HMGB1-activatied NLRP3 inflammasome induces thrombocytopenia in heatstroke rat

Background Thrombocytopenia, an early common complication in heatstroke (HS), has been widely considered as a mortality predictor of HS. The mechanism underlying thrombocytopenia in HS remains unknown. It is not known whether NOD-like receptor family pyrin domain containing 3 (NLRP3) inflammasome is...

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Main Authors: Huimei Yin, Ming Wu, Yong Lu, Xinghui Wu, BaoJun Yu, Ronglin Chen, JieFu Lu, Huasheng Tong
Format: Article
Language:English
Published: PeerJ Inc. 2022-08-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/13799.pdf
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author Huimei Yin
Ming Wu
Yong Lu
Xinghui Wu
BaoJun Yu
Ronglin Chen
JieFu Lu
Huasheng Tong
author_facet Huimei Yin
Ming Wu
Yong Lu
Xinghui Wu
BaoJun Yu
Ronglin Chen
JieFu Lu
Huasheng Tong
author_sort Huimei Yin
collection DOAJ
description Background Thrombocytopenia, an early common complication in heatstroke (HS), has been widely considered as a mortality predictor of HS. The mechanism underlying thrombocytopenia in HS remains unknown. It is not known whether NOD-like receptor family pyrin domain containing 3 (NLRP3) inflammasome is activated in HS platelet, which, in turn, induces platelet activation and thrombocytopenia. This study tried to clarify the activation of the NOD-like receptor signaling pathway under HS conditions and investigate its roles in mediating HS-induced thrombocytopenia. Methods Rat HS models were established in a certain ambient temperature and humidity. Platelets, isolated from blood, were counted and CD62P, an index of platelet activation, was measured by flow cytometry in all rats. The colocalization of NLRP3 inflammasome in platelet was detected by confocal fluorescence microscopy. Mitochondrial-derived reactive oxygen species (ROS) was detected using the molecular probes. Plasma HMGB1 and IL-1β levels were measured by ELISA. Results Platelet activation, showed by upregulated CD62P, and thrombocytopenia were observed in HS rats. HS activated the NLRP3 inflammasome, which was induced by elevated levels of ROS, while the upregulated CD62P and thrombocytopenia triggered by NLRP3 inflammasome were attributed to the high mobility group box protein 1 (HMGB1) inplasma. Moreover, inhibition of the NOD-like receptor signaling pathway in rats with HS suppressed platelet activation and the decline of platelet count. Similar results were obtained when the receptor toll-like receptor 4 (TLR4)/advanced glycation end product (RAGE) was blocked. Conclusions The NOD-like receptor signaling pathway induces platelet activation and thrombocytopenia in HS rats. These findings suggested that the NLRP3 inflammasome might be the potential target for HS treatment.
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spelling doaj.art-08487487cbc74cc7ab710d4be557cada2023-12-03T00:41:16ZengPeerJ Inc.PeerJ2167-83592022-08-0110e1379910.7717/peerj.13799HMGB1-activatied NLRP3 inflammasome induces thrombocytopenia in heatstroke ratHuimei Yin0Ming Wu1Yong Lu2Xinghui Wu3BaoJun Yu4Ronglin Chen5JieFu Lu6Huasheng Tong7The 3rd Xiangya Hospital, Central South University, Department of Critical Care Medicine and Hematology, Changsha, Hunan, ChinaDepartment of Intensive Care Unit & Infection Prevention and Control, The Second People‘s Hospital of Shenzhen, Shenzhen, Guangdong, ChinaDepartment of Critical Care Medicine, The First People’s Hospital of Chenzhou, Chenzhou, Hunan, ChinaDepartment of Graduate School, Southern Medical University, Guangzhou, Guangdong, ChinaDepartment of Intensive Care Unit, Baoan District People’s Hospital, Shenzhen, Guangdong, ChinaDepartment of Critical Care Medicine, Longgang District Central Hospital, Shenzhen, Guangdong, ChinaDepartment of Intensive Care Unit, The First People’s Hospital of Foshan, Foshan, Guangdong, ChinaDepartment of Graduate School, Southern Medical University, Guangzhou, Guangdong, ChinaBackground Thrombocytopenia, an early common complication in heatstroke (HS), has been widely considered as a mortality predictor of HS. The mechanism underlying thrombocytopenia in HS remains unknown. It is not known whether NOD-like receptor family pyrin domain containing 3 (NLRP3) inflammasome is activated in HS platelet, which, in turn, induces platelet activation and thrombocytopenia. This study tried to clarify the activation of the NOD-like receptor signaling pathway under HS conditions and investigate its roles in mediating HS-induced thrombocytopenia. Methods Rat HS models were established in a certain ambient temperature and humidity. Platelets, isolated from blood, were counted and CD62P, an index of platelet activation, was measured by flow cytometry in all rats. The colocalization of NLRP3 inflammasome in platelet was detected by confocal fluorescence microscopy. Mitochondrial-derived reactive oxygen species (ROS) was detected using the molecular probes. Plasma HMGB1 and IL-1β levels were measured by ELISA. Results Platelet activation, showed by upregulated CD62P, and thrombocytopenia were observed in HS rats. HS activated the NLRP3 inflammasome, which was induced by elevated levels of ROS, while the upregulated CD62P and thrombocytopenia triggered by NLRP3 inflammasome were attributed to the high mobility group box protein 1 (HMGB1) inplasma. Moreover, inhibition of the NOD-like receptor signaling pathway in rats with HS suppressed platelet activation and the decline of platelet count. Similar results were obtained when the receptor toll-like receptor 4 (TLR4)/advanced glycation end product (RAGE) was blocked. Conclusions The NOD-like receptor signaling pathway induces platelet activation and thrombocytopenia in HS rats. These findings suggested that the NLRP3 inflammasome might be the potential target for HS treatment.https://peerj.com/articles/13799.pdfHeatstrokePlateletNOD-like receptorPyroptosisReactive oxygen speciesNLRP3 inflammasome
spellingShingle Huimei Yin
Ming Wu
Yong Lu
Xinghui Wu
BaoJun Yu
Ronglin Chen
JieFu Lu
Huasheng Tong
HMGB1-activatied NLRP3 inflammasome induces thrombocytopenia in heatstroke rat
PeerJ
Heatstroke
Platelet
NOD-like receptor
Pyroptosis
Reactive oxygen species
NLRP3 inflammasome
title HMGB1-activatied NLRP3 inflammasome induces thrombocytopenia in heatstroke rat
title_full HMGB1-activatied NLRP3 inflammasome induces thrombocytopenia in heatstroke rat
title_fullStr HMGB1-activatied NLRP3 inflammasome induces thrombocytopenia in heatstroke rat
title_full_unstemmed HMGB1-activatied NLRP3 inflammasome induces thrombocytopenia in heatstroke rat
title_short HMGB1-activatied NLRP3 inflammasome induces thrombocytopenia in heatstroke rat
title_sort hmgb1 activatied nlrp3 inflammasome induces thrombocytopenia in heatstroke rat
topic Heatstroke
Platelet
NOD-like receptor
Pyroptosis
Reactive oxygen species
NLRP3 inflammasome
url https://peerj.com/articles/13799.pdf
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