ENDOTHELIAL CELL ACTIVATION AND HIGH INTERLEUKIN-1 SECRETION IN THE PATHOGENESIS OF ACUTE KAWASAKI DISEASE

The Lancet ◽  
1989 ◽  
Vol 334 (8675) ◽  
pp. 1298-1302 ◽  
Author(s):  
DonaldY.M. Leung ◽  
Evelyn Kurt-Jones ◽  
JaneW. Newburger ◽  
RamziS. Cotran ◽  
JaneC. Burns ◽  
...  
2022 ◽  
Author(s):  
Christoph Kessel ◽  
Isabelle Kone-Paut ◽  
Stephanie Tellier ◽  
Alexandre Belot ◽  
Katja Masjosthusmann ◽  
...  

Abstract Purpose A recent phase II open-label study of the interleukin 1 (IL-1) receptor antagonist (IL-1Ra) anakinra in treating IVIG-resistant Kawasaki Disease (KD) patients reported promising results. Here, we aimed to characterize the immunological impact of IL-1 blockade in this unique study population. Methods Patients’ and control sera and supernatants of cells (whole blood, neutrophils, coronary artery endothelial cells) stimulated with recombinant IL-1β were analyzed for single or multiple marker (n=22) expression by ELISA or multiplexed bead array assay. Data were analyzed using unsupervised hierarchical clustering, multiple correlation and multi-comparison statistics and were compared to retrospective analyses of KD transcriptomics. Results Inflammation in IVIG-resistant KD (n=16) is hallmarked by over-expression of innate immune mediators (particularly IL-6>CXCL10>S100A12>IL-1Ra). Those as well as levels of immune or endothelial cell activation markers (sICAM-1, sVCAM-1) declined most significantly in course of anakinra treatment. Prior as well as following IL-1R blockade, over-expression of leucine-rich-α2-glycoprotein 1 (LRG1) associated best with remnant inflammatory activity and the necessity to escalate anakinra dosage and separated inflammatory KD patients from sJIA-MAS (n=13) and MIS-C (n=4). Protein as well as retrospective gene expression analyses indicated tight association of LRG1 with IL-1β signaling and neutrophilia, while particularly neutrophil stimulation with recombinant IL-1β resulted in concentration-dependent LRG1 release. Conclusion Our study identifies LRG1 as known trigger of endothelial activation and cardiac re-modelling to associate with IL-1β signaling in KD. Besides a potential patho-mechanistic implication of these findings, our data suggest blood leukocyte and neutrophil counts to best predict response to IL-1Ra treatment in IVIG-resistant KD.


2021 ◽  
Author(s):  
Hannah Thurgur ◽  
Jeffrey Penny ◽  
Emmanuel Pinteaux

Abstract Background: The extracellular matrix (ECM) plays an important role for normal brain functions and homeostasis, and contributes to the inflammatory response and mechanisms of brain repair after acute brain injury. We have previously reported that the ECM laminin-10 (LM-10) is a key regulator of blood-brain barrier (BBB) integrity, and is involved in BBB repair after hypoxic injury and interleukin-1 (IL-1)-induced inflammation in vitro. To further investigate the role of LM-10 in BBB inflammation and repair, we investigated for the first time the signalling mechanisms regulated by LM-10 in brain endothelial cells in response to IL-1β-induced inflammation in vitro. Methods: Human brain endothelial cell line hCMEC/D3 cultured on Matrigel- or LM-10-coated tissue culture plates were left untreated or were treated with human recombinant IL-1β at various concentrations and/or for various periods of time. In vitro hallmarks of angiogenesis were assessed using a scratch injury model and tube formation assay. Expression of cell adhesion molecules ICAM-1 and VCAM-1, as well as IL-8 was measured using ELISA. Activation of signalling pathways ERK1/2, p38, NF-κB and YAP was assessed by quantitative ELISA or Western blot. Activation of genes downstream of YAP signalling was assessed by quantitative polymerase chain reaction.Results: LM-10 promoted endothelial proliferation and subsequent repair of an endothelial monolayer after scratch injury, induced tube formation, and upregulated IL-1β-induced ICAM-1 and VCAM-1 expression in vitro. Classical IL-1β-induced signalling pathway ERK1/2 and p38 were not modulated by LM-10, whilst LM-10 upregulated IL-1β-induced NF-κB activation. Importantly, we demonstrate for the first time a role of the YAP signalling pathway in endothelial cell activation, in that LM-10 significantly downregulates p-YAP (S397) activation without affecting phosphorylation of YAP (S127), leading to differential expression of YAP target genes, ctgf and serpine-1 involved in endothelial cell activation. Conclusion: Our study provides for the first time evidence that the YAP signalling pathway is an important regulator of endothelial cell activation, and could be a new therapeutic target for the treatment of cerebrovascular inflammatory diseases. 


2020 ◽  
Vol 14 (7) ◽  
pp. e0007656
Author(s):  
João Conrado Khouri Dos-Santos ◽  
João Luiz Silva-Filho ◽  
Carla C. Judice ◽  
Ana Carolina Andrade Vitor Kayano ◽  
Júlio Aliberti ◽  
...  

2021 ◽  
Author(s):  
Melanie Bergmann ◽  
Anna Heidbreder ◽  
Ambra Stefani ◽  
Cecilia Raccagni ◽  
Elisabeth Brandauer ◽  
...  

2015 ◽  
Vol 76 ◽  
pp. 15
Author(s):  
Eva Zilian ◽  
Hendry Saragih ◽  
Oliver Hiller ◽  
Abid Aljabri ◽  
Constanca Figueiredo ◽  
...  

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