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Dissecting the adrenal-endothelial-immune interface in systemic inflammation: Implications for inflammationrelated adrenal dysfunction

Fachliche Zuordnung Endokrinologie, Diabetologie, Metabolismus
Förderung Förderung von 2011 bis 2019
Projektkennung Deutsche Forschungsgemeinschaft (DFG) - Projektnummer 189897882
 
Erstellungsjahr 2019

Zusammenfassung der Projektergebnisse

Systemic inflammation and adrenal gland function are intimately linked in a bidirectional fashion. Adrenal gland function and adrenal hormones modulate systemic inflammation. Adrenal dysregulation and an inadequate steroid response, often observed in the course of systemic inflammation, may therefore negatively affect the outcome of systemic inflammation. In this regard, immune cells that accumulate in the adrenal gland in the course of inflammation, and the products thereof, especially pro-inflammatory cytokines, may contribute to adrenal dysfunction. As the adrenal gland is highly vascularized, endothelial cells are a critical intermediate of the aforementioned immune-adrenal crosstalk in systemic inflammation. On the other hand, leukocyte interactions with the endothelium are an important component of the systemic inflammatory response; leukocyte-endothelial interactions may in turn be regulated by adrenal steroids. The present project focused on the understanding of this complex adrenal-endothelial-immune interface in the course of systemic inflammation. In this regard, we could demonstrate that the endogenous anti-inflammatory factor, endothelial-derived Del-1 (Developmental endothelial locus 1), which interacts with integrins and antagonizes leukocyte adhesive events, acts as a gatekeeper of adrenal gland inflammation. In the course of systemic inflammation, downregulation of Del-1 expression in the adrenal gland promoted adrenal gland inflammation and adrenal dysfunction. To our knowledge, these findings represent likely the first study demonstrating the important role of the adrenal endothelium in supporting adrenal homeostasis and counter-acting inflammation-related adrenal dysfunction. Moreover, we have provided mechanistic insights into the adrenal-endothelial-immune interface in systemic inflammation, by investigating a complex regulatory loop, in which the endothelium and endothelial Del-1 expression lie in the centre. We identified the molecular mechanisms, by which pro-inflammatory cytokines, such as IL-17, inhibit endothelial Del-1 expression. Importantly, we also identified molecular mechanisms potentially explaining the anti-inflammatory actions of the adrenal steroid dehydroepiandrosterone (DHEA) (its immunomodulatory functions are known for long time but not well understood mechanistically). These mechanisms involved DHEA-induced signalling via its receptor TRKA and modulation of Del-1 expression. Hence, our studies have led to a much better understanding of the molecular mechanisms underlying the anti-inflammatory effects of the aforementioned adrenal steroid. Together, the present project revealed important mechanisms underlying the adrenal-endothelial-immune interface in systemic inflammation and provides molecular targets for potential therapeutic interventions for inflammation-related adrenal dysfunction.

Projektbezogene Publikationen (Auswahl)

 
 

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