Abstract

Background: The immunomodulatory potential of dihydroartemisinin (DHA) has recently been highlighted; however, the potential mechanism remains to be clarified. Methods: To elucidate the immunomodulatory mechanisms of DHA, single-cell RNA sequencing was explored in combination with cellular and biochemical approaches. Findings: In this study, we found that DHA induced both spleen enlargement and rearrangement of splenic immune cell subsets in mice. It was revealed that DHA promoted the reversible expansion of effective regulatory T cells and interferon-γ + cytotoxic CD8 + T cells in the spleen via induction of superoxide dismutase 3 (SOD3) expression and increased phosphorylation of c-Jun N-terminal kinases (JNK) and its downstream activator protein 1 (AP-1) transcription factors. Further, SOD3 knockout mice were resistant to the regulatory effect of DHA. Interpretation: Thus, DHA, through the activation of the SOD3-JNK-AP-1 axis, beneficially regulated immune cell heterogeneity and splenic immune cell homeostasis to treat autoimmune diseases. Funding: This research was supported by National Nature and Science Foundation of China (82030060) and CAMS Innovation Fund for Medical Sciences (CIFMS) (2019-I2M-5-042). Y.Z., Q.L., and N.J. contributed equally to this study. Declaration of Interest: None to declare. Ethical Approval: All experimental procedures were conducted in accordance with the animal husbandry guidelines of Shenyang Agricultural University. The Ethical Committee of Shenyang Agricultural University approved the laboratory animal experiments (Permit No. SYXK

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