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CXCR4+ PD-L1+ neutrophils are increased in non-survived septic mice

ABSTRACT: The dysregulated host response to infections can lead to sepsis, a complex disease characterized by a spectrum of clinical phenotypes associated with the host immune response variability and outcomes. This heterogeneity poses challenges for implementing specific therapeutic approaches. While clinical sepsis phenotypes are well distinguished, the mechanisms driving these heterogeneous responses remain poorly understood. Using an unbiased experimental approach, we analysed immune cell activation profiles in survived and non-survived CLP-septic to gain insights into the immunological mechanisms by which neutrophils contribute to the hyperinflammatory septic phenotype. Our finds reveal that non-survived septic mice exhibit increased frequencies of immature CXCR4+ PD-L1+ neutrophils and monocytes in the bloodstream, accompanied by an accumulation of trafficking-specific CXCR4+ PD-L1+ neutrophils into the lungs. The increased PD-L1 expression on CXCR4+ neutrophils is associated with increase of IFN-gamma signaling pathways. Additionally, the IFN-gamma and LPS promote an activation profile of CXCR4+ PD-L1+ neutrophils, exhibiting a phenotype associated with inflammation and organ damage. Notably, abrogating the IFN-gamma reduced susceptibility to CLP-sepsis and diminished PD-L1 expression on CXCR4+ neutrophils. This study provides molecular and functional insights into the immune cell activation profiles associated with the worsening of the septic hyperinflammatory phenotype experimental model. The CXCR4+ PD-L1+ neutrophils population and elevated plasmatic IFN-gamma levels highlighted here represent promising targets for therapeutic modulation in clinical sepsis hyperinflammatory phenotype.

ORGANISM(S): Mus musculus

PROVIDER: GSE287865 | GEO | 2025/01/31

REPOSITORIES: GEO

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Project description:Background: The disruption of the circadian clock is associated with inflammatory and immunological disorders. BMAL2, a critical circadian protein, forms a dimer with CLOCK, activating transcription. Extracellular cold-inducible RNA-binding protein (eCIRP), released during sepsis, can induce macrophage endotoxin tolerance. We hypothesized that eCIRP modulates BMAL2 expression and promotes macrophage endotoxin tolerance through triggering receptor expressed on myeloid cells-1 (TREM-1). Methods: C57BL/6 wild-type (WT) male mice were subjected to sepsis by cecal ligation and puncture (CLP). Serum was collected 20 hours post-CLP to assess eCIRP levels. Peritoneal macrophages (PerM) and immortalized bone marrow-derived macrophages (iBMDMs) were seeded into plates and treated with recombinant mouse (rm) CIRP (eCIRP) at various doses. Induction of BMAL2 activation in iBMDM was performed by transfection of BMAL2 CRISPR activation plasmid. Circadian gene expression profiles in eCIRP-treated macrophages were determined by PCR array and confirmed by qPCR. Cytokine levels in the culture supernatants were assessed by ELISA. The interaction of BMAL2 in the PD-L1 promoter was determined by computational modeling and confirmed by the BIAcore assay. Results: PCR array screening of circadian clock genes in peritoneal macrophages treated with eCIRP revealed the elevated expression of BMAL2, CRY1, and PER2. eCIRP serum levels were increased in septic mice. In eCIRP-treated macrophages, TREM-1 deficiency prevented the upregulation of these circadian genes. Macrophages pre-treated with eCIRP exhibited reduced TNFá and IL-6 release upon LPS challenge, indicating macrophage endotoxin tolerance. In addition, eCIRP increased the expression of PD-L1, IL-10, and STAT3, markers of immune tolerance. Interestingly, TREM-1 deficiency reversed eCIRP-induced macrophage endotoxin tolerance. In macrophages, inducible BMAL2 expression correlated with increased PD-L1 expression. In septic human patients, blood monocytes exhibited increased expression of BMAL2 and PD-L1 in comparison to healthy subjects. Computational modeling and BIAcore assay identified a putative binding region of BMAL2 in the PD-L1 promoter, suggesting BMAL2 positively regulates PD-L1 expression in macrophages. Conclusion: eCIRP upregulates BMAL2 expression via TREM-1, leading to macrophage endotoxin tolerance in sepsis. Targeting eCIRP to maintain circadian rhythm may correct endotoxin tolerance and enhance host resistance to bacterial infection.

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CXCR4+ PD-L1+ neutrophils are increased in non-survived septic mice

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