PMID- 34440821 OWN - NLM STAT- MEDLINE DCOM- 20211119 LR - 20211119 IS - 2073-4409 (Electronic) IS - 2073-4409 (Linking) VI - 10 IP - 8 DP - 2021 Aug 10 TI - The Cell-Permeable Derivative of the Immunoregulatory Metabolite Itaconate, 4-Octyl Itaconate, Is Anti-Fibrotic in Systemic Sclerosis. LID - 10.3390/cells10082053 [doi] LID - 2053 AB - Systemic sclerosis (SSc) is an autoimmune connective tissue disease that leads to skin fibrosis. Altered metabolism has recently been described in autoimmune diseases and SSc. Itaconate is a product of the Krebs cycle intermediate cis-aconitate and is an immunomodulator. This work examines the role of the cell-permeable derivative of itaconate, 4-octyl itaconate (4-OI), in SSc. SSc and healthy dermal fibroblasts were exposed to 4-OI. The levels of collagen Nrf2-target genes and pro-inflammatory cytokines interleukin 6 (IL-6) and monocyte chemotactic protein 1 (MCP-1) were determined. Levels of reactive oxygen species (ROS) as well as the gene expression of collagen and Cellular Communication Network Factor 2 (CCN2) were measured after transforming growth factor beta 1 (TGF-beta1) stimulation in the presence or absence of 4-OI. Wild-type or Nrf2-knockout (Nrf2-KO) mouse embryonic fibroblasts (MEFs) were also treated with 4-OI to determine the role of Nrf2 in 4-OI-mediated effects. 4-OI reduced the levels of collagen in SSc dermal fibroblasts. Incubation with 4-OI led to activation of Nrf2 and its target genes heme oxygenase 1 (HO-1) and NAD(P)H quinone oxidoreductase 1 (NQO1). 4-OI activated antioxidant response element (ARE)-dependent gene expression, reduced inflammatory cytokine release and reduced TGF-beta1-induced collagen and ROS production in dermal fibroblasts. The effects of 4-OI are dependent on Nrf2. The cell-permeable derivative of itaconate 4-OI is anti-fibrotic through upregulation of Nrf2 and could be a potential therapeutic option in an intractable disease. FAU - Henderson, John AU - Henderson J AD - Applied Sciences, NorthuMbria University, Ellison Place, Newcastle Upon Tyne NE7 7XA, UK. FAU - Dayalan Naidu, Sharadha AU - Dayalan Naidu S AD - Cellular Medicine, School of Medicine, University of Dundee, Dundee DD1 4HN, UK. FAU - Dinkova-Kostova, Albena T AU - Dinkova-Kostova AT AUID- ORCID: 0000-0003-0316-9859 AD - Cellular Medicine, School of Medicine, University of Dundee, Dundee DD1 4HN, UK. FAU - Przyborski, Stefan AU - Przyborski S AD - Biosciences, Durham University, South Road, Durham DH1 3LE, UK. FAU - Stratton, Richard AU - Stratton R AD - Institute of Inflammation, University College London, Pond Street, London WC1E 6BT, UK. FAU - O Reilly, Steven AU - O Reilly S AD - Biosciences, Durham University, South Road, Durham DH1 3LE, UK. LA - eng PT - Journal Article DEP - 20210810 PL - Switzerland TA - Cells JT - Cells JID - 101600052 RN - 0 (4-octyl itaconate) RN - 0 (Interleukin-6) RN - 0 (MIRN29 microRNA, mouse) RN - 0 (MicroRNAs) RN - 0 (NF-E2-Related Factor 2) RN - 0 (Nfe2l2 protein, mouse) RN - 0 (Reactive Oxygen Species) RN - 0 (Succinates) RN - 0 (Transforming Growth Factor beta1) RN - 139568-91-5 (Connective Tissue Growth Factor) RN - 9007-34-5 (Collagen) RN - EC 1.14.14.18 (Heme Oxygenase-1) RN - EC 1.6.5.2 (NAD(P)H Dehydrogenase (Quinone)) RN - EC 1.6.5.2 (Nqo1 protein, mouse) RN - Q4516562YH (itaconic acid) SB - IM MH - Animals MH - Antioxidant Response Elements/drug effects/genetics MH - Collagen/metabolism MH - Connective Tissue Growth Factor/metabolism MH - Down-Regulation/*drug effects MH - Fibroblasts/cytology/drug effects/metabolism MH - Heme Oxygenase-1/genetics/metabolism MH - Humans MH - Interleukin-6/metabolism MH - Mice MH - Mice, Knockout MH - MicroRNAs/genetics/metabolism MH - NAD(P)H Dehydrogenase (Quinone)/genetics/metabolism MH - NF-E2-Related Factor 2/deficiency/genetics MH - Reactive Oxygen Species/metabolism MH - Scleroderma, Systemic/metabolism/*pathology MH - Succinates/*pharmacology MH - Transforming Growth Factor beta1/pharmacology MH - Up-Regulation/*drug effects PMC - PMC8393335 OTO - NOTNLM OT - Nrf2 OT - fibrosis OT - itaconate OT - metabolism OT - systemic sclerosis COIS- The authors declare no conflict of interest. EDAT- 2021/08/28 06:00 MHDA- 2021/11/20 06:00 PMCR- 2021/08/10 CRDT- 2021/08/27 01:08 PHST- 2021/06/16 00:00 [received] PHST- 2021/07/16 00:00 [revised] PHST- 2021/08/06 00:00 [accepted] PHST- 2021/08/27 01:08 [entrez] PHST- 2021/08/28 06:00 [pubmed] PHST- 2021/11/20 06:00 [medline] PHST- 2021/08/10 00:00 [pmc-release] AID - cells10082053 [pii] AID - cells-10-02053 [pii] AID - 10.3390/cells10082053 [doi] PST - epublish SO - Cells. 2021 Aug 10;10(8):2053. doi: 10.3390/cells10082053.