Low-dose mycophenolate mofetil improves survival in a murine model of Staphylococcus aureus sepsis by increasing bacterial clearance and phagocyte function.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_68B29DD56967
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Low-dose mycophenolate mofetil improves survival in a murine model of Staphylococcus aureus sepsis by increasing bacterial clearance and phagocyte function.
Journal
Frontiers in immunology
Author(s)
Alby-Laurent F., Belaïdouni N., Blanchet B., Rousseau C., Llitjos J.F., Sanquer S., Mira J.P., Pène F., Toubiana J., Chiche J.D.
ISSN
1664-3224 (Electronic)
ISSN-L
1664-3224
Publication state
Published
Issued date
2022
Peer-reviewed
Oui
Volume
13
Pages
939213
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
Regulators of TLRs signaling pathways play an important role in the control of the pro-inflammatory response that contributes to sepsis-induced tissue injury. Mycophenolate mofetil, an immunosuppressive drug inhibiting lymphocyte proliferation, has been reported to be a regulator of TLRs signaling pathways. Whether MMF used at infra-immunosuppressive doses has an impact on survival and on innate immune response in sepsis is unknown. C57BL/6J mice were infected intraperitoneally with 10 <sup>8</sup> CFU Staphylococcus aureus, and treated or not with low-dose of MMF (20mg/kg/day during 4 days). Survival rate and bacterial clearance were compared. Cytokine levels, quantitative and qualitative cellular responses were assessed. S. aureus - infected mice treated with MMF exhibited improved survival compared to non-treated ones (48% vs 10%, p<0.001). With the dose used for all experiments, MMF did not show any effect on lymphocyte proliferation. MMF treatment also improved local and systemic bacterial clearance, improved phagocytosis activity of peritoneal macrophages resulting in decreased inflammatory cytokines secretion. MMF-treated mice showed enhanced activation of NF-κB seemed with a suspected TLR4-dependent mechanism. These results suggest that infra-immunosuppressive doses of MMF improve host defense during S. aureus sepsis and protects infected mice from fatal outcome by regulating innate immune responses. The signaling pathways involved could be TLR4-dependent. This work brings new perspectives in pathogenesis and therapeutic approaches of severe infections.
Keywords
Animals, Bacteremia/drug therapy, Cytokines/metabolism, Disease Models, Animal, Immunosuppressive Agents/pharmacology, Immunosuppressive Agents/therapeutic use, Macrophages, Peritoneal, Mice, Mice, Inbred C57BL, Mycophenolic Acid/pharmacology, Mycophenolic Acid/therapeutic use, Sepsis/microbiology, Staphylococcal Infections, Staphylococcus aureus/metabolism, Toll-Like Receptor 4, NF-κB, innate immunity, macrophages, mycophenolate mofetil, phagocytosis, sepsis, staphylococcus aureus, toll-like receptor 4
Pubmed
Web of science
Open Access
Yes
Create date
17/02/2023 17:18
Last modification date
25/11/2023 8:15
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