2020
DOI: 10.3389/fimmu.2020.581758
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X-Linked Immunodeficient Mice With No Functional Bruton's Tyrosine Kinase Are Protected From Sepsis-Induced Multiple Organ Failure

Abstract: We previously reported the Bruton's tyrosine kinase (BTK) inhibitors ibrutinib and acalabrutinib improve outcomes in a mouse model of polymicrobial sepsis. Now we show that genetic deficiency of the BTK gene alone in Xid mice confers protection against cardiac, renal, and liver injury in polymicrobial sepsis and reduces hyperimmune stimulation (“cytokine storm”) induced by an overwhelming bacterial infection. Protection is due in part to enhanced bacterial phagocyt… Show more

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Cited by 26 publications
(32 citation statements)
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“…In accordance with our data De Porto et al report that ibrutinib treatment reduces PMN recruitment in acute pulmonary inflammation evoked by antibiotic-treated pneumococcal pneumonia and suggest that ibrutinib has the potential to inhibit ongoing lung inflammation in an acute infectious setting (de Porto et al, 2019). O'Riordan and colleagues reported reduced infiltration of neutrophils in a model of polymicrobial sepsis in XID mice (O'Riordan et al, 2020). Decreased myeloid cells recruitment has also been reported in other inflammatory models, RA, obesity and cerebral ischaemia, when BTK had been systemically inhibited with BTK inhibitors (Weber et al, 2017b).…”
Section: Discussionsupporting
confidence: 92%
See 1 more Smart Citation
“…In accordance with our data De Porto et al report that ibrutinib treatment reduces PMN recruitment in acute pulmonary inflammation evoked by antibiotic-treated pneumococcal pneumonia and suggest that ibrutinib has the potential to inhibit ongoing lung inflammation in an acute infectious setting (de Porto et al, 2019). O'Riordan and colleagues reported reduced infiltration of neutrophils in a model of polymicrobial sepsis in XID mice (O'Riordan et al, 2020). Decreased myeloid cells recruitment has also been reported in other inflammatory models, RA, obesity and cerebral ischaemia, when BTK had been systemically inhibited with BTK inhibitors (Weber et al, 2017b).…”
Section: Discussionsupporting
confidence: 92%
“…During the COVID-19 pandemic BTK has been shown to be activated in monocytes and intervention with the BTK inhibitor Acalabrutinib has been reported to reduce systemic inflammation in patients with severe COVID-19 (Roschewski et al, 2020). We and others have reported inhibition of BTK reduces NF-kB and the NLRP3 inflammasome activity in both murine and human macrophages, and reduces pro-inflammatory cytokine and chemokine production (O'Riordan et al, 2020)(Mao et al, 2020.…”
Section: Introductionmentioning
confidence: 97%
“…More recently, cardiac failure in the wake of sepsis was studied in an experimental model under ibrutinib and acalabrutinib administration (O'Riordan et al, 2019 ). Btk -deficient Xid mice were also protected in a polymicrobial sepsis model, with reduced NLRP3 activation contributing to the phenotype (O'Riordan et al, 2020 ). Interestingly, BTK inhibition reduced NLRP3 protein levels and IL-1 in the serum.…”
Section: Evidence From Preclinical In Vivo Models mentioning
confidence: 99%
“…It has been observed that the regulatory effects of BTK inhibition on the NLRP3 inflammasome vary in different mouse models. BTK deficiency has been shown to promote NLRP3 inflammasome activation and induce IL-1β-mediated colitis, but it also alleviates other diseases, such as ischemic brain injury, diet-induced metabolic inflammation and polymicrobial sepsis ( 26 - 28 ). On this basis, the association between BTK and the NLRP3 inflammasome in DN was examined in the present study.…”
Section: Discussionmentioning
confidence: 99%
“…Recently, BTK has attracted increased attention as a regulator of NLRP3. It has been demonstrated that the inhibition of BTK can reduce the inflammatory response by decreasing the activation of the NLRP3 inflammasome in numerous diseases, such as ischemic brain injury, diet-induced metabolic inflammation and polymicrobial sepsis ( 26 - 28 ). However, the role of BTK in DN remains to be elucidated.…”
Section: Introductionmentioning
confidence: 99%