Abstract

The innate immune response to P. aeruginosa pulmonary infections relies on a network of pattern recognition receptors, including intracellular inflammasome complexes, which can recognize both pathogen- and host-derived signals and subsequently promote downstream inflammatory signaling. Current evidence suggests that the inflammasome does not contribute to bacterial clearance and, in fact, that dysregulated inflammasome activation is harmful in acute and chronic P. aeruginosa lung infection. Given the role of mitochondrial damage signals in recruiting inflammasome signaling, we investigated whether mitochondrial-targeted therapies could attenuate inflammasome signaling in response to P. aeruginosa and decrease pathogenicity of infection. In particular, we investigated the small molecule, ZLN005, which transcriptionally activates peroxisome proliferator-activated receptor-γ coactivator-1α (PGC-1α), a master regulator of mitochondrial biogenesis, antioxidant defense, and cellular respiration. We demonstrate that P. aeruginosa infection promotes the expression of inflammasome components and attenuates several components of mitochondrial repair pathways in vitro in lung epithelial cells and in vivo in an acute pneumonia model. ZLN005 activates PGC-1α and its downstream effector, Sirtuin 3 (SIRT3), a mitochondrial-localized deacetylase important for cellular metabolic processes and for reactive oxygen species homeostasis. ZLN005 also attenuates inflammasome signaling induced by P. aeruginosa in bronchial epithelial cells and this action is dependent on ZLN005 activation of SIRT3. ZLN005 treatment reduces epithelial-barrier dysfunction caused by P. aeruginosa and decreases pathogenicity in an in vivo pneumonia model. Therapies that activate the PGC-1α—SIRT3 axis may provide a complementary approach in the treatment of P. aeruginosa infection.

Highlights

  • Pseudomonas aeruginosa is an opportunistic bacterial pathogen responsible for a variety of acute infections, including pneumonia, sepsis, urinary tract infections, and wound infections

  • We investigated whether infection with the P. aeruginosa strain, PAO1, induced expression of components of the NLRP3 inflammasome and found that a 6-h infection significantly increased expression

  • ZLN005 Rescues Expression of the PGC-1α-Sirtuin 3 (SIRT3) Axis Attenuated by P. aeruginosa Infection Previously, we demonstrated that small molecules targeting PGC-1α post-translational regulation rescue mitochondrial and metabolic derangements caused by P. aeruginosa infection [24]

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Summary

Introduction

Pseudomonas aeruginosa is an opportunistic bacterial pathogen responsible for a variety of acute infections, including pneumonia, sepsis, urinary tract infections, and wound infections. P. aeruginosa is a life-threatening cause of nosocomial and ventilator-associated pneumonia (VAP) among those in the intensive care unit and confers a mortality rate as high as 50%, even with antibiotic treatment. P. aeruginosa poses a risk to immunosuppressed patients, elderly nursing home residents, and those with severe chronic obstructive pulmonary disease (COPD). P. aeruginosa is an important cause of chronic and recurrent respiratory infections among patients with cystic fibrosis (CF) and non-CF bronchiectasis [1]. The increase in antibiotic resistance among P. aeruginosa isolates is a growing global health threat. There is great interest in developing novel therapeutic strategies that kill or inhibit the growth of bacteria, and enhance the host immune response to infection [2]

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