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CLEC5A is critical in Pseudomonas aeruginosa–induced NET formation and acute lung injury
Pei-Shan Sung, Yu-Chun Peng, Shao-Ping Yang, Cheng-Hsun Chiu, Shie-Liang Hsieh
Pei-Shan Sung, Yu-Chun Peng, Shao-Ping Yang, Cheng-Hsun Chiu, Shie-Liang Hsieh
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Research Article Infectious disease Inflammation

CLEC5A is critical in Pseudomonas aeruginosa–induced NET formation and acute lung injury

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Abstract

Pseudomonas aeruginosa is one of the most common nosocomial infections worldwide, and it frequently causes ventilator-associated acute pneumonia in immunocompromised patients. Abundant neutrophil extracellular traps (NETs) contribute to acute lung injury, thereby aggravating ventilator-induced lung damage. While pattern recognition receptors (PRRs) TLR4 and TLR5 are required for host defense against P. aeruginosa invasion, the PRR responsible for P. aeruginosa–induced NET formation, proinflammatory cytokine release, and acute lung injury remains unclear. We found that myeloid C-type lectin domain family 5 member A (CLEC5A) interacts with LPS of P. aeruginosa and is responsible for P. aeruginosa–induced NET formation and lung inflammation. P. aeruginosa activates CLEC5A to induce caspase-1–dependent NET formation, but it neither causes gasdermin D (GSDMD) cleavage nor contributes to P. aeruginosa–induced neutrophil death. Blockade of CLEC5A attenuates P. aeruginosa–induced NETosis and lung injury, and simultaneous administration of anti-CLEC5A mAb with ciprofloxacin increases survival rate and decreases collagen deposition in the lungs of mice challenged with a lethal dose of P. aeruginosa. Thus, CLEC5A is a promising therapeutic target to reduce ventilator-associated lung injury and fibrosis in P. aeruginosa–induced pneumonia.

Authors

Pei-Shan Sung, Yu-Chun Peng, Shao-Ping Yang, Cheng-Hsun Chiu, Shie-Liang Hsieh

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Figure 1

P. aeruginosa induces caspase-1–dependent NET formation via CLEC5A.

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P. aeruginosa induces caspase-1–dependent NET formation via CLEC5A.
(A ...
(A and B) Neutrophils from WT, Clec5a–/–, Tlr2–/–, and Tlr4–/– mice were stimulated with LPS from E. coli, Klebsiella pneumoniae (K.p), and P. aeruginosa PAO1 (10 μg/mL) in the presence or absence of the antibiotic polymyxin B (10 μg/mL) (n = 5 independent experiments) (A), or live and UV-killed P. aeruginosa PAO1 (MOI = 3 or 10) at 37°C for 1 hour (n= 3 independent experiments) (B). (C) Mouse BM-derived neutrophils (5 × 105/mL) were incubated with live PAO1 or UV-killed PAO1 (MOI = 3 or 10) for 1 hour at 37°C. For inflammasome activation, neutrophils were primed with LPS from E. coli (0.5 μg/mL) for 3 hours and then stimulated with ATP (3 mM) or nigericin (10 μM) for 45 minutes at 37°C. Western blots of cell lysates (20 μg) were probed with anti-GSDMD Ab, anti–caspase-1(CASP1) p20 Ab, anti–caspase-11 (CASP11) Ab, or anti-GAPDH Ab. Arrows indicate the location of caspase-1 p20. (D and E) Neutrophils from WT and Clec5a–/– mice were incubated with PAO1 (MOI = 10) for 1 hour at 37°C; caspase-1 (CASP1) cleavage was determined by western blotting (D), and images (n = 3) were quantified using ImageJ (NIH) software. Western blot analyses were repeated for 3 times (E). (F) WT neutrophils were preincubated with DMSO, caspase-1 inhibitor Z-WEHD-FMK (20 μM), or caspase-11 inhibitor wedelolactone (100 μM) for 1 hour at room temperature, and they were further incubated with UV-killed or live PAO1 (MPO = 10) for 1 hour at 37°C (n = 3 independent experiments). The level of NETs was calculated using the area (μm2) of histone overlapping with MPO by MetaMorph software. (G) Cytokine/chemokine in culture media was determined by ELISA. Data are presented as mean ± SEM. Statistical test for A and B were measured with 2-way ANOVA, and E–G were calculated with an unpaired and nonparametric Student’s t test with Mann-Whitney U test. ****P < 0.0001.

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