Decursinol Angelate Mitigates Sepsis Induced by Methicillin-Resistant Staphylococcus aureus Infection by Modulating the Inflammatory Responses of Macrophages

Int J Mol Sci. 2021 Oct 11;22(20):10950. doi: 10.3390/ijms222010950.

Abstract

The herbal plant Angelica gigas (A. gigas) has been used in traditional medicine in East Asian countries, and its chemical components are reported to have many pharmacological effects. In this study, we showed that a bioactive ingredient of A. gigas modulates the functional activity of macrophages and investigated its effect on inflammation using a sepsis model. Among 12 different compounds derived from A. gigas, decursinol angelate (DA) was identified as the most effective in suppressing the induction of TNF-α and IL-6 in murine macrophages. When mice were infected with a lethal dose of methicillin-resistant Staphylococcus aureus (MRSA), DA treatment improved the mortality and bacteremia, and attenuated the cytokine storm, which was associated with decreased CD38+ macrophage populations in the blood and liver. In vitro studies revealed that DA inhibited the functional activation of macrophages in the expression of pro-inflammatory mediators in response to microbial infection, while promoting the bacterial killing ability with an increased production of reactive oxygen species. Mechanistically, DA treatment attenuated the NF-κB and Akt signaling pathways. Intriguingly, ectopic expression of an active mutant of IKK2 released the inhibition of TNF-α production by the DA treatment, whereas the inhibition of Akt resulted in enhanced ROS production. Taken together, our experimental evidence demonstrated that DA modulates the functional activities of pro-inflammatory macrophages and that DA could be a potential therapeutic agent in the management of sepsis.

Keywords: Akt; NF-κB; decursinol angelate; methicillin-resistant Staphylococcus aureus, macrophage; sepsis.

MeSH terms

  • Angelica / chemistry
  • Angelica / metabolism
  • Animals
  • Benzopyrans / chemistry
  • Benzopyrans / pharmacology*
  • Butyrates / chemistry
  • Butyrates / pharmacology*
  • Disease Models, Animal
  • Interleukin-6 / metabolism
  • Kaplan-Meier Estimate
  • Lipopolysaccharides / pharmacology
  • Macrophages / cytology
  • Macrophages / drug effects*
  • Macrophages / metabolism
  • Methicillin-Resistant Staphylococcus aureus / pathogenicity*
  • Mice
  • Mice, Inbred C57BL
  • NF-kappa B / metabolism
  • Proto-Oncogene Proteins c-akt / metabolism
  • RAW 264.7 Cells
  • Reactive Oxygen Species / metabolism
  • Sepsis / microbiology
  • Sepsis / mortality
  • Sepsis / pathology*
  • Signal Transduction / drug effects
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Benzopyrans
  • Butyrates
  • Interleukin-6
  • Lipopolysaccharides
  • NF-kappa B
  • Reactive Oxygen Species
  • Tumor Necrosis Factor-alpha
  • decursin
  • Proto-Oncogene Proteins c-akt