The injury effect of osteopontin in sepsis-associated lung injury

Abstract Background Sepsis is a severe condition causing organ failure due to an abnormal immune reaction to infection, characterized by ongoing excessive inflammation and immune system issues. Osteopontin (OPN) is secreted by various cells and plays a crucial role in inflammatory responses and immu...

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Main Authors: Qian Wang, Zhicai Yu, Zhixin Song, Xue Lu, Zhu Li, Dandan Pi, Jing Li, Feng Xu
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Inflammation
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Online Access:https://doi.org/10.1186/s12950-025-00430-4
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author Qian Wang
Zhicai Yu
Zhixin Song
Xue Lu
Zhu Li
Dandan Pi
Jing Li
Feng Xu
author_facet Qian Wang
Zhicai Yu
Zhixin Song
Xue Lu
Zhu Li
Dandan Pi
Jing Li
Feng Xu
author_sort Qian Wang
collection DOAJ
description Abstract Background Sepsis is a severe condition causing organ failure due to an abnormal immune reaction to infection, characterized by ongoing excessive inflammation and immune system issues. Osteopontin (OPN) is secreted by various cells and plays a crucial role in inflammatory responses and immune regulation. Nonetheless, the precise function of OPN in sepsis remains to be elucidated. Methods In the present study, we evaluated the levels of OPN in paediatric patients with sepsis and healthy individuals. We examined the impact of OPN on survival rates, systemic inflammation, and lung injury within an experimental sepsis model using cecal ligation and puncture (CLP). Furthermore, the pro-inflammatory effects and potential mechanisms of OPN in sepsis were investigated through Mouse Hemophagocytic Synuclein (MH-S) cells. Results The OPN level was found to be elevated in patients with sepsis (368.5 ± 249.4 ng/ml) compared to children with infections (73.78 ± 40.46 ng/ml) (p < 0.0001) and healthy individuals (44.03 ± 20.76 ng/ml) (p < 0.0001). The serum concentration of OPN was elevated in pediatric patients with septic shock compared to those with sepsis (504 ± 266.3 ng/ml vs. 238.6 ± 143.8 ng/ml, p < 0.001). Intravenous administration of OPN inhibitor into the tail vein decreased the mortality rate (HR = 0.2695, p = 0.0015), suppressed systemic inflammatory responses and mitigated lung tissue damage. The concentration of tumour necrosis factor (TNF)-α, IL-6 and IL-1β in serum of CLP mice treated with OPN inhibitor decreased compared with CLP mice. Within the sepsis mouse model, there was a marked increase in OPN expression in the lung’s tissues compared to the sham group mice. This surge was accompanied by a significant accumulation of alveolar macrophages and an upregulation of inflammasome expression. Mechanistic investigations in MH-s cells revealed that OPN-siRNA suppressed the LPS-induced macrophage inflammatory response by inhibiting caspase1-dependent classical pyroptosis signaling pathway. However, recombinant OPN was supplemented after OPN silencing, the protective effects in MH-s cells treated with LPS were reversed. Conclusion This study reveals that OPN has an adverse impact on the host’s immune response to sepsis. Suppressing OPN expression holds potential therapeutic value for the treatment of sepsis. Trial registration Study on the diagnostic value of osteopontin in children with sepsis. MR5024001771. Registered 22 January 2024. https//www.medicalresearch.org.cn.
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spelling doaj-art-402959fe0955470d8799743dde36d9d02025-01-26T12:15:21ZengBMCJournal of Inflammation1476-92552025-01-0122111510.1186/s12950-025-00430-4The injury effect of osteopontin in sepsis-associated lung injuryQian Wang0Zhicai Yu1Zhixin Song2Xue Lu3Zhu Li4Dandan Pi5Jing Li6Feng Xu7Department of Critical Care Medicine, Children’s Hospital of Chongqing Medical UniversityDepartment of Pediatric Intensive Care Unit, First Affiliated Hospital of Xinxiang Medical UniversityNational Clinical Research Center for Child Health and DisordersDepartment of Critical Care Medicine, Children’s Hospital of Chongqing Medical UniversityNational Clinical Research Center for Child Health and DisordersDepartment of Critical Care Medicine, Children’s Hospital of Chongqing Medical UniversityDepartment of Critical Care Medicine, Children’s Hospital of Chongqing Medical UniversityDepartment of Critical Care Medicine, Children’s Hospital of Chongqing Medical UniversityAbstract Background Sepsis is a severe condition causing organ failure due to an abnormal immune reaction to infection, characterized by ongoing excessive inflammation and immune system issues. Osteopontin (OPN) is secreted by various cells and plays a crucial role in inflammatory responses and immune regulation. Nonetheless, the precise function of OPN in sepsis remains to be elucidated. Methods In the present study, we evaluated the levels of OPN in paediatric patients with sepsis and healthy individuals. We examined the impact of OPN on survival rates, systemic inflammation, and lung injury within an experimental sepsis model using cecal ligation and puncture (CLP). Furthermore, the pro-inflammatory effects and potential mechanisms of OPN in sepsis were investigated through Mouse Hemophagocytic Synuclein (MH-S) cells. Results The OPN level was found to be elevated in patients with sepsis (368.5 ± 249.4 ng/ml) compared to children with infections (73.78 ± 40.46 ng/ml) (p < 0.0001) and healthy individuals (44.03 ± 20.76 ng/ml) (p < 0.0001). The serum concentration of OPN was elevated in pediatric patients with septic shock compared to those with sepsis (504 ± 266.3 ng/ml vs. 238.6 ± 143.8 ng/ml, p < 0.001). Intravenous administration of OPN inhibitor into the tail vein decreased the mortality rate (HR = 0.2695, p = 0.0015), suppressed systemic inflammatory responses and mitigated lung tissue damage. The concentration of tumour necrosis factor (TNF)-α, IL-6 and IL-1β in serum of CLP mice treated with OPN inhibitor decreased compared with CLP mice. Within the sepsis mouse model, there was a marked increase in OPN expression in the lung’s tissues compared to the sham group mice. This surge was accompanied by a significant accumulation of alveolar macrophages and an upregulation of inflammasome expression. Mechanistic investigations in MH-s cells revealed that OPN-siRNA suppressed the LPS-induced macrophage inflammatory response by inhibiting caspase1-dependent classical pyroptosis signaling pathway. However, recombinant OPN was supplemented after OPN silencing, the protective effects in MH-s cells treated with LPS were reversed. Conclusion This study reveals that OPN has an adverse impact on the host’s immune response to sepsis. Suppressing OPN expression holds potential therapeutic value for the treatment of sepsis. Trial registration Study on the diagnostic value of osteopontin in children with sepsis. MR5024001771. Registered 22 January 2024. https//www.medicalresearch.org.cn.https://doi.org/10.1186/s12950-025-00430-4SepsisLung injureOsteopontinMacrophage pyroptosis
spellingShingle Qian Wang
Zhicai Yu
Zhixin Song
Xue Lu
Zhu Li
Dandan Pi
Jing Li
Feng Xu
The injury effect of osteopontin in sepsis-associated lung injury
Journal of Inflammation
Sepsis
Lung injure
Osteopontin
Macrophage pyroptosis
title The injury effect of osteopontin in sepsis-associated lung injury
title_full The injury effect of osteopontin in sepsis-associated lung injury
title_fullStr The injury effect of osteopontin in sepsis-associated lung injury
title_full_unstemmed The injury effect of osteopontin in sepsis-associated lung injury
title_short The injury effect of osteopontin in sepsis-associated lung injury
title_sort injury effect of osteopontin in sepsis associated lung injury
topic Sepsis
Lung injure
Osteopontin
Macrophage pyroptosis
url https://doi.org/10.1186/s12950-025-00430-4
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