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The angiotensin‐(1‐7)/ MasR axis improves pneumonia caused by Pseudomonas aeruginosa : Extending the therapeutic window for antibiotic therapy

2024; Wiley; Volume: 38; Issue: 18 Linguagem: Inglês

10.1096/fj.202401178r

1530-6860

Isabella Zaidan, Antônio Felipe Silva Carvalho, Laís C. Grossi, Jéssica Amanda Marques Souza, Edvaldo S. Lara, Ana Clara M. Montuori‐Andrade, Camila Cardoso, Fernanda S. Carneiro, Érick Bryan de Sousa Lima, A. Monteiro, Isabella de Lacerda Augusto, Rodrigo Severo Caixeta, Carlos Eduardo Dias Igídio, Camila Bernardo de Brito, Leonardo Camilo de Oliveira, Celso Martins Queiroz‐Junior, Remo Castro Russo, Maria José Campagnole‐Santos, Robson A.S. Santos, Vivian Vasconcelos Costa, Danielle G. Souza, Caio T. Fagundes, Mauro Martins Teixeira, Luciana P. Tavares, Lirlândia P. Sousa,

Complement system in diseases

Abstract Pseudomonas aeruginosa is a frequent cause of antimicrobial‐resistant hospital‐acquired pneumonia, especially in critically ill patients. Inflammation triggered by P. aeruginosa infection is necessary for bacterial clearance but must be spatially and temporally regulated to prevent further tissue damage and bacterial dissemination. Emerging data have shed light on the pro‐resolving actions of angiotensin‐(1‐7) [Ang‐(1‐7)] signaling through the G protein‐coupled receptor Mas (MasR) during infections. Herein, we investigated the role of the Ang‐(1‐7)/Mas axis in pneumonia caused by P. aeruginosa by using genetic and pharmacological approach and found that Mas receptor‐deficient animals developed a more severe form of pneumonia showing higher neutrophilic infiltration into the airways, bacterial load, cytokines, and chemokines production and more severe pulmonary damage. Conversely, treatment of pseudomonas‐infected mice with Ang‐(1‐7) was able to decrease neutrophilic infiltration in airways and lungs, local and systemic levels of pro‐inflammatory cytokines and chemokines, and increase the efferocytosis rates, mitigating lung damage/dysfunction caused by infection. Notably, the therapeutic association of Ang‐(1‐7) with antibiotics improved the survival rates of mice subjected to lethal inoculum of P. aeruginosa , extending the therapeutic window for imipenem. Mechanistically, Ang‐(1‐7) increased phagocytosis of bacteria by neutrophils and macrophages to accelerate pathogen clearance. Altogether, harnessing the Ang‐(1‐7) pathway during infection is a potential strategy for the development of host‐directed therapies to promote mechanisms of resistance and resilience to pneumonia.