PMID- 35411633 OWN - NLM STAT- MEDLINE DCOM- 20221003 LR - 20221106 IS - 1938-3673 (Electronic) IS - 0741-5400 (Linking) VI - 112 IP - 4 DP - 2022 Oct TI - Erythrocyte-derived extracellular vesicles aggravate inflammation by promoting the proinflammatory macrophage phenotype through TLR4-MyD88-NF-kappaB-MAPK pathway. PG - 693-706 LID - 10.1002/JLB.3A0821-451RR [doi] AB - Transfusion of stored erythrocytes is associated with the increased risk of morbidity and mortality in critical infections, but the mechanism is incompletely understood. Previous studies have suggested that RBC-derived extracellular vesicles (EVs) may be potential risk factors for the occurrence of transfusion-related immunomodulation. The purpose of our study was to evaluate the effects of RBC-derived EVs under inflammatory conditions and explore the underlying mechanisms. In vivo, the activity of EVs was evaluated in cecal ligation and puncture (CLP)-induced sepsis. Our results showed that EVs significantly aggravated the inflammatory response to sepsis in serum and lung tissue by promoting the production of the proinflammatory factors tumor necrosis factor-alpha (TNF-alpha)-interleukin-6(IL-6), and interleukin-1beta (IL-1beta) and reduced the survival rate of septic mice in vivo. Importantly, adoptive transfer of EVs-pretreated bone marrow-derived macrophages (BMDMs) obviously aggravated systemic proinflammatory factors in mice after CLP surgery. In vitro, the proinflammatory properties of EVs were shown to elevate TNF-alpha, IL-6, and IL-1beta levels in lipopolysaccharide (LPS)-stimulated BMDMs. Moreover, EVs promoted LPS-induced macrophage polarization into a proinflammatory phenotype. The underlying mechanism might involve EV-mediated up-regulation of TLR4-MyD88-NF-kappaB-MAPK activity to favor macrophage cytokine production. CI - (c)2022 Society for Leukocyte Biology. FAU - Gao, Yuhan AU - Gao Y AD - Department of Blood Transfusion, Peking University People's Hospital, Beijing, China. FAU - Jin, Haiqiang AU - Jin H AD - Department of Neurology, Peking University First Hospital, Beijing, China. FAU - Tan, Hui AU - Tan H AD - Department of Neurosurgery, Shenzhen Second People's Hospital, Shenzhen, China. FAU - Cai, Xiaodong AU - Cai X AD - Department of Neurosurgery, Shenzhen Second People's Hospital, Shenzhen, China. FAU - Sun, Yongan AU - Sun Y AD - Department of Neurology, Peking University First Hospital, Beijing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220412 PL - England TA - J Leukoc Biol JT - Journal of leukocyte biology JID - 8405628 RN - 0 (Interleukin-1beta) RN - 0 (Interleukin-6) RN - 0 (Lipopolysaccharides) RN - 0 (Myd88 protein, mouse) RN - 0 (Myeloid Differentiation Factor 88) RN - 0 (NF-kappa B) RN - 0 (Tlr4 protein, mouse) RN - 0 (Toll-Like Receptor 4) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Erythrocytes MH - *Extracellular Vesicles/metabolism MH - Inflammation MH - Interleukin-1beta/metabolism MH - Interleukin-6/metabolism MH - Lipopolysaccharides/pharmacology MH - Macrophages/metabolism MH - Mice MH - Myeloid Differentiation Factor 88/metabolism MH - NF-kappa B/metabolism MH - Phenotype MH - *Sepsis MH - Toll-Like Receptor 4/metabolism MH - Tumor Necrosis Factor-alpha/metabolism OTO - NOTNLM OT - extracellular vesicle OT - inflammatory response OT - macrophage EDAT- 2022/04/13 06:00 MHDA- 2022/10/04 06:00 CRDT- 2022/04/12 05:33 PHST- 2022/03/12 00:00 [revised] PHST- 2021/08/23 00:00 [received] PHST- 2022/04/13 06:00 [pubmed] PHST- 2022/10/04 06:00 [medline] PHST- 2022/04/12 05:33 [entrez] AID - 10.1002/JLB.3A0821-451RR [doi] PST - ppublish SO - J Leukoc Biol. 2022 Oct;112(4):693-706. doi: 10.1002/JLB.3A0821-451RR. Epub 2022 Apr 12.