[PDF][PDF] Metformin inhibition of mitochondrial ATP and DNA synthesis abrogates NLRP3 inflammasome activation and pulmonary inflammation

H Xian, Y Liu, AR Nilsson, R Gatchalian, TR Crother… - Immunity, 2021 - cell.com
H Xian, Y Liu, AR Nilsson, R Gatchalian, TR Crother, WG Tourtellotte, Y Zhang…
Immunity, 2021cell.com
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. Given evidence of inflammasome assembly in post-mortem
COVID-19 lungs, we asked whether and how metformin inhibits inflammasome activation
and exerts its anti-inflammatory effect. We show that metformin inhibited NLRP3
inflammasome activation and interleukin (IL)-1β production in cultured and alveolar …
Summary
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. Given evidence of inflammasome assembly in post-mortem COVID-19 lungs, we asked whether and how metformin inhibits inflammasome activation and exerts its anti-inflammatory effect. We show that metformin inhibited NLRP3 inflammasome activation and interleukin (IL)-1β production in cultured and alveolar macrophages along with inflammasome-independent IL-6 secretion, thus attenuating lipopolysaccharide (LPS)- and SARS-CoV-2-induced ARDS. Metformin blocked LPS-induced ATP-dependent synthesis of the NLRP3 ligand mtDNA independently of AMP-activated protein kinase (AMPK) or NF-κB. 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.
cell.com