Main Results:

  • LGMN was upregulated in macrophages within sarcoid-like granulomas.
  • Genetic deletion of Lgmn exacerbated granulomatous inflammation and increased M1 macrophage polarization.
  • LGMN binds to integrin αvβ3, inhibiting the mTORC1/STAT1 pathway and M1 polarization.
  • Intratracheal delivery of Lgmn alleviated granuloma formation and reduced M1 polarization.

Conclusions:

  • LGMN plays a critical role in suppressing sarcoid granulomatous inflammation.
  • LGMN restrains M1 macrophage polarization via the mTORC1/STAT1 pathway.
  • LGMN supplementation represents a potential therapeutic strategy for sarcoidosis.

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