Tacrolimus prevents complement-mediated Nod-like receptor family pyrin domain containing 3 (NLRP3) inflammasome activation and pyroptosis of mesenchymal stem cells from immune thrombocytopenia

© 2022 British Society for Haematology and John Wiley & Sons Ltd..

The abnormal immunomodulatory functions of mesenchymal stem cells (MSCs) have been implicated in the development of immune thrombocytopenia (ITP). Recent studies have suggested important effects of complement on immune cell function. However, whether complement modulates bone marrow MSCs function in ITP is poorly defined. Tacrolimus has recently been applied to the treatment of autoimmune diseases. Here, we explored whether impaired ITP-MSCs could be targeted by tacrolimus. Our results showed that the Nod-like receptor family pyrin domain containing 3 (NLRP3) inflammasome was activated in ITP MSCs with complement deposition (MSCs-C+ ) and initiated caspase-1-dependent pyroptosis. Transcriptome sequencing results showed abnormal fatty acid metabolism in MSCs-C+ . Enhanced fatty acid β-oxidation and reactive oxygen species production activated the NLRP3 inflammasome. Adipocytes derived from MSCs-C+ secreted less adiponectin. Adiponectin promoted the differentiation of megakaryocytes and inhibited the destruction of platelets. Tacrolimus inhibited NLRP3 inflammasome activation and MSCs-C+ pyroptosis in vitro and in vivo. Tacrolimus plus danazol elicited a higher sustained response than danazol monotherapy in corticosteroid-resistant patients with ITP. Our findings demonstrate that the activation of the NLRP3 inflammasome in ITP MSCs mediated by complement could be inhibited by tacrolimus, which might be a potential new therapy for ITP.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:202

Enthalten in:

British journal of haematology - 202(2023), 5 vom: 15. Sept., Seite 995-1010

Sprache:

Englisch

Beteiligte Personen:

Cai, Xuan [VerfasserIn]
Wu, Jin [VerfasserIn]
An, Zhuo-Yu [VerfasserIn]
Wang, Chen-Cong [VerfasserIn]
Zhu, Xiao-Lu [VerfasserIn]
He, Yun [VerfasserIn]
Fu, Hai-Xia [VerfasserIn]
Huang, Xiao-Jun [VerfasserIn]
Zhang, Xiao-Hui [VerfasserIn]

Links:

Volltext

Themen:

Adiponectin
Complement
Complement C3
Danazol
Fatty Acids
Inflammasomes
Journal Article
Mesenchymal stem cells
N29QWW3BUO
NLR Family, Pyrin Domain-Containing 3 Protein
NLR Proteins
NLRP3 inflammasome
Research Support, Non-U.S. Gov't
Tacrolimus
WM0HAQ4WNM

Anmerkungen:

Date Completed 01.09.2023

Date Revised 01.09.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/bjh.18625

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM35058074X