Inhibition of mPTP and GSDME-mediated pyroptosis alleviates lung injury in septic mice

Na Lu1, Meng-Jie Yu2, Rui Zhang3

  • 1Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Bengbu Medical University, Anhui Province Key Laboratory of Clinical and Preclinical Research in Respiratory Disease, Clinical Research Center for Respiratory Disease (tumor) in Anhui Province, Bengbu, Anhui, 233000, PR China; Department of Respiratory, Linyi Central Hospital, Yishui, Shandong, 276400, PR China.

Abstract

Insights

Inhibiting mitochondrial permeability transition pore (mPTP) opening or gasdermin E (GSDME)-mediated pyroptosis alleviates septic lung injury. These pathways are interconnected, with mPTP acting upstream of GSDME and GSDME-N promoting mPTP opening.

Area of Science:

  • Cellular Biology
  • Immunology
  • Pathophysiology

Background:

  • Sepsis can lead to acute lung injury.
  • Mitochondrial dysfunction and pyroptosis are implicated in sepsis-induced organ damage.
  • The specific roles of mitochondrial permeability transition pore (mPTP) and gasdermin E (GSDME) in septic lung injury require further elucidation.

Purpose of the Study:

  • To investigate the involvement of mPTP and GSDME-mediated pyroptosis in a mouse model of septic lung injury.
  • To explore the regulatory relationship between mPTP and GSDME in this context.

Main Methods:

  • A cecal ligation and puncture (CLP) model was used in adult male C57BL/6J mice.
  • Alisporivir (AL) was employed to inhibit mPTP opening, while plumbagin (PL) was used to induce mPTP opening.
  • Gasdermin E (GSDME) levels were manipulated using Adeno-associated virus 6 (AAV-6) for knockdown or overexpression.

Main Results:

  • CLP and GSDME overexpression exacerbated lung injury, mitochondrial dysfunction, oxidative stress, and inflammation.
  • Inhibition of mPTP opening (with AL) or GSDME knockdown alleviated these detrimental effects.
  • The study observed a reciprocal regulatory relationship between mPTP and GSDME in the pyroptosis pathway.

Conclusions:

  • Both mPTP inhibition and suppression of GSDME-mediated pyroptosis are protective against septic lung injury.
  • mPTP acts upstream in the GSDME-mediated pyroptosis pathway.
  • mPTP and GSDME exhibit a mutual regulatory interaction within the pyroptosis pathway.

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