PMID- 32729925 OWN - NLM STAT- MEDLINE DCOM- 20220210 LR - 20220210 IS - 1537-6613 (Electronic) IS - 0022-1899 (Linking) VI - 223 IP - 6 DP - 2021 Mar 29 TI - Peptidylarginine Deiminases 2 Mediates Caspase-1-Associated Lethality in Pseudomonas aeruginosa Pneumonia-Induced Sepsis. PG - 1093-1102 LID - 10.1093/infdis/jiaa475 [doi] AB - BACKGROUND: Pseudomonas aeruginosa (PA) is a pathogenic bacterium that causes severe pneumonia in critically ill and immunocompromised patients. Peptidylarginine deiminase (PAD) 2, PAD4, and caspase-1 are important enzymes in mediating host response to infection. The goal of this study was to determine the interplay between PAD2, PAD4, and caspase-1 in PA pneumonia-induced sepsis. METHODS: Pneumonia was produced in wild-type, Pad2-/-, and Pad4-/- mice by intranasal inoculation of PA (2.5 x 106 colony-forming units per mouse), and survival (n = 15/group) was monitored for 10 days. Bone marrow-derived macrophages (BMDMs) were isolated for in vitro studies. Samples were collected at specific timepoints for Western blot, bacterial load determination, and flow cytometry analysis. RESULTS: Caspase-1-dependent inflammation was diminished in PA-inoculated Pad2-/- mice, contributing to reduced macrophage death and enhanced bacterial clearance. In addition, Pad2-/- mice exhibited improved survival and attenuated acute lung injury after PA infection. In contrast, Pad4-/- mice did not display diminished caspase-1 activation, altered bacterial loads, or improved survival. CONCLUSIONS: Peptidylarginine deiminase 2 plays an essential role in the pathogenesis of pulmonary sepsis by mediating caspase-1 activation. This goes against previous findings of PAD4 in sepsis. Our study suggests that PAD2 is a potential therapeutic target of PA pneumonia-induced sepsis. CI - (c) The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com. FAU - Wu, Zhenyu AU - Wu Z AD - Department of Surgery, University of Michigan Hospital, Ann Arbor, Michigan, USA. AD - Department of Infectious Diseases, Xiangya 2nd Hospital, Changsha, Hunan, China. FAU - Tian, Yuzi AU - Tian Y AD - Department of Surgery, University of Michigan Hospital, Ann Arbor, Michigan, USA. AD - Department of Rheumatoid Diseases, Xiangya Hospital, Changsha, Hunan, China. FAU - Alam, Hasan B AU - Alam HB AD - Department of Surgery, University of Michigan Hospital, Ann Arbor, Michigan, USA. FAU - Li, Patrick AU - Li P AD - Department of Surgery, University of Michigan Hospital, Ann Arbor, Michigan, USA. FAU - Duan, Xiuzhen AU - Duan X AD - Department of Pathology, Loyola University Medical Center, Maywood, Illinois, USA. FAU - Williams, Aaron M AU - Williams AM AD - Department of Surgery, University of Michigan Hospital, Ann Arbor, Michigan, USA. FAU - Liu, Baoling AU - Liu B AD - Department of Surgery, University of Michigan Hospital, Ann Arbor, Michigan, USA. FAU - Ma, Jianjie AU - Ma J AD - Department of Surgery, Division of Cardiac Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. FAU - Li, Yongqing AU - Li Y AD - Department of Surgery, University of Michigan Hospital, Ann Arbor, Michigan, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Infect Dis JT - The Journal of infectious diseases JID - 0413675 RN - EC 3.4.22.36 (Caspase 1) RN - EC 3.5.3.15 (Protein-Arginine Deiminase Type 2) RN - EC 3.5.3.15 (Protein-Arginine Deiminase Type 4) SB - IM MH - Animals MH - *Caspase 1 MH - Mice MH - Mice, Knockout MH - *Pneumonia, Bacterial/enzymology MH - Protein-Arginine Deiminase Type 2/*metabolism MH - Protein-Arginine Deiminase Type 4 MH - Pseudomonas aeruginosa MH - *Sepsis/complications/microbiology OTO - NOTNLM OT - Pseudomonas aeruginosa pneumonia OT - caspase-1 OT - peptidylarginine deiminases 2 and 4 OT - pyroptosis OT - sepsis EDAT- 2020/07/31 06:00 MHDA- 2022/02/11 06:00 CRDT- 2020/07/31 06:00 PHST- 2020/06/15 00:00 [received] PHST- 2020/07/24 00:00 [accepted] PHST- 2020/07/31 06:00 [pubmed] PHST- 2022/02/11 06:00 [medline] PHST- 2020/07/31 06:00 [entrez] AID - 5878917 [pii] AID - 10.1093/infdis/jiaa475 [doi] PST - ppublish SO - J Infect Dis. 2021 Mar 29;223(6):1093-1102. doi: 10.1093/infdis/jiaa475.