PMID- 36068919 OWN - NLM STAT- MEDLINE DCOM- 20230126 LR - 20240105 IS - 1525-0024 (Electronic) IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 31 IP - 1 DP - 2023 Jan 4 TI - NLRC3 expression in macrophage impairs glycolysis and host immune defense by modulating the NF-kappaB-NFAT5 complex during septic immunosuppression. PG - 154-173 LID - S1525-0016(22)00552-4 [pii] LID - 10.1016/j.ymthe.2022.08.023 [doi] AB - Impairment of innate immune cell function and metabolism underlies immunosuppression in sepsis; however, a promising therapy to orchestrate this impairment is currently lacking. In this study, high levels of NOD-like receptor family CARD domain containing-3 (NLRC3) correlated with the glycolytic defects of monocytes/macrophages from septic patients and mice that developed immunosuppression. Myeloid-specific NLRC3 deletion improved macrophage glycolysis and sepsis-induced immunosuppression. Mechanistically, NLRC3 inhibits nuclear factor (NF)-kappaB p65 binding to nuclear factor of activated T cells 5 (NFAT5), which further controls the expression of glycolytic genes and proinflammatory cytokines of immunosuppressive macrophages. This is achieved by decreasing NF-kappaB activation-co-induced by TNF-receptor-associated factor 6 (TRAF6) or mammalian target of rapamycin (mTOR)-and decreasing transcriptional co-activator p300 activity by inducing NLRC3 sequestration of mTOR and p300. Genetic inhibition of NLRC3 disrupted the NLRC3-mTOR-p300 complex and enhanced NF-kappaB binding to the NFAT5 promoter in concert with p300. Furthermore, intrapulmonary delivery of recombinant adeno-associated virus harboring a macrophage-specific NLRC3 deletion vector significantly improved the defense of septic mice that developed immunosuppression upon secondary intratracheal bacterial challenge. Collectively, these findings indicate that NLRC3 mediates critical aspects of innate immunity that contribute to an immunocompromised state during sepsis and identify potential therapeutic targets. CI - Copyright (c) 2022 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Xu, Jiqian AU - Xu J AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; Institute of Anesthesiology and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Gao, Chenggang AU - Gao C AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - He, Yajun AU - He Y AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Fang, Xiangzhi AU - Fang X AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Sun, Deyi AU - Sun D AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Peng, Zhekang AU - Peng Z AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Xiao, Hairong AU - Xiao H AD - Institute of Anesthesiology and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Sun, Miaomiao AU - Sun M AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Zhang, Pei AU - Zhang P AD - Department of Paediatrics, Jinling Hospital, School of Medicine, Nanjing University, Nanjing 210016, China. FAU - Zhou, Ting AU - Zhou T AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Yang, Xiaobo AU - Yang X AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Yu, Yuan AU - Yu Y AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Li, Ruiting AU - Li R AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Zou, Xiaojing AU - Zou X AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Shu, Huaqing AU - Shu H AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Qiu, Yang AU - Qiu Y AD - State Key Laboratory of Virology, Center for Biosafety Mega-Science, Chinese Academy of Sciences, Wuhan Institute of Virology, Wuhan 43007, China. FAU - Zhou, Xi AU - Zhou X AD - State Key Laboratory of Virology, Center for Biosafety Mega-Science, Chinese Academy of Sciences, Wuhan Institute of Virology, Wuhan 43007, China. FAU - Yuan, Shiying AU - Yuan S AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; Institute of Anesthesiology and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Yao, Shanglong AU - Yao S AD - Institute of Anesthesiology and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. FAU - Shang, You AU - Shang Y AD - Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China; Institute of Anesthesiology and Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China. Electronic address: you_shang@hust.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220906 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (NF-kappa B) RN - 0 (Nfat5 protein, mouse) RN - 0 (NLRC3 protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - 0 (Transcription Factors) SB - IM MH - Animals MH - Mice MH - *Intercellular Signaling Peptides and Proteins/metabolism MH - *Macrophages/immunology MH - *NF-kappa B/metabolism MH - *Sepsis/immunology/metabolism MH - TOR Serine-Threonine Kinases/metabolism MH - *Transcription Factors/metabolism MH - *Immune Tolerance MH - Immunocompromised Host PMC - PMC9840117 OTO - NOTNLM OT - NLRC3 OT - gene therapy OT - host immune defense OT - immunometabolism OT - macrophages OT - sepsis-induced immunosuppression COIS- Declaration of interests The authors declare that they have no competing interests. EDAT- 2022/09/08 06:00 MHDA- 2023/01/10 06:00 PMCR- 2024/01/04 CRDT- 2022/09/07 01:54 PHST- 2022/02/07 00:00 [received] PHST- 2022/06/23 00:00 [revised] PHST- 2022/08/30 00:00 [accepted] PHST- 2022/09/08 06:00 [pubmed] PHST- 2023/01/10 06:00 [medline] PHST- 2022/09/07 01:54 [entrez] PHST- 2024/01/04 00:00 [pmc-release] AID - S1525-0016(22)00552-4 [pii] AID - 10.1016/j.ymthe.2022.08.023 [doi] PST - ppublish SO - Mol Ther. 2023 Jan 4;31(1):154-173. doi: 10.1016/j.ymthe.2022.08.023. Epub 2022 Sep 6.