IPSE, a urogenital parasite-derived immunomodulatory protein, ameliorates ifosfamide-induced hemorrhagic cystitis through downregulation of pro-inflammatory pathways

Autor: Loc Le, Theodore S. Jardetzky, Luke F. Pennington, Rebecca Zee, Michael H. Hsieh, Franco H. Falcone, Justin I. Odegaard, Nirad Banskota, Evaristus Chibunna Mbanefo, Kenji Ishida, Abdulaziz Alouffi
Rok vydání: 2018
Předmět:
0301 basic medicine
lcsh:Medicine
Peroxisome proliferator-activated receptor
Inflammation
Hemorrhage
medicine.disease_cause
Article
Proinflammatory cytokine
03 medical and health sciences
0302 clinical medicine
Downregulation and upregulation
Cystitis
Medicine
Ifosfamide
lcsh:Science
STAT3
Antineoplastic Agents
Alkylating

030304 developmental biology
chemistry.chemical_classification
0303 health sciences
Multidisciplinary
biology
business.industry
Gene Expression Profiling
lcsh:R
Egg Proteins
Wnt signaling pathway
Helminth Proteins
medicine.disease
3. Good health
Oxidative Stress
030104 developmental biology
chemistry
030220 oncology & carcinogenesis
biology.protein
Cancer research
Cytokines
lcsh:Q
Signal transduction
medicine.symptom
Inflammation Mediators
business
Transcriptome
030217 neurology & neurosurgery
Oxidative stress
medicine.drug
Hemorrhagic cystitis
Signal Transduction
Zdroj: Scientific Reports
Scientific Reports, Vol 9, Iss 1, Pp 1-13 (2019)
ISSN: 2045-2322
Popis: Ifosfamide and other oxazaphosphorines can result in hemorrhagic cystitis, a constellation of complications caused by acrolein metabolites. We previously showed that a single dose of IPSE, a schistosome-derived host modulatory protein, can ameliorate ifosfamide-related cystitis; however, the exact mechanisms underlying this urotoxic effect and its prevention are not fully understood. To provide insights into IPSE’s protective mechanism, we undertook transcriptional profiling of bladders from ifosfamide-treated mice, with or without IPSE pretreatment. Following ifosfamide challenge, there was upregulation of a range of pro-inflammatory genes. The pro-inflammatory pathway involving the IL-1β, TNFαand IL-6 triad via NFκB and STAT3 signaling pathways was identified as the key driver of inflammation. The NRF2-mediated oxidative stress response pathway, which regulates bothHmox1-mediated heme homoeostasis and expression of antioxidant enzymes, was highly activated. Anti-inflammatory and cellular proliferation cascades implicated in tissue repair, namely Wnt, Hedgehog and PPAR pathways, were downregulated. IPSE administration before ifosfamide injection resulted in significant downregulation of major proinflammatory pathways including the triad of IL-1β, TNFαand IL-6 pathways, the interferon signaling pathway, and less apparent reduction in oxidative stress responses. Taken together, we have identified signatures of acute phase inflammation and oxidative stress responses in the ifosfamide-injured bladder, which are reversed by pretreatment with IPSE, a parasite derived anti-inflammatory molecule. In addition to providing new insights into the underlying mechanism of IPSE’s therapeutic effects, this work has revealed several pathways that could be therapeutically targeted to prevent and treat ifosfamide-induced hemorrhagic cystitis.
Databáze: OpenAIRE