Abstract
Background
The developmental immaturity of the innate immune system helps explains the increased risk of infection in the neonatal period. Importantly, innate immune signaling pathways such as p65/NFκB and c-Jun/AP1 are responsible for the prevention of hepatocyte apoptosis in adult animals, yet whether developmental immaturity of these pathways increases the risk of hepatic injury in the neonatal period is unknown.
Methods
Using a murine model of endotoxemia (LPS 5 mg/kg IP x 1) in neonatal (P3) and adult mice, we evaluated histologic evidence of hepatic injury and apoptosis, presence of p65/NFκB and c-Jun/AP1 activation and associated transcriptional regulation of apoptotic genes.
Results
We demonstrate that in contrast to adults, endotoxemic neonatal (P3) mice exhibit a significant increase in hepatic apoptosis. This is associated with absent hepatic p65/NFκB signaling and impaired expression of anti-apoptotic target genes. Hepatic c-Jun/AP1 activity was attenuated in endotoxemic P3 mice, with resulting upregulation of pro-apoptotic factors.
Conclusions
These results demonstrate that developmental absence of innate immune p65/NFκB and c-Jun/AP1 signaling, and target gene expression is associated with apoptotic injury in neonatal mice. More work is needed to determine if this contributes to long-term hepatic dysfunction, and whether immunomodulatory approaches can prevent this injury.
Impact
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Various aspects of developmental immaturity of the innate immune system may help explain the increased risk of infection in the neonatal period.
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In adult models of inflammation and infection, innate immune signaling pathways such as p65/NFκB and c-Jun/AP1 are responsible for a protective, pro-inflammatory transcriptome and regulation of apoptosis.
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We demonstrate that in contrast to adults, endotoxemic neonatal (P3) mice exhibit a significant increase in hepatic apoptosis associated with absent hepatic p65/NFκB signaling and c-Jun/AP1 activity.
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We believe that these results may explain in part hepatic dysfunction with neonatal sepsis, and that there may be unrecognized developmental and long-term hepatic implications of early life exposure to systemic inflammatory stress.
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Data availability
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This work was supported by NIH grant R01HD107700 to CJW.
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CJW conception and design of research; MRG, WCM, MS, NB, LZ performed experiments; MRG, WCM, NB, DJO analyzed data; MRG, DJO, CJW interpreted results of experiments; CJW drafted the manuscript; MRG, WCM prepared figures; MRG, WCM, MS, NB, LZ, CJW edited and revised manuscript; CJW approved final version of manuscript.
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All procedures were approved by the University of Colorado Institutional Animal Care and Use Committee (00457) and performed in compliance with the American Association for Accreditation for Laboratory Animal Care at the Perinatal Research Center at the University of Colorado School of Medicine (Aurora, CO).
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Grayck, M.R., McCarthy, W.C., Solar, M. et al. Implications of neonatal absence of innate immune mediated NFκB/AP1 signaling in the murine liver. Pediatr Res (2024). https://doi.org/10.1038/s41390-024-03071-0
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DOI: https://doi.org/10.1038/s41390-024-03071-0