The macrophage DAG/PKCα/ROS axis exacerbates sepsis by inducing endothelial dysfunction through activation of the p38

Wen Chen1, Xiangye Bo1, Qianqian Wang2

  • 1Department of General Practice, Affiliated Hangzhou First People's Hospital, Westlake University School of Medicine, Hangzhou, China.

Abstract

Insights

The macrophage DAG/PKCα/ROS axis drives sepsis-induced endothelial injury by activating p38 MAPK. Inhibiting this axis improves survival and reduces organ damage in sepsis models.

Area of Science:

  • Immunology
  • Cell Biology
  • Pathophysiology

Background:

  • Sepsis can cause endothelial injury, a critical factor in disease severity.
  • Macrophage activation plays a key role in sepsis pathogenesis.
  • The specific mechanisms linking macrophages to endothelial dysfunction in sepsis require further elucidation.

Purpose of the Study:

  • To investigate the role of the macrophage diacylglycerol (DAG)/protein kinase C-alpha (PKCα)/reactive oxygen species (ROS) axis in sepsis-induced endothelial injury.
  • To elucidate the underlying molecular mechanisms, including the involvement of the p38 mitogen-activated protein kinase (MAPK) pathway.

Main Methods:

  • In vitro studies using RAW264.7 macrophages and pulmonary microvascular endothelial cells co-cultured in a Transwell system.
  • In vivo studies utilizing cecal ligation and puncture (CLP) mouse models of sepsis.
  • Pharmacological inhibition of PKCα using Go6976 and activation of p38 MAPK using anisomycin.

Main Results:

  • Activation of the macrophage DAG/PKCα/ROS axis was linked to M1 polarization and inflammation, which was mitigated by Go6976.
  • Go6976 treatment improved endothelial cell viability, reduced apoptosis, and restored barrier function in vitro.
  • In vivo, Go6976 administration or macrophage depletion improved survival rates and reduced organ damage in septic mice, effects reversed by anisomycin.

Conclusions:

  • The macrophage DAG/PKCα/ROS axis is a significant contributor to sepsis-induced endothelial dysfunction.
  • This axis exacerbates sepsis by activating the p38 MAPK pathway, leading to increased inflammation and organ injury.