[HTML][HTML] Ferritin H deficiency deteriorates cellular iron handling and worsens Salmonella typhimurium infection by triggering hyperinflammation

D Haschka, P Tymoszuk, V Petzer, R Hilbe, S Heeke… - JCI insight, 2021 - ncbi.nlm.nih.gov
D Haschka, P Tymoszuk, V Petzer, R Hilbe, S Heeke, S Dichtl, S Skvortsov, E Demetz…
JCI insight, 2021ncbi.nlm.nih.gov
Iron is an essential nutrient for mammals as well as for pathogens. Inflammation-driven
changes in systemic and cellular iron homeostasis are central for host-mediated
antimicrobial strategies. Here, we studied the role of the iron storage protein ferritin H (FTH)
for the control of infections with the intracellular pathogen Salmonella enterica serovar
Typhimurium by macrophages. Mice lacking FTH in the myeloid lineage (LysM-Cre+/+ Fth
fl/fl mice) displayed impaired iron storage capacities in the tissue leukocyte compartment …
Abstract
Iron is an essential nutrient for mammals as well as for pathogens. Inflammation-driven changes in systemic and cellular iron homeostasis are central for host-mediated antimicrobial strategies. Here, we studied the role of the iron storage protein ferritin H (FTH) for the control of infections with the intracellular pathogen Salmonella enterica serovar Typhimurium by macrophages. Mice lacking FTH in the myeloid lineage (LysM-Cre+/+ Fth fl/fl mice) displayed impaired iron storage capacities in the tissue leukocyte compartment, increased levels of labile iron in macrophages, and an accelerated macrophage-mediated iron turnover. While under steady-state conditions, LysM-Cre+/+ Fth+/+ and LysM-Cre+/+ Fth fl/fl animals showed comparable susceptibility to Salmonella infection, iv iron supplementation drastically shortened survival of LysM-Cre+/+ Fth fl/fl mice. Mechanistically, these animals displayed increased bacterial burden, which contributed to uncontrolled triggering of NF-κB and inflammasome signaling and development of cytokine storm and death. Importantly, pharmacologic inhibition of the inflammasome and IL-1β pathways reduced cytokine levels and mortality and partly restored infection control in iron-treated ferritin-deficient mice. These findings uncover incompletely characterized roles of ferritin and cellular iron turnover in myeloid cells in controlling bacterial spread and for modulating NF-κB and inflammasome-mediated cytokine activation, which may be of vital importance in iron-overloaded individuals suffering from severe infections and sepsis.
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