PMID- 36479683 OWN - NLM STAT- MEDLINE DCOM- 20230314 LR - 20230415 IS - 1476-5381 (Electronic) IS - 0007-1188 (Linking) VI - 180 IP - 8 DP - 2023 Apr TI - Chemotherapy-induced phlebitis via the GBP5/NLRP3 inflammasome axis and the therapeutic effect of aescin. PG - 1132-1147 LID - 10.1111/bph.16002 [doi] AB - BACKGROUND AND PURPOSE: Intravenous infusion of chemotherapy drugs can cause severe chemotherapy-induced phlebitis (CIP) in patients. However, the underlying mechanism of CIP development remains unclear. EXPERIMENTAL APPROACH: RNA-sequencing analysis was used to identify potential disease targets in CIP. Guanylate binding protein-5 (GBP5) genetic deletion approaches also were used to investigate the role of GBP5 in NLR family pyrin domain containing 3 (NLRP3) inflammasome activation in lipopolysaccharide (LPS) primed murine bone-marrow-derived macrophages (BMDMs) induced by vinorelbine (VIN) in vitro and in mouse models of VIN-induced CIP in vivo. The anti-CIP effect of aescin was evaluated, both in vivo and in vivo. KEY RESULTS: Here, we show that the expression of GBP5 was upregulated in human peripheral blood mononuclear cells from CIP patients. Genetic ablation of GBP5 in murine macrophages significantly alleviated VIN-induced CIP in the experimental mouse model. Mechanistically, GBP5 contributed to the inflammatory responses through activating NLRP3 inflammasome and driving the production of the inflammatory cytokine IL-1beta. Moreover, aescin, a mixture of triterpene saponins extracted from horse chestnut seed, can alleviate CIP by inhibiting the GBP5/NLRP3 axis. CONCLUSION AND IMPLICATIONS: These findings suggest that GBP5 is an important regulator of NLRP3 inflammasome in CIP mouse model. Our work further reveals that aescin may serve as a promising candidate in the clinical treatment of CIP. CI - (c) 2022 British Pharmacological Society. FAU - Liu, Peng AU - Liu P AD - School of Pharmaceutical Sciences, South-Central Minzu University, Wuhan, China. FAU - Ye, Lichun AU - Ye L AD - School of Pharmacy, Hubei University of Chinese Medicine, Wuhan, China. FAU - Ren, Yongshen AU - Ren Y AD - School of Pharmaceutical Sciences, South-Central Minzu University, Wuhan, China. FAU - Zhao, Guodun AU - Zhao G AD - Center for Neurological and Psychiatric Research and Drug Discovery, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China. AD - School of Chinese Materia Medica, Nanjing University of Chinese Medicine, Nanjing, China. FAU - Zhang, Yun AU - Zhang Y AD - Center for Neurological and Psychiatric Research and Drug Discovery, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China. AD - School of Chinese Materia Medica, Nanjing University of Chinese Medicine, Nanjing, China. FAU - Lu, Shaojuan AU - Lu S AD - School of Medicine, Tongji University, Shanghai, China. FAU - Li, Qiang AU - Li Q AD - School of Pharmaceutical Sciences, South-Central Minzu University, Wuhan, China. FAU - Wu, Chen AU - Wu C AD - School of Pharmaceutical Sciences, South-Central Minzu University, Wuhan, China. FAU - Bai, Lijie AU - Bai L AD - School of Pharmaceutical Sciences, South-Central Minzu University, Wuhan, China. FAU - Zhang, Zhongyun AU - Zhang Z AD - School of Pharmaceutical Sciences, South-Central Minzu University, Wuhan, China. FAU - Zhao, Zhongqiu AU - Zhao Z AD - Center for the Study of Itch, Department of Anesthesiology, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA. AD - Barnes-Jewish Hospital, St. Louis, Missouri, USA. FAU - Shi, Zhaohua AU - Shi Z AD - School of Pharmacy, Hubei University of Chinese Medicine, Wuhan, China. FAU - Yin, Shijin AU - Yin S AD - School of Pharmaceutical Sciences, South-Central Minzu University, Wuhan, China. FAU - Liao, Maochuan AU - Liao M AD - School of Pharmaceutical Sciences, South-Central Minzu University, Wuhan, China. FAU - Lan, Zhou AU - Lan Z AD - School of Pharmacy, Hubei University of Chinese Medicine, Wuhan, China. FAU - Feng, Jing AU - Feng J AUID- ORCID: 0000-0001-6726-7912 AD - Center for Neurological and Psychiatric Research and Drug Discovery, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China. AD - School of Chinese Materia Medica, Nanjing University of Chinese Medicine, Nanjing, China. FAU - Chen, Lvyi AU - Chen L AUID- ORCID: 0000-0002-4318-3033 AD - School of Pharmaceutical Sciences, South-Central Minzu University, Wuhan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221226 PL - England TA - Br J Pharmacol JT - British journal of pharmacology JID - 7502536 RN - 0 (Inflammasomes) RN - 0 (NLR Family, Pyrin Domain-Containing 3 Protein) RN - 6805-41-0 (Escin) RN - 0 (Antineoplastic Agents) RN - 0 (Lipopolysaccharides) RN - 0 (Interleukin-1beta) RN - 0 (GBP5 protein, human) RN - EC 3.6.1.- (GTP-Binding Proteins) RN - EC 3.6.1.- (Gbp5 protein, mouse) RN - 0 (Nlrp3 protein, mouse) SB - IM MH - Humans MH - Animals MH - Mice MH - Inflammasomes/metabolism MH - NLR Family, Pyrin Domain-Containing 3 Protein/metabolism MH - Escin MH - Leukocytes, Mononuclear/metabolism MH - *Phlebitis MH - *Antineoplastic Agents MH - Lipopolysaccharides/pharmacology MH - Interleukin-1beta/metabolism MH - GTP-Binding Proteins/metabolism OTO - NOTNLM OT - GBP5 OT - NLRP3 inflammasome OT - aescin OT - phlebitis OT - vinorelbine EDAT- 2022/12/09 06:00 MHDA- 2023/03/15 06:00 CRDT- 2022/12/08 14:15 PHST- 2022/10/03 00:00 [revised] PHST- 2022/04/24 00:00 [received] PHST- 2022/11/28 00:00 [accepted] PHST- 2022/12/09 06:00 [pubmed] PHST- 2023/03/15 06:00 [medline] PHST- 2022/12/08 14:15 [entrez] AID - 10.1111/bph.16002 [doi] PST - ppublish SO - Br J Pharmacol. 2023 Apr;180(8):1132-1147. doi: 10.1111/bph.16002. Epub 2022 Dec 26.