Article ; Online: CLEC5A is critical in Pseudomonas aeruginosa-induced NET formation and acute lung injury.
JCI insight
2022 Volume 7, Issue 18
Abstract: Pseudomonas aeruginosa is one of the most common nosocomial infections worldwide, and it frequently causes ventilator-associated acute pneumonia in immunocompromised patients. Abundant neutrophil extracellular traps (NETs) contribute to acute lung injury, ...
Abstract | Pseudomonas aeruginosa is one of the most common nosocomial infections worldwide, and it frequently causes ventilator-associated acute pneumonia in immunocompromised patients. Abundant neutrophil extracellular traps (NETs) contribute to acute lung injury, thereby aggravating ventilator-induced lung damage. While pattern recognition receptors (PRRs) TLR4 and TLR5 are required for host defense against P. aeruginosa invasion, the PRR responsible for P. aeruginosa-induced NET formation, proinflammatory cytokine release, and acute lung injury remains unclear. We found that myeloid C-type lectin domain family 5 member A (CLEC5A) interacts with LPS of P. aeruginosa and is responsible for P. aeruginosa-induced NET formation and lung inflammation. P. aeruginosa activates CLEC5A to induce caspase-1-dependent NET formation, but it neither causes gasdermin D (GSDMD) cleavage nor contributes to P. aeruginosa-induced neutrophil death. Blockade of CLEC5A attenuates P. aeruginosa-induced NETosis and lung injury, and simultaneous administration of anti-CLEC5A mAb with ciprofloxacin increases survival rate and decreases collagen deposition in the lungs of mice challenged with a lethal dose of P. aeruginosa. Thus, CLEC5A is a promising therapeutic target to reduce ventilator-associated lung injury and fibrosis in P. aeruginosa-induced pneumonia. |
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MeSH term(s) | Acute Lung Injury/metabolism ; Acute Lung Injury/pathology ; Animals ; Caspases ; Ciprofloxacin ; Cytokines ; Lectins, C-Type/metabolism ; Lipopolysaccharides/toxicity ; Mice ; Pneumonia/metabolism ; Pneumonia/pathology ; Pseudomonas aeruginosa ; Receptors, Cell Surface ; Toll-Like Receptor 4 ; Toll-Like Receptor 5 |
Chemical Substances | Clec5a protein, mouse ; Cytokines ; Lectins, C-Type ; Lipopolysaccharides ; Receptors, Cell Surface ; Toll-Like Receptor 4 ; Toll-Like Receptor 5 ; Ciprofloxacin (5E8K9I0O4U) ; Caspases (EC 3.4.22.-) |
Language | English |
Publishing date | 2022-09-01 |
Publishing country | United States |
Document type | Journal Article |
ISSN | 2379-3708 |
ISSN (online) | 2379-3708 |
DOI | 10.1172/jci.insight.156613 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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