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Mitochondria complex III-generated superoxide is essential for IL-10 secretion in macrophages.

Science advances2025-01-22PubMed
Total: 87.0Innovation: 9Impact: 8Rigor: 9Citation: 8

Summary

Macrophage mitochondrial complex III-derived superoxide is required for IL-10 secretion after TLR3/4 stimulation. Complex III-deficient mice are more susceptible to endotoxic shock, and PKA activation rescues IL-10 release, implicating an immunometabolic axis central to sepsis tolerance.

Key Findings

  • Complex III-deficient macrophages secrete less IL-10 after TLR3/4 stimulation, and mice show increased susceptibility to IAV and LPS endotoxic shock.
  • Restoring respiration with AOX without superoxide generation failed to rescue IL-10 release or shock susceptibility.
  • PKA activation restored IL-10 secretion in complex III-deficient BMDMs; IL-4 responses were unaffected by complex III deficiency.

Clinical Implications

Although preclinical, targeting mitochondrial signaling or cAMP/PKA pathways to restore IL-10 could augment host tolerance in sepsis or endotoxemia.

Why It Matters

Reveals a previously unappreciated requirement for mitochondrial ROS in anti-inflammatory cytokine release and shock protection, opening avenues to modulate cAMP/PKA signaling in sepsis.

Limitations

  • Mechanistic link between complex III superoxide and PKA signaling remains indirect
  • Translational relevance to human sepsis not yet established; limited to murine and BMDM models

Future Directions

Define molecular intermediates linking complex III superoxide to cAMP/PKA and IL-10 transcription; test pharmacologic modulators in sepsis models and human macrophages.

Study Information

Study Type
Basic/Mechanistic research
Research Domain
Pathophysiology
Evidence Level
V - Preclinical mechanistic study in murine models and primary cells
Study Design
OTHER