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10.1016/j.immuni.2021.05.004

http://scihub22266oqcxt.onion/10.1016/j.immuni.2021.05.004
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suck abstract from ncbi


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pmid34115964      Immunity 2021 ; 54 (7): 1463-1477.e11
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  • Metformin inhibition of mitochondrial ATP and DNA synthesis abrogates NLRP3 inflammasome activation and pulmonary inflammation #MMPMID34115964
  • Xian H; Liu Y; Rundberg Nilsson A; Gatchalian R; Crother TR; Tourtellotte WG; Zhang Y; Aleman-Muench GR; Lewis G; Chen W; Kang S; Luevanos M; Trudler D; Lipton SA; Soroosh P; Teijaro J; de la Torre JC; Arditi M; Karin M; Sanchez-Lopez E
  • Immunity 2021[Jul]; 54 (7): 1463-1477.e11 PMID34115964show ga
  • Acute respiratory distress syndrome (ARDS), an inflammatory condition with high mortality rates, is common in severe COVID-19, whose risk is reduced by metformin rather than other anti-diabetic medications. Detecting of inflammasome assembly in post-mortem COVID-19 lungs, we asked whether and how metformin inhibits inflammasome activation while exerting its anti-inflammatory effect. We show that metformin inhibited NLRP3 inflammasome activation and interleukin (IL)-1beta production in cultured and alveolar macrophages along with inflammasome-independent IL-6 secretion, thus attenuating lipopolysaccharide (LPS)- and SARS-CoV-2-induced ARDS. By targeting electron transport chain complex 1 and independently of AMP-activated protein kinase (AMPK) or NF-kappaB, metformin blocked LPS-induced and ATP-dependent mitochondrial (mt) DNA synthesis and generation of oxidized mtDNA, an NLRP3 ligand. Myeloid-specific ablation of LPS-induced cytidine monophosphate kinase 2 (CMPK2), which is rate limiting for mtDNA synthesis, reduced ARDS severity without a direct effect on IL-6. Thus, inhibition of ATP and mtDNA synthesis is sufficient for ARDS amelioration.
  • |Adenosine Triphosphate/*metabolism[MESH]
  • |Animals[MESH]
  • |COVID-19/metabolism/prevention & control[MESH]
  • |Cytokines/genetics/metabolism[MESH]
  • |DNA, Mitochondrial/*biosynthesis/metabolism[MESH]
  • |Humans[MESH]
  • |Inflammasomes/*drug effects/metabolism[MESH]
  • |Interleukin-1beta/genetics/metabolism[MESH]
  • |Lipopolysaccharides/toxicity[MESH]
  • |Metformin/*pharmacology/therapeutic use[MESH]
  • |Mice[MESH]
  • |NLR Family, Pyrin Domain-Containing 3 Protein/*metabolism[MESH]
  • |Nucleoside-Phosphate Kinase/metabolism[MESH]
  • |Pneumonia/metabolism/*prevention & control[MESH]
  • |Respiratory Distress Syndrome/chemically induced/prevention & control[MESH]


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