SARS-CoV-2 N protein induced acute kidney injury in diabetic db/db mice is associated with a Mincle-dependent M1 macrophage activation

“Cytokine storm” is common in critically ill COVID-19 patients, however, mechanisms remain largely unknown. Here, we reported that overexpression of SARS-CoV-2 N protein in diabetic db/db mice significantly increased tubular death and the release of HMGB1, one of the damage-associated molecular patt...

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Main Authors: Wenjing Wu, Wenbiao Wang, Liying Liang, Junzhe Chen, Sifan Sun, Biao Wei, Yu Zhong, Xiao-Ru Huang, Jian Liu, Xiaoqin Wang, Xueqing Yu, Hui-Yao Lan
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1264447/full
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author Wenjing Wu
Wenjing Wu
Wenjing Wu
Wenjing Wu
Wenjing Wu
Wenbiao Wang
Wenbiao Wang
Liying Liang
Liying Liang
Junzhe Chen
Junzhe Chen
Sifan Sun
Sifan Sun
Biao Wei
Yu Zhong
Xiao-Ru Huang
Xiao-Ru Huang
Xiao-Ru Huang
Jian Liu
Xiaoqin Wang
Xiaoqin Wang
Xueqing Yu
Hui-Yao Lan
Hui-Yao Lan
author_facet Wenjing Wu
Wenjing Wu
Wenjing Wu
Wenjing Wu
Wenjing Wu
Wenbiao Wang
Wenbiao Wang
Liying Liang
Liying Liang
Junzhe Chen
Junzhe Chen
Sifan Sun
Sifan Sun
Biao Wei
Yu Zhong
Xiao-Ru Huang
Xiao-Ru Huang
Xiao-Ru Huang
Jian Liu
Xiaoqin Wang
Xiaoqin Wang
Xueqing Yu
Hui-Yao Lan
Hui-Yao Lan
author_sort Wenjing Wu
collection DOAJ
description “Cytokine storm” is common in critically ill COVID-19 patients, however, mechanisms remain largely unknown. Here, we reported that overexpression of SARS-CoV-2 N protein in diabetic db/db mice significantly increased tubular death and the release of HMGB1, one of the damage-associated molecular patterns (DAMPs), to trigger M1 proinflammatory macrophage activation and production of IL-6, TNF-α, and MCP-1 via a Mincle-Syk/NF-κB-dependent mechanism. This was further confirmed in vitro that overexpression of SARS-CoV-2 N protein caused the release of HMGB1 from injured tubular cells under high AGE conditions, which resulted in M1 macrophage activation and production of proinflammatory cytokines via a Mincle-Syk/NF-κB-dependent mechanism. This was further evidenced by specifically silencing macrophage Mincle to block HMGB1-induced M1 macrophage activation and production of IL-6, TNF-α, and MCP-1 in vitro. Importantly, we also uncovered that treatment with quercetin largely improved SARS-CoV-2 N protein-induced AKI in db/db mice. Mechanistically, we found that quercetin treatment significantly inhibited the release of a DAMP molecule HMGB1 and inactivated M1 pro-inflammatory macrophage while promoting reparative M2 macrophage responses by suppressing Mincle-Syk/NF-κB signaling in vivo and in vitro. In conclusion, SARS-CoV-2 N protein-induced AKI in db/db mice is associated with Mincle-dependent M1 macrophage activation. Inhibition of this pathway may be a mechanism through which quercetin inhibits COVID-19-associated AKI.
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spelling doaj.art-6b5b8846401a4f6ba697725cf8be026e2023-11-03T09:49:54ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-11-011410.3389/fimmu.2023.12644471264447SARS-CoV-2 N protein induced acute kidney injury in diabetic db/db mice is associated with a Mincle-dependent M1 macrophage activationWenjing Wu0Wenjing Wu1Wenjing Wu2Wenjing Wu3Wenjing Wu4Wenbiao Wang5Wenbiao Wang6Liying Liang7Liying Liang8Junzhe Chen9Junzhe Chen10Sifan Sun11Sifan Sun12Biao Wei13Yu Zhong14Xiao-Ru Huang15Xiao-Ru Huang16Xiao-Ru Huang17Jian Liu18Xiaoqin Wang19Xiaoqin Wang20Xueqing Yu21Hui-Yao Lan22Hui-Yao Lan23Guangdong Cardiovascular Institute, Guangzhou, ChinaGuangdong-Hong Kong Joint Laboratory for Immunological and Genetic Kidney Disease, Departments of Nephrology and Pathology, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, ChinaDepartments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, The Chinese University of Hong Kong, Hong Kong, ChinaThe First Clinical College, Hubei University of Chinese Medicine, Wuhan, ChinaDepartment of Nephrology, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Province Academy of Traditional Chinese Medicine, Wuhan, ChinaGuangdong Cardiovascular Institute, Guangzhou, ChinaGuangdong-Hong Kong Joint Laboratory for Immunological and Genetic Kidney Disease, Departments of Nephrology and Pathology, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, ChinaDepartments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, The Chinese University of Hong Kong, Hong Kong, ChinaDepartment of Clinical Pharmacy, Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou, ChinaDepartments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, The Chinese University of Hong Kong, Hong Kong, ChinaDepartment of Nephrology, The Third Affiliated Hospital, Southern Medical University, Guangzhou, ChinaDepartments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, The Chinese University of Hong Kong, Hong Kong, ChinaDepartment of Nephrology, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, ChinaDepartments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, The Chinese University of Hong Kong, Hong Kong, ChinaDepartments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, The Chinese University of Hong Kong, Hong Kong, ChinaGuangdong Cardiovascular Institute, Guangzhou, ChinaGuangdong-Hong Kong Joint Laboratory for Immunological and Genetic Kidney Disease, Departments of Nephrology and Pathology, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, ChinaDepartments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, The Chinese University of Hong Kong, Hong Kong, ChinaDepartment of Nephrology, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, ChinaThe First Clinical College, Hubei University of Chinese Medicine, Wuhan, ChinaDepartment of Nephrology, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Province Academy of Traditional Chinese Medicine, Wuhan, ChinaGuangdong-Hong Kong Joint Laboratory for Immunological and Genetic Kidney Disease, Departments of Nephrology and Pathology, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, ChinaGuangdong-Hong Kong Joint Laboratory for Immunological and Genetic Kidney Disease, Departments of Nephrology and Pathology, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, ChinaDepartments of Medicine & Therapeutics, Li Ka Shing Institute of Health Sciences, Lui Che Woo Institute of Innovative Medicine, The Chinese University of Hong Kong, Hong Kong, China“Cytokine storm” is common in critically ill COVID-19 patients, however, mechanisms remain largely unknown. Here, we reported that overexpression of SARS-CoV-2 N protein in diabetic db/db mice significantly increased tubular death and the release of HMGB1, one of the damage-associated molecular patterns (DAMPs), to trigger M1 proinflammatory macrophage activation and production of IL-6, TNF-α, and MCP-1 via a Mincle-Syk/NF-κB-dependent mechanism. This was further confirmed in vitro that overexpression of SARS-CoV-2 N protein caused the release of HMGB1 from injured tubular cells under high AGE conditions, which resulted in M1 macrophage activation and production of proinflammatory cytokines via a Mincle-Syk/NF-κB-dependent mechanism. This was further evidenced by specifically silencing macrophage Mincle to block HMGB1-induced M1 macrophage activation and production of IL-6, TNF-α, and MCP-1 in vitro. Importantly, we also uncovered that treatment with quercetin largely improved SARS-CoV-2 N protein-induced AKI in db/db mice. Mechanistically, we found that quercetin treatment significantly inhibited the release of a DAMP molecule HMGB1 and inactivated M1 pro-inflammatory macrophage while promoting reparative M2 macrophage responses by suppressing Mincle-Syk/NF-κB signaling in vivo and in vitro. In conclusion, SARS-CoV-2 N protein-induced AKI in db/db mice is associated with Mincle-dependent M1 macrophage activation. Inhibition of this pathway may be a mechanism through which quercetin inhibits COVID-19-associated AKI.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1264447/fullSARS-CoV-2N proteinAKIquercetinMincleM1 macrophage
spellingShingle Wenjing Wu
Wenjing Wu
Wenjing Wu
Wenjing Wu
Wenjing Wu
Wenbiao Wang
Wenbiao Wang
Liying Liang
Liying Liang
Junzhe Chen
Junzhe Chen
Sifan Sun
Sifan Sun
Biao Wei
Yu Zhong
Xiao-Ru Huang
Xiao-Ru Huang
Xiao-Ru Huang
Jian Liu
Xiaoqin Wang
Xiaoqin Wang
Xueqing Yu
Hui-Yao Lan
Hui-Yao Lan
SARS-CoV-2 N protein induced acute kidney injury in diabetic db/db mice is associated with a Mincle-dependent M1 macrophage activation
Frontiers in Immunology
SARS-CoV-2
N protein
AKI
quercetin
Mincle
M1 macrophage
title SARS-CoV-2 N protein induced acute kidney injury in diabetic db/db mice is associated with a Mincle-dependent M1 macrophage activation
title_full SARS-CoV-2 N protein induced acute kidney injury in diabetic db/db mice is associated with a Mincle-dependent M1 macrophage activation
title_fullStr SARS-CoV-2 N protein induced acute kidney injury in diabetic db/db mice is associated with a Mincle-dependent M1 macrophage activation
title_full_unstemmed SARS-CoV-2 N protein induced acute kidney injury in diabetic db/db mice is associated with a Mincle-dependent M1 macrophage activation
title_short SARS-CoV-2 N protein induced acute kidney injury in diabetic db/db mice is associated with a Mincle-dependent M1 macrophage activation
title_sort sars cov 2 n protein induced acute kidney injury in diabetic db db mice is associated with a mincle dependent m1 macrophage activation
topic SARS-CoV-2
N protein
AKI
quercetin
Mincle
M1 macrophage
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1264447/full
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