Staphylococcus aureus vesicles impair cutaneous wound healing through p38 MAPK-MerTK cleavage-mediated inhibition of macrophage efferocytosis

Abstract Background Staphylococcus aureus, a known contributor to non-healing wounds, releases vesicles (SAVs) that influence the delicate balance of host-pathogen interactions. Efferocytosis, a process by which macrophages clear apoptotic cells, plays a key role in successful wound healing. However...

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Main Authors: Jiaxin Ou, Kangxin Li, Hui Yuan, Shaohua Du, Tingting Wang, Qiannan Deng, Huimei Wu, Weiyan Zeng, Kui Cheng, Kutty Selva Nandakumar
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Cell Communication and Signaling
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Online Access:https://doi.org/10.1186/s12964-024-01994-z
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author Jiaxin Ou
Kangxin Li
Hui Yuan
Shaohua Du
Tingting Wang
Qiannan Deng
Huimei Wu
Weiyan Zeng
Kui Cheng
Kutty Selva Nandakumar
author_facet Jiaxin Ou
Kangxin Li
Hui Yuan
Shaohua Du
Tingting Wang
Qiannan Deng
Huimei Wu
Weiyan Zeng
Kui Cheng
Kutty Selva Nandakumar
author_sort Jiaxin Ou
collection DOAJ
description Abstract Background Staphylococcus aureus, a known contributor to non-healing wounds, releases vesicles (SAVs) that influence the delicate balance of host-pathogen interactions. Efferocytosis, a process by which macrophages clear apoptotic cells, plays a key role in successful wound healing. However, the precise impact of SAVs on wound repair and efferocytosis remains unknown. Methods Filtration, ultracentrifugation, and iodixanol density gradient centrifugation were used to purify the bacterial vesicles. Transmission electron microscopy (TEM), nanoparticle tracking analysis (NTA), and Western blot (WB) were used to characterize the vesicles. Macrophage efferocytosis efficiency was assessed using flow cytometry and confocal microscopy, while efferocytosis at wound sites was analyzed through WB, FACS, and TUNEL staining. Hematoxylin and eosin (H&E) staining and wound size measurements were used to evaluate the wound healing process. Phosphorylation of signaling pathways was detected by WB, and efferocytosis receptor expression was measured using RNA sequencing, qPCR, and flow cytometry. siRNA and pathway inhibitors were used to investigate the roles of key receptors and signaling pathways in efferocytosis. Results We identified SAVs at infected wound sites, linking them to delayed healing of wounds. SAVs inhibit efferocytosis by activating the TLR2-MyD88-p38 MAPK signaling pathway, which regulates efferocytosis receptor genes. This activation promoted cleavage and shedding of MerTK, a crucial receptor for macrophage-driven efferocytosis. Notably, selective inhibition of p38 MAPK prevented MerTK shedding, restored efferocytosis and accelerated wound healing significantly, offering a promising therapeutic approach for chronic, non-healing wounds. Conclusion These findings uncover a novel mechanism in S. aureus-infected wounds, highlighting how the disruption of efferocytosis via the TLR2-MyD88-p38 MAPK-MerTK axis becomes a key force behind impaired healing of wounds. Targeting this pathway could open up a new therapeutic avenue facilitating the treatment of chronic, non-healing skin injuries.
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spelling doaj-art-88bf23ba91c342ecb807f40b29acb7002025-01-26T12:44:56ZengBMCCell Communication and Signaling1478-811X2025-01-0123112010.1186/s12964-024-01994-zStaphylococcus aureus vesicles impair cutaneous wound healing through p38 MAPK-MerTK cleavage-mediated inhibition of macrophage efferocytosisJiaxin Ou0Kangxin Li1Hui Yuan2Shaohua Du3Tingting Wang4Qiannan Deng5Huimei Wu6Weiyan Zeng7Kui Cheng8Kutty Selva Nandakumar9School of Pharmaceutical Sciences, Southern Medical UniversityHenan International Joint Laboratory of Infection and Immunity, the First Affiliated Hospital, Zhengzhou UniversityHenan International Joint Laboratory of Infection and Immunity, the First Affiliated Hospital, Zhengzhou UniversityDepartment of Musculoskeletal Oncology, the Third Affiliated Hospital of Southern Medical UniversitySchool of Pharmaceutical Sciences, Southern Medical UniversityInstitute of Biological and Medical Engineering, Guangdong Academy of SciencesSchool of Pharmaceutical Sciences, Southern Medical UniversityDepartment of Pharmacy, Sun Yat-Sen University Cancer CenterSchool of Pharmaceutical Sciences, Southern Medical UniversitySchool of Pharmaceutical Sciences, Southern Medical UniversityAbstract Background Staphylococcus aureus, a known contributor to non-healing wounds, releases vesicles (SAVs) that influence the delicate balance of host-pathogen interactions. Efferocytosis, a process by which macrophages clear apoptotic cells, plays a key role in successful wound healing. However, the precise impact of SAVs on wound repair and efferocytosis remains unknown. Methods Filtration, ultracentrifugation, and iodixanol density gradient centrifugation were used to purify the bacterial vesicles. Transmission electron microscopy (TEM), nanoparticle tracking analysis (NTA), and Western blot (WB) were used to characterize the vesicles. Macrophage efferocytosis efficiency was assessed using flow cytometry and confocal microscopy, while efferocytosis at wound sites was analyzed through WB, FACS, and TUNEL staining. Hematoxylin and eosin (H&E) staining and wound size measurements were used to evaluate the wound healing process. Phosphorylation of signaling pathways was detected by WB, and efferocytosis receptor expression was measured using RNA sequencing, qPCR, and flow cytometry. siRNA and pathway inhibitors were used to investigate the roles of key receptors and signaling pathways in efferocytosis. Results We identified SAVs at infected wound sites, linking them to delayed healing of wounds. SAVs inhibit efferocytosis by activating the TLR2-MyD88-p38 MAPK signaling pathway, which regulates efferocytosis receptor genes. This activation promoted cleavage and shedding of MerTK, a crucial receptor for macrophage-driven efferocytosis. Notably, selective inhibition of p38 MAPK prevented MerTK shedding, restored efferocytosis and accelerated wound healing significantly, offering a promising therapeutic approach for chronic, non-healing wounds. Conclusion These findings uncover a novel mechanism in S. aureus-infected wounds, highlighting how the disruption of efferocytosis via the TLR2-MyD88-p38 MAPK-MerTK axis becomes a key force behind impaired healing of wounds. Targeting this pathway could open up a new therapeutic avenue facilitating the treatment of chronic, non-healing skin injuries.https://doi.org/10.1186/s12964-024-01994-zStaphylococcus aureusExtracellular vesiclesWound healingEfferocytosisMerTK
spellingShingle Jiaxin Ou
Kangxin Li
Hui Yuan
Shaohua Du
Tingting Wang
Qiannan Deng
Huimei Wu
Weiyan Zeng
Kui Cheng
Kutty Selva Nandakumar
Staphylococcus aureus vesicles impair cutaneous wound healing through p38 MAPK-MerTK cleavage-mediated inhibition of macrophage efferocytosis
Cell Communication and Signaling
Staphylococcus aureus
Extracellular vesicles
Wound healing
Efferocytosis
MerTK
title Staphylococcus aureus vesicles impair cutaneous wound healing through p38 MAPK-MerTK cleavage-mediated inhibition of macrophage efferocytosis
title_full Staphylococcus aureus vesicles impair cutaneous wound healing through p38 MAPK-MerTK cleavage-mediated inhibition of macrophage efferocytosis
title_fullStr Staphylococcus aureus vesicles impair cutaneous wound healing through p38 MAPK-MerTK cleavage-mediated inhibition of macrophage efferocytosis
title_full_unstemmed Staphylococcus aureus vesicles impair cutaneous wound healing through p38 MAPK-MerTK cleavage-mediated inhibition of macrophage efferocytosis
title_short Staphylococcus aureus vesicles impair cutaneous wound healing through p38 MAPK-MerTK cleavage-mediated inhibition of macrophage efferocytosis
title_sort staphylococcus aureus vesicles impair cutaneous wound healing through p38 mapk mertk cleavage mediated inhibition of macrophage efferocytosis
topic Staphylococcus aureus
Extracellular vesicles
Wound healing
Efferocytosis
MerTK
url https://doi.org/10.1186/s12964-024-01994-z
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