PMID- 36164563 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220928 IS - 2405-5808 (Electronic) IS - 2405-5808 (Linking) VI - 32 DP - 2022 Dec TI - MDSCs participate in the pathogenesis of diffuse pulmonary hemorrhage in murine lupus through mTOR-FoxO1 signaling. PG - 101351 LID - 10.1016/j.bbrep.2022.101351 [doi] LID - 101351 AB - Diffuse pulmonary hemorrhage (DPH) is a common respiratory complication in patients with systemic lupus erythematosus (SLE). Our previous study found that myeloid-derived suppressor cells (MDSCs) have an important role in SLE pathogenesis. In this study, we further examined the role of MDSCs in the DPH mice model. We first observed an increased proportion of MDSCs and impaired immunosuppressive function in bronchoalveolar lavage fluid (BALF) and peritoneal cavity in the DPH mice model induced by pristane. By injecting anti-Gr-1 antibody, we found that MDSCs clearance can significantly alleviate DPH symptoms. The detection of downstream molecules proved that the mTOR signaling pathway was obviously activated in purified DPH MDSCs. After treatment of DPH model mice with AMPK agonist metformin, mammalian target of rapamycin (mTOR) inhibitor INK128, and rapamycin, respectively, we observed that inhibition of the mTOR signal alleviated DPH symptoms, inhibited the expansion of mononuclear MDSCs (M-MDSCs) and the differentiation of pro-inflammatory M1 macrophages (M1), which, in turn, promoted the expansion of granulocytes MDSCs (G-MDSCs) and differentiation of anti-inflammatory M2 macrophages (M2). We then demonstrated that inhibition of the mTOR signal increased the expansion of G-MDSCs, promoted M-MDSCs differentiation into M2 and inhibited their differentiation into M1 by administering TLR7 agonist R848 in vitro to simulate lupus environment. In addition, we also observed increased forkhead box-O1 (FoxO1) expression in M-MDSCs and macrophages after mTOR signal inhibition, both in vivo and in vitro. After down-regulation of FoxO1 by siRNA transfection, the regulatory effects of mTOR signal inhibition on M-MDSCs, M1 and M2 were reversed. Taken together, inhibition of the AMPK/mTOR signal could alleviate lupus-like diffuse lung injury by inducing M-MDSCs to differentiate into M2 by up-regulating FoxO1. CI - (c) 2022 The Authors. FAU - Tan, Liping AU - Tan L AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, PR China. AD - Jiangsu Key Laboratory of Molecular Medicine, Nanjing, 210093, PR China. FAU - Shi, Guoping AU - Shi G AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, PR China. AD - Jiangsu Key Laboratory of Molecular Medicine, Nanjing, 210093, PR China. FAU - Zhao, Junyu AU - Zhao J AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, PR China. AD - Jiangsu Key Laboratory of Molecular Medicine, Nanjing, 210093, PR China. FAU - Xia, Xiaoyu AU - Xia X AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, PR China. AD - Jiangsu Key Laboratory of Molecular Medicine, Nanjing, 210093, PR China. FAU - Li, Dan AU - Li D AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, PR China. AD - Jiangsu Key Laboratory of Molecular Medicine, Nanjing, 210093, PR China. FAU - Wang, Saiwen AU - Wang S AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, PR China. AD - Jiangsu Key Laboratory of Molecular Medicine, Nanjing, 210093, PR China. FAU - Liang, Jun AU - Liang J AD - Department of Rheumatology and Immunology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, 210008, PR China. FAU - Hou, Yayi AU - Hou Y AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, PR China. AD - Jiangsu Key Laboratory of Molecular Medicine, Nanjing, 210093, PR China. FAU - Dou, Huan AU - Dou H AD - The State Key Laboratory of Pharmaceutical Biotechnology, Division of Immunology, Medical School, Nanjing University, Nanjing, 210093, PR China. AD - Jiangsu Key Laboratory of Molecular Medicine, Nanjing, 210093, PR China. LA - eng PT - Journal Article DEP - 20220922 PL - Netherlands TA - Biochem Biophys Rep JT - Biochemistry and biophysics reports JID - 101660999 PMC - PMC9507990 OTO - NOTNLM OT - Diffuse pulmonary hemorrhage OT - Forkhead box-O1 OT - Macrophage OT - Mammalian target of rapamycin OT - Myeloid-derived suppressor cells OT - Systemic lupus erythematosus COIS- The authors declare that they have no known competing financialinterestsor personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/09/28 06:00 MHDA- 2022/09/28 06:01 PMCR- 2022/09/22 CRDT- 2022/09/27 02:02 PHST- 2022/06/21 00:00 [received] PHST- 2022/09/14 00:00 [revised] PHST- 2022/09/15 00:00 [accepted] PHST- 2022/09/27 02:02 [entrez] PHST- 2022/09/28 06:00 [pubmed] PHST- 2022/09/28 06:01 [medline] PHST- 2022/09/22 00:00 [pmc-release] AID - S2405-5808(22)00151-0 [pii] AID - 101351 [pii] AID - 10.1016/j.bbrep.2022.101351 [doi] PST - epublish SO - Biochem Biophys Rep. 2022 Sep 22;32:101351. doi: 10.1016/j.bbrep.2022.101351. eCollection 2022 Dec.