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The alkylation of AIM2 by itaconate mediates macrophage PANoptosis during sepsis - PubMed

2 hours ago
  • #PANoptosis
  • #AIM2
  • #Itaconate
  • Itaconate, an immunometabolite known for its anti-inflammatory properties, paradoxically drives macrophage cell death and pro-inflammatory responses when accumulated at high levels.
  • High concentrations of itaconate covalently alkylate the AIM2 protein at cysteine 113 (C113), stabilizing AIM2 and inducing a conformational change that promotes ASC oligomerization and PANoptosome assembly.
  • The AIM2 C113A mutation completely prevents itaconate-induced AIM2 stabilization and PANoptosis, as confirmed through in vitro experiments with lentiviral reconstitution and plasmid-mediated expression.
  • In vivo models support the pathogenic role of the itaconate-AIM2 alkylation axis in systemic sepsis, linking it to macrophage depletion and inflammation.
  • This study identifies a novel pro-inflammatory mechanism of itaconate through AIM2 modification, offering a potential therapeutic target for severe sepsis.