Role of succinate in airway epithelial cell regulation following traumatic lung injury

Lung contusion and gastric aspiration (LC and GA) are major risk factors for developing acute respiratory distress following trauma. Hypoxia from lung injury is mainly regulated by hypoxia-inducible factor 1α (HIF-1α). Published data from our group indicate that HIF-1α regulation in airway epithelia...

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Main Authors: Madathilparambil V. Suresh, Sinan Aktay, George Yalamanchili, Sumeet Solanki, Dily Thazhath Sathyarajan, Manikanta Swamy Arnipalli, Subramaniam Pennathur, Krishnan Raghavendran
Format: Article
Language:English
Published: American Society for Clinical investigation 2023-09-01
Series:JCI Insight
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Online Access:https://doi.org/10.1172/jci.insight.166860
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author Madathilparambil V. Suresh
Sinan Aktay
George Yalamanchili
Sumeet Solanki
Dily Thazhath Sathyarajan
Manikanta Swamy Arnipalli
Subramaniam Pennathur
Krishnan Raghavendran
author_facet Madathilparambil V. Suresh
Sinan Aktay
George Yalamanchili
Sumeet Solanki
Dily Thazhath Sathyarajan
Manikanta Swamy Arnipalli
Subramaniam Pennathur
Krishnan Raghavendran
author_sort Madathilparambil V. Suresh
collection DOAJ
description Lung contusion and gastric aspiration (LC and GA) are major risk factors for developing acute respiratory distress following trauma. Hypoxia from lung injury is mainly regulated by hypoxia-inducible factor 1α (HIF-1α). Published data from our group indicate that HIF-1α regulation in airway epithelial cells (AEC) drives the acute inflammatory response following LC and GA. Metabolomic profiling and metabolic flux of Type II AEC following LC revealed marked increases in glycolytic and TCA intermediates in vivo and in vitro that were HIF-1α dependent. GLUT-1/4 expression was also increased in HIF-1α+/+ mice, suggesting that increased glucose entry may contribute to increased intermediates. Importantly, lactate incubation in vitro on Type II cells did not significantly increase the inflammatory byproduct IL-1β. Contrastingly, succinate had a direct proinflammatory effect on human small AEC by IL-1β generation in vitro. This effect was reversed by dimethylmalonate, suggesting an important role for succinate dehydrogenase in mediating HIF-1α effects. We confirmed the presence of the only known receptor for succinate binding, SUCNR1, on Type II AEC. These results support the hypothesis that succinate drives HIF-1α–mediated airway inflammation following LC. This is the first report to our knowledge of direct proinflammatory activation of succinate in nonimmune cells such as Type II AEC in direct lung injury models.
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spelling doaj.art-b1cbcd3d962e4bd2b5919772d23ec69e2023-11-07T16:26:10ZengAmerican Society for Clinical investigationJCI Insight2379-37082023-09-01818Role of succinate in airway epithelial cell regulation following traumatic lung injuryMadathilparambil V. SureshSinan AktayGeorge YalamanchiliSumeet SolankiDily Thazhath SathyarajanManikanta Swamy ArnipalliSubramaniam PennathurKrishnan RaghavendranLung contusion and gastric aspiration (LC and GA) are major risk factors for developing acute respiratory distress following trauma. Hypoxia from lung injury is mainly regulated by hypoxia-inducible factor 1α (HIF-1α). Published data from our group indicate that HIF-1α regulation in airway epithelial cells (AEC) drives the acute inflammatory response following LC and GA. Metabolomic profiling and metabolic flux of Type II AEC following LC revealed marked increases in glycolytic and TCA intermediates in vivo and in vitro that were HIF-1α dependent. GLUT-1/4 expression was also increased in HIF-1α+/+ mice, suggesting that increased glucose entry may contribute to increased intermediates. Importantly, lactate incubation in vitro on Type II cells did not significantly increase the inflammatory byproduct IL-1β. Contrastingly, succinate had a direct proinflammatory effect on human small AEC by IL-1β generation in vitro. This effect was reversed by dimethylmalonate, suggesting an important role for succinate dehydrogenase in mediating HIF-1α effects. We confirmed the presence of the only known receptor for succinate binding, SUCNR1, on Type II AEC. These results support the hypothesis that succinate drives HIF-1α–mediated airway inflammation following LC. This is the first report to our knowledge of direct proinflammatory activation of succinate in nonimmune cells such as Type II AEC in direct lung injury models.https://doi.org/10.1172/jci.insight.166860InflammationPulmonology
spellingShingle Madathilparambil V. Suresh
Sinan Aktay
George Yalamanchili
Sumeet Solanki
Dily Thazhath Sathyarajan
Manikanta Swamy Arnipalli
Subramaniam Pennathur
Krishnan Raghavendran
Role of succinate in airway epithelial cell regulation following traumatic lung injury
JCI Insight
Inflammation
Pulmonology
title Role of succinate in airway epithelial cell regulation following traumatic lung injury
title_full Role of succinate in airway epithelial cell regulation following traumatic lung injury
title_fullStr Role of succinate in airway epithelial cell regulation following traumatic lung injury
title_full_unstemmed Role of succinate in airway epithelial cell regulation following traumatic lung injury
title_short Role of succinate in airway epithelial cell regulation following traumatic lung injury
title_sort role of succinate in airway epithelial cell regulation following traumatic lung injury
topic Inflammation
Pulmonology
url https://doi.org/10.1172/jci.insight.166860
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