机构:[1]Guangdong Cardiovasc Inst, Guangzhou, Peoples R China广东省人民医院[2]Southern Med Univ, Guangdong Prov Peoples Hosp, Guangdong Acad Med Sci, Dept Nephrol,Guangdong Hong Kong Joint Lab Immunol, Guangzhou, Guangdong, Peoples R China广东省人民医院[3]Southern Med Univ, Guangdong Prov Peoples Hosp, Guangdong Acad Med Sci, Dept Pathol,Guangdong Hong Kong Joint Lab Immunol, Guangzhou, Guangdong, Peoples R China广东省人民医院[4]Chinese Univ Hong Kong, Li Ka Shing Inst Hlth Sci, Lui Che Woo Inst Innovat Med, Dept Med, Hong Kong, Peoples R China[5]Chinese Univ Hong Kong, Li Ka Shing Inst Hlth Sci, Lui Che Woo Inst Innovat Med, Dept Therapeut, Hong Kong, Peoples R China[6]Hubei Univ Chinese Med, Clin Coll 1, Wuhan, Peoples R China[7]Hubei Prov Acad Tradit Chinese Med, Hubei Prov Hosp Tradit Chinese Med, Dept Nephrol, Wuhan, Peoples R China[8]Guangzhou Med Univ, Guangzhou Peoples Hosp 8, Dept Clin Pharm, Guangzhou, Peoples R China[9]Southern Med Univ, Affiliated Hosp 3, Dept Nephrol, Guangzhou, Peoples R China[10]Nanjing Univ Chinese Med, Jiangsu Prov Hosp Chinese Med, Dept Nephrol, Affiliated Hosp, Nanjing, Jiangsu, Peoples R China[11]Southwest Med Univ, Dept Nephrol, Affiliated Tradit Chinese Med Hosp, Luzhou, Peoples R China
"Cytokine storm" is common in critically ill COVID-19 patients, however, mechanisms remain largely unknown. Here, we reported that overexpression of SARS-CoV-2 N protein in diabetic db/db mice significantly increased tubular death and the release of HMGB1, one of the damage-associated molecular patterns (DAMPs), to trigger M1 proinflammatory macrophage activation and production of IL-6, TNF-alpha, and MCP-1 via a Mincle-Syk/NF-kappa B-dependent mechanism. This was further confirmed in vitro that overexpression of SARS-CoV-2 N protein caused the release of HMGB1 from injured tubular cells under high AGE conditions, which resulted in M1 macrophage activation and production of proinflammatory cytokines via a Mincle-Syk/NF-kappa B-dependent mechanism. This was further evidenced by specifically silencing macrophage Mincle to block HMGB1-induced M1 macrophage activation and production of IL-6, TNF-alpha, and MCP-1 in vitro. Importantly, we also uncovered that treatment with quercetin largely improved SARS-CoV-2 N protein-induced AKI in db/db mice. Mechanistically, we found that quercetin treatment significantly inhibited the release of a DAMP molecule HMGB1 and inactivated M1 pro-inflammatory macrophage while promoting reparative M2 macrophage responses by suppressing Mincle-Syk/NF-kappa B signaling in vivo and in vitro. In conclusion, SARS-CoV-2 N protein-induced AKI in db/db mice is associated with Mincle-dependent M1 macrophage activation. Inhibition of this pathway may be a mechanism through which quercetin inhibits COVID-19-associated AKI.
基金:
This study
was supported by grants from the Research Grants Council of Hong
Kong (GRF 14104019, 14101121, and R4012-18); the High-Level
Hospital Construction Project from Guangdong Provincial People’s
Hospital, Guangdong Academy of Medical Science(KJ012019108), the
Guangdong-Hong Kong-Macao-Joint Labs Program from Guangdong
Science and Technology Department (2019B121205005), the Sichuan
Science and Technology Program (2022YFH0118), and Health and
Medical Research Fund of Hong Kong (HMRF 06173986), and the Lui
Che Woo Institute of Innovative Medicine (CARE program).
第一作者机构:[1]Guangdong Cardiovasc Inst, Guangzhou, Peoples R China[2]Southern Med Univ, Guangdong Prov Peoples Hosp, Guangdong Acad Med Sci, Dept Nephrol,Guangdong Hong Kong Joint Lab Immunol, Guangzhou, Guangdong, Peoples R China[3]Southern Med Univ, Guangdong Prov Peoples Hosp, Guangdong Acad Med Sci, Dept Pathol,Guangdong Hong Kong Joint Lab Immunol, Guangzhou, Guangdong, Peoples R China[4]Chinese Univ Hong Kong, Li Ka Shing Inst Hlth Sci, Lui Che Woo Inst Innovat Med, Dept Med, Hong Kong, Peoples R China[5]Chinese Univ Hong Kong, Li Ka Shing Inst Hlth Sci, Lui Che Woo Inst Innovat Med, Dept Therapeut, Hong Kong, Peoples R China[6]Hubei Univ Chinese Med, Clin Coll 1, Wuhan, Peoples R China[7]Hubei Prov Acad Tradit Chinese Med, Hubei Prov Hosp Tradit Chinese Med, Dept Nephrol, Wuhan, Peoples R China
通讯作者:
通讯机构:[2]Southern Med Univ, Guangdong Prov Peoples Hosp, Guangdong Acad Med Sci, Dept Nephrol,Guangdong Hong Kong Joint Lab Immunol, Guangzhou, Guangdong, Peoples R China[3]Southern Med Univ, Guangdong Prov Peoples Hosp, Guangdong Acad Med Sci, Dept Pathol,Guangdong Hong Kong Joint Lab Immunol, Guangzhou, Guangdong, Peoples R China[4]Chinese Univ Hong Kong, Li Ka Shing Inst Hlth Sci, Lui Che Woo Inst Innovat Med, Dept Med, Hong Kong, Peoples R China[5]Chinese Univ Hong Kong, Li Ka Shing Inst Hlth Sci, Lui Che Woo Inst Innovat Med, Dept Therapeut, Hong Kong, Peoples R China[6]Hubei Univ Chinese Med, Clin Coll 1, Wuhan, Peoples R China[7]Hubei Prov Acad Tradit Chinese Med, Hubei Prov Hosp Tradit Chinese Med, Dept Nephrol, Wuhan, Peoples R China
推荐引用方式(GB/T 7714):
Wu Wenjing,Wang Wenbiao,Liang Liying,et al.SARS-CoV-2 N protein induced acute kidney injury in diabetic db/db mice is associated with a Mincle-dependent M1 macrophage activation[J].FRONTIERS IN IMMUNOLOGY.2023,14:doi:10.3389/fimmu.2023.1264447.
APA:
Wu, Wenjing,Wang, Wenbiao,Liang, Liying,Chen, Junzhe,Sun, Sifan...&Lan, Hui-Yao.(2023).SARS-CoV-2 N protein induced acute kidney injury in diabetic db/db mice is associated with a Mincle-dependent M1 macrophage activation.FRONTIERS IN IMMUNOLOGY,14,
MLA:
Wu, Wenjing,et al."SARS-CoV-2 N protein induced acute kidney injury in diabetic db/db mice is associated with a Mincle-dependent M1 macrophage activation".FRONTIERS IN IMMUNOLOGY 14.(2023)