Int J Biol Sci 2024; 20(8):2922-2942. doi:10.7150/ijbs.93242 This issue Cite

Research Paper

Sodium chloride promotes macrophage pyroptosis and aggravates rheumatoid arthritis by activating SGK1 through GABA receptors Slc6a12

Xianzheng Zhang1,2#, Ziwei Zhang2#, Yuchen Zhao2#, Lin Jin2#, Yu Tai2, Yujing Tang2, Shuo Geng2, Han Zhang2, Yufang Zhai2, Yining Yang2, Pin Pan3, Peng He4, Shuqi Fang2, Chenlong Sun2, Yu Chen2, Mengqi Zhou2, Lianghu Liu2, Han Wang2, Li Xu2, Tianjing Zhang2, Jinghan Hua2, Hua Wang1✉, Lingling Zhang2✉

1. Department of Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
2. Institute of Clinical Pharmacology, Anhui Medical University, Hefei, China; Key Laboratory of Anti-inflammatory and Immune Medicine, Ministry of Education, Hefei, China; Anti-inflammatory Immune Drugs Collaborative Innovation Center, Anhui Province, Hefei, China.
3. Department of orthopedics, The Second People's Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei, Anhui 230011, China.
4. Department of Orthopedics, First Affiliated Hospital of Anhui Medical University, Hefei, China.
#These authors contributed equally.

Citation:
Zhang X, Zhang Z, Zhao Y, Jin L, Tai Y, Tang Y, Geng S, Zhang H, Zhai Y, Yang Y, Pan P, He P, Fang S, Sun C, Chen Y, Zhou M, Liu L, Wang H, Xu L, Zhang T, Hua J, Wang H, Zhang L. Sodium chloride promotes macrophage pyroptosis and aggravates rheumatoid arthritis by activating SGK1 through GABA receptors Slc6a12. Int J Biol Sci 2024; 20(8):2922-2942. doi:10.7150/ijbs.93242. https://www.ijbs.com/v20p2922.htm
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Abstract

Graphic abstract

Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease characterized by synovial inflammation and the production of autoantibodies. Previous studies have indicated an association between high-salt diets (HSD) and an increased risk of RA, yet the underlying mechanisms remain unclear. Macrophage pyroptosis, a pro-inflammatory form of cell death, plays a pivotal role in RA. In this study, we demonstrate that HSD exacerbates the severity of arthritis in collagen-induced arthritis (CIA) mice, correlating with macrophage infiltration and inflammatory lesions. Given the significant alterations observed in macrophages from CIA mice subjected to HSD, we specifically investigate the impact of HSD on macrophage responses in the inflammatory milieu of RA. In our in vitro experiments, pretreatment with NaCl enhances LPS-induced pyroptosis in RAW.264.7 and THP-1 cells through the p38 MAPK/NF-κB signaling pathway. Subsequent experiments reveal that Slc6a12 inhibitors and SGK1 silencing inhibit sodium-induced activation of macrophage pyroptosis and the p38 MAPK/NF-κB signaling pathway, whereas overexpression of the SGK1 gene counteracts the effect of sodium on macrophages.

In conclusion, our findings verified that high salt intake promotes the progression of RA and provided a detailed elucidation of the activation of macrophage pyroptosis induced by sodium transportation through the Slc6a12 channel.

Keywords: High-salt diet, rheumatoid arthritis, macrophages, pyroptosis, SGK1, Slc6a12


Citation styles

APA
Zhang, X., Zhang, Z., Zhao, Y., Jin, L., Tai, Y., Tang, Y., Geng, S., Zhang, H., Zhai, Y., Yang, Y., Pan, P., He, P., Fang, S., Sun, C., Chen, Y., Zhou, M., Liu, L., Wang, H., Xu, L., Zhang, T., Hua, J., Wang, H., Zhang, L. (2024). Sodium chloride promotes macrophage pyroptosis and aggravates rheumatoid arthritis by activating SGK1 through GABA receptors Slc6a12. International Journal of Biological Sciences, 20(8), 2922-2942. https://doi.org/10.7150/ijbs.93242.

ACS
Zhang, X.; Zhang, Z.; Zhao, Y.; Jin, L.; Tai, Y.; Tang, Y.; Geng, S.; Zhang, H.; Zhai, Y.; Yang, Y.; Pan, P.; He, P.; Fang, S.; Sun, C.; Chen, Y.; Zhou, M.; Liu, L.; Wang, H.; Xu, L.; Zhang, T.; Hua, J.; Wang, H.; Zhang, L. Sodium chloride promotes macrophage pyroptosis and aggravates rheumatoid arthritis by activating SGK1 through GABA receptors Slc6a12. Int. J. Biol. Sci. 2024, 20 (8), 2922-2942. DOI: 10.7150/ijbs.93242.

NLM
Zhang X, Zhang Z, Zhao Y, Jin L, Tai Y, Tang Y, Geng S, Zhang H, Zhai Y, Yang Y, Pan P, He P, Fang S, Sun C, Chen Y, Zhou M, Liu L, Wang H, Xu L, Zhang T, Hua J, Wang H, Zhang L. Sodium chloride promotes macrophage pyroptosis and aggravates rheumatoid arthritis by activating SGK1 through GABA receptors Slc6a12. Int J Biol Sci 2024; 20(8):2922-2942. doi:10.7150/ijbs.93242. https://www.ijbs.com/v20p2922.htm

CSE
Zhang X, Zhang Z, Zhao Y, Jin L, Tai Y, Tang Y, Geng S, Zhang H, Zhai Y, Yang Y, Pan P, He P, Fang S, Sun C, Chen Y, Zhou M, Liu L, Wang H, Xu L, Zhang T, Hua J, Wang H, Zhang L. 2024. Sodium chloride promotes macrophage pyroptosis and aggravates rheumatoid arthritis by activating SGK1 through GABA receptors Slc6a12. Int J Biol Sci. 20(8):2922-2942.

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