PMID- 37206550 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230522 IS - 1792-1015 (Electronic) IS - 1792-0981 (Print) IS - 1792-0981 (Linking) VI - 25 IP - 6 DP - 2023 Jun TI - IL‑37 suppresses macrophage ferroptosis to attenuate diabetic atherosclerosis via the NRF2 pathway. PG - 289 LID - 10.3892/etm.2023.11988 [doi] LID - 289 AB - IL-37 is a newly discovered inflammatory factor. However, the protective effect and underlying mechanisms of IL-37 on atherosclerosis remain unclear. In the present study, IL-37 was used for intraperitoneal injection in diabetic ApoE(-/-) mice caused by streptozotocin. High glucose (HG)/ox-LDL was used to stimulate THP-1 original macrophage followed by IL-37 pretreatment in vitro. The atheromatous plaque area, oxidative stress and inflammation levels in ApoE(-/-) mice were evaluated, and the level of macrophage ferroptosis was detected in vivo and in vitro. It was identified that IL-37 treatment significantly decreased plaque area in diabetic ApoE(-/-) mice. IL-37 not only improved blood lipid levels in mice, but also reduced serum levels of inflammatory factors including IL-1beta and IL-18. Furthermore, IL-37 increased GPX4 and nuclear factor erythroid 2-related factor 2 (NRF2) in the aorta of diabetic mice. In vitro experiment revealed that IL-37 inhibited HG/ox-LDL-induced ferroptosis in macrophages, as evidenced by improved cell membrane oxidation, reduced malondialdehyde production and increased GPX4 expression. Moreover, it was also found that IL-37 enhanced the nuclear translocation of NRF2 in macrophages, while ML385, a specific NRF2 inhibitor, significantly attenuated the protective effect of IL-37 on macrophage ferroptosis caused by HG/ox-LDL. In conclusion, IL-37 suppressed macrophage ferroptosis to attenuate atherosclerosis progression via activating the NRF2 pathway. CI - Copyright: (c) Xu et al. FAU - Xu, Jinmei AU - Xu J AD - Department of Endocrinology, Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, P.R. China. FAU - Han, Xu AU - Han X AD - Medical Laboratory, Harbin Medical University, Daqing, Heilongjiang 163001, P.R. China. FAU - Xia, Nan AU - Xia N AD - Department of Endocrinology, Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, P.R. China. FAU - Zhao, Qingsong AU - Zhao Q AD - Department of Endocrinology, Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, P.R. China. FAU - Cheng, Zhifeng AU - Cheng Z AD - Department of Endocrinology, Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, P.R. China. LA - eng PT - Journal Article DEP - 20230503 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 PMC - PMC10189585 OTO - NOTNLM OT - IL-37 OT - atherosclerosis OT - ferroptosis OT - novel inflammatory factors OT - oxidative stress COIS- The authors declare that they have no competing interests. EDAT- 2023/05/19 19:15 MHDA- 2023/05/19 19:16 PMCR- 2023/05/03 CRDT- 2023/05/19 15:42 PHST- 2022/11/22 00:00 [received] PHST- 2023/03/16 00:00 [accepted] PHST- 2023/05/19 19:16 [medline] PHST- 2023/05/19 19:15 [pubmed] PHST- 2023/05/19 15:42 [entrez] PHST- 2023/05/03 00:00 [pmc-release] AID - ETM-25-6-11988 [pii] AID - 10.3892/etm.2023.11988 [doi] PST - epublish SO - Exp Ther Med. 2023 May 3;25(6):289. doi: 10.3892/etm.2023.11988. eCollection 2023 Jun.