Abstract

Sepsis is an organ dysfunction caused by the dysregulated inflammatory response to infection. Lipopolysaccharide-binding protein (LBP) binds to lipopolysaccharide (LPS) and modulates the inflammatory response. A rare systematic study has been reported to detect the effect of LBP gene during LPS-induced sepsis. Herein, we explored the RNA sequencing technology to profile the transcriptomic changes in liver tissue between LBP-deficient rats and WT rats at multiple time points after LPS administration. We proceeded RNA sequencing of liver tissue to search differentially expressed genes (DEGs) and enriched biological processes and pathways between WT and LBP-deficient groups at 0 h, 6 h, and 24 h. In total, 168, 284, and 307 DEGs were identified at 0 h, 6 h, and 24 h, respectively, including Lrp5, Cyp7a1, Nfkbiz, Sigmar1, Fabp7, and Hao1, which are related to the inflammatory or lipid-related process. Functional enrichment analysis revealed that inflammatory response to LPS mediated by Ifng, Cxcl10, Serpine1, and Lbp was enhanced at 6 h, while lipid-related metabolism associated with C5, Cyp4a1, and Eci1 was enriched at 24 h after LPS administration in the WT samples. The inflammatory process was not found when the LBP gene was knocked out; lipid-related metabolic process and peroxisome proliferator-activated receptor (PPAR) signaling pathway mediated by Dhrs7b and Tysnd1 were significantly activated in LBP-deficient samples. Our study suggested that the invading LPS may interplay with LBP to activate the nuclear factor kappa B (NF-κB) signaling pathway and trigger uncontrolled inflammatory response. However, when inhibiting the activity of NF-κB, lipid-related metabolism would make bacteria removal via the effect on the PPAR signaling pathway in the absence of LBP gene. We also compared the serum lactate dehydrogenase (LDH) and alkaline phosphatase (ALP) levels using the biochemistry analyzer and analyzed the expression of high mobility group box 1 (HMGB1) and cleaved-caspase 3 with immunohistochemistry, which further validated our conclusion.

Highlights

  • Sepsis is a life-threatening disorder accompanied by organ dysfunction [1], which remains the leading cause of mortality in critically ill patients [2]

  • The RNA sequencing technique integrated with bioinformatics analysis was used to characterize alteration in liver gene expression between WT and lipopolysaccharide-binding protein (LBP)-deficient samples triggered by LPS-induced systemic inflammation

  • Combined with the enrichment results of functional annotations and pathways, we surmised that given at the time of resuscitation, LBP-deficient rats would reduce liver injury by enhancing bacterial clearance through the peroxisome proliferator-activated receptor (PPAR) signaling pathway, as reported that the activation of PPAR-α increased the formation of neutrophil extracellular traps (NET) containing neutrophil, histones, and granule proteins, which may potentially propose a protective mechanism of bacterial elimination in the LBP-deficient group [36]

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Summary

Introduction

Sepsis is a life-threatening disorder accompanied by organ dysfunction [1], which remains the leading cause of mortality in critically ill patients [2]. Lipopolysaccharide (LPS), a major constituent of the outer cell wall of gram-negative (GN) bacteria, is considered to be the most important activator in the pathogenesis of sepsis, of which minute amounts can initiate the molecular mechanisms. According to the previous study, the dysregulated inflammatory response initiated by the interaction between lipopolysaccharide-binding protein (LBP) and LPS is closely related to the development of sepsis [6]. LBP is a class I acute-phase protein primarily synthesized by hepatocytes [7]. It firstly recognizes LPS released from infecting pathogens by forming a high-affinity complex. The inflammatory response is promoted by both obesity and high-fat meals, which may alter the intestinal barrier via affecting the gut microbiota to translocate LPS into the bloodstream [9, 10]. LBP acts catalytically to facilitate binding of LPS to lipoproteins such as very low-density lipoprotein, low-density lipoprotein, and highdensity lipoprotein, which represent an important mechanism in host defense to inactivate with LPS [11, 12]

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