M1 Macrophage-Derived Exosomes Promote Intestinal Barrier Dysfunction and Pyroptosis in Sepsis by Modulating NLRP3

Tao Yang1, Zhifen Wang2, Haiyan Wu1

  • 1Department of Anesthesiology, Tianjin Medical University General Hospital, Tianjin Institute of Anesthesiology, Tianjin, China.

Shock (Augusta, Ga.)
|April 20, 2026
PubMed
Abstract

Insights

M1 macrophage-derived exosomes promote sepsis-induced gut barrier injury by delivering NEAT1, which activates the NLRP3 inflammasome and causes intestinal epithelial cell pyroptosis. This highlights exosomal NEAT1 as a therapeutic target for septic gut damage.

Area of Science:

  • Immunology
  • Gastroenterology
  • Cell Biology

Background:

  • Intestinal barrier dysfunction is critical in sepsis progression.
  • M1 macrophage-derived exosomes (M1-Exos) contribute to gut inflammation.
  • The specific roles of M1-Exos in sepsis-induced gut barrier injury require elucidation.

Purpose of the Study:

  • To investigate the role of M1-Exos in sepsis-induced gut barrier injury.
  • To identify the underlying molecular mechanisms involving NEAT1 and NLRP3 inflammasome.
  • To explore potential therapeutic targets for septic gut barrier injury.

Main Methods:

  • Exosomes from M1 macrophages were injected into mice to assess impacts on intestinal barrier, NLRP3 inflammasome, and intestinal epithelial cells (IECs) pyroptosis.
  • LncRNA NEAT1 expression was analyzed in macrophages and their exosomes.
  • Gene knockout mice and in vitro experiments were used to determine NEAT1 function and its interaction with NLRP3.

Main Results:

  • M1-Exos injection in mice led to barrier impairment, NLRP3 inflammasome activation, and IECs pyroptosis.
  • NEAT1 was highly expressed in M1-Exos from both mice and humans.
  • NEAT1 deficiency protected against sepsis-induced gut injury, and exosomal NEAT1 directly activated the NLRP3 inflammasome by binding to NLRP3.

Conclusions:

  • Gut-resident M1 macrophages release exosomal NEAT1, which exacerbates sepsis-induced gut barrier injury.
  • Exosomal NEAT1 promotes IECs pyroptosis by activating the NLRP3 inflammasome.
  • Exosomal NEAT1 represents a promising therapeutic target for septic gut barrier injury.