PMID- 31428103 OWN - NLM STAT- MEDLINE DCOM- 20201013 LR - 20201013 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 10 DP - 2019 TI - The Caspase Inhibitor Z-VAD-FMK Alleviates Endotoxic Shock via Inducing Macrophages Necroptosis and Promoting MDSCs-Mediated Inhibition of Macrophages Activation. PG - 1824 LID - 10.3389/fimmu.2019.01824 [doi] LID - 1824 AB - Macrophages play a critical role in the pathogenesis of endotoxin shock by producing excessive amounts of pro-inflammatory cytokines. A pan-caspase inhibitor, zVAD, can be used to induce necroptosis under certain stimuli. The role of zVAD in both regulating the survival and activation of macrophages, and the pathogenesis of endotoxin shock remains not entirely clear. Here, we found that treatment of mice with zVAD could significantly reduce mortality and alleviate disease after lipopolysaccharide (LPS) challenge. Notably, in LPS-challenged mice, treatment with zVAD could also reduce the percentage of peritoneal macrophages by promoting necroptosis and inhibiting pro-inflammatory responses in macrophages. In vitro studies showed that pretreatment with zVAD promoted LPS-induced nitric oxide-mediated necroptosis of bone marrow-derived macrophages (BMDMs), leading to reduced pro-inflammatory cytokine secretion. Interestingly, zVAD treatment promoted the accumulation of myeloid-derived suppressor cells (MDSCs) in a mouse model of endotoxin shock, and this process inhibited LPS-induced pro-inflammatory responses in macrophages. Based on these findings, we conclude that treatment with zVAD alleviates LPS-induced endotoxic shock by inducing macrophage necroptosis and promoting MDSC-mediated inhibition of macrophage activation. Thus, this study provides insights into the effects of zVAD treatment in inflammatory diseases, especially endotoxic shock. FAU - Li, Xuehui AU - Li X AD - Cheeloo College of Medicine, Shandong University, Jinan, China. FAU - Yao, Xiaoying AU - Yao X AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Zhu, Yuzhen AU - Zhu Y AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Zhang, Hui AU - Zhang H AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Wang, Haiyan AU - Wang H AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Ma, Qun AU - Ma Q AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Yan, Fenglian AU - Yan F AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Yang, Yonghong AU - Yang Y AD - Department of Central Laboratory, Affiliated Hospital of Jining Medical University, Jining, China. FAU - Zhang, Junfeng AU - Zhang J AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Shi, Hui AU - Shi H AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Ning, Zhaochen AU - Ning Z AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Dai, Jun AU - Dai J AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Li, Zhihua AU - Li Z AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Li, Chunxia AU - Li C AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Su, Fei AU - Su F AD - Institute of Animal Husbandry and Veterinary Sciences, Zhejiang Academy of Agricultural Sciences, Hangzhou, China. FAU - Xue, Yin AU - Xue Y AD - Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China. FAU - Meng, Xiangzhi AU - Meng X AD - Department of Microbiology, Immunology, and Molecular Genetics, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States. FAU - Dong, Guanjun AU - Dong G AD - Institute of Immunology and Molecular Medicine, Jining Medical University, Jining, China. FAU - Xiong, Huabao AU - Xiong H AD - Department of Medicine, Icahn School of Medicine at Mount Sinai, Precision Immunology Institute, New York, NY, United States. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190802 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Amino Acid Chloromethyl Ketones) RN - 0 (Caspase Inhibitors) RN - 0 (Lipopolysaccharides) RN - 0 (benzyloxycarbonylvalyl-alanyl-aspartyl fluoromethyl ketone) RN - EC 3.4.22.- (Caspases) SB - IM MH - Amino Acid Chloromethyl Ketones/*pharmacology MH - Animals MH - Apoptosis/drug effects MH - Caspase Inhibitors/*pharmacology MH - Caspases/metabolism MH - Female MH - Lipopolysaccharides/pharmacology MH - Macrophage Activation/*drug effects MH - Macrophages, Peritoneal/*drug effects MH - Mice MH - Mice, Inbred C57BL MH - Myeloid-Derived Suppressor Cells/*drug effects/metabolism MH - Necroptosis/*drug effects MH - Shock, Septic/*drug therapy/metabolism PMC - PMC6687755 OTO - NOTNLM OT - MDSCs OT - endotoxin shock OT - macrophage OT - necroptosis OT - zVAD EDAT- 2019/08/21 06:00 MHDA- 2020/10/21 06:00 PMCR- 2019/01/01 CRDT- 2019/08/21 06:00 PHST- 2019/03/23 00:00 [received] PHST- 2019/07/18 00:00 [accepted] PHST- 2019/08/21 06:00 [entrez] PHST- 2019/08/21 06:00 [pubmed] PHST- 2020/10/21 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2019.01824 [doi] PST - epublish SO - Front Immunol. 2019 Aug 2;10:1824. doi: 10.3389/fimmu.2019.01824. eCollection 2019.