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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.
Abstract:
Sarcoidosis is a systemic granulomatous disease that has limited treatment options. Emerging evidence suggests that macrophages are essential for sarcoid granuloma initiation. Legumain (LGMN), a cysteine protease, regulates macrophage polarization in various cancers. However, its involvement in sarcoid granuloma formation remains elusive. Herein, LGMN is upregulated in macrophages within sarcoid-like granulomas. Genetic deletion of Lgmn exacerbates granulomatous inflammation in a Propionibacterium acnes (P. acnes)-induced mouse model, accompanied by increased M1 macrophage polarization. Mechanistically, LGMN binds to integrin αvβ3 on the macrophage surface and restrains M1 polarization by inhibiting the mechanistic target of rapamycin complex 1 (mTORC1)/signal transducer and activator of transcription 1 (STAT1) pathway. Furthermore, intratracheal administration of lipid nanoparticles carrying Lgmn plasmid DNA effectively alleviates granuloma formation induced by P. acnes or trehalose 6,6'-dimycolate, concomitant with decreased mTORC1/STAT1 activation and M1 polarization. These findings reveal the pivotal role of LGMN in restraining sarcoid granulomatous inflammation through suppression of mTORC1/STAT1-driven M1 macrophage polarization. Therefore, LGMN supplementation may be a promising therapeutic strategy for sarcoidosis.
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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