Chemotherapy activates inflammasomes to cause inflammation-associated bone loss

  1. Chun Wang
  2. Khushpreet Kaur
  3. Canxin Xu
  4. Yousef Abu-Amer
  5. Gabriel Mbalaviele  Is a corresponding author
  1. Division of Bone and Mineral Diseases, Washington University School of Medicine, United States
  2. Aclaris Therapeutics, Inc, United States
  3. Department of Orthopaedic Surgery, Washington University School of Medicine, United States
  4. Shriners Hospitals for Children, United States
8 figures and 1 additional file

Figures

Figure 1 with 1 supplement
Doxorubicin causes bone loss in male mice.

Femurs from WT male mice were analyzed by VivaCT before (baseline) and 4 weeks after a single intraperitoneal injection of 5 mg/kg doxorubicin. Cross sections of 3D reconstructions. Scale bars: 500 …

Figure 1—source data 1

Micro-computed tomography (µCT) analysis in Figure 1B.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig1-data1-v1.xlsx
Figure 1—source data 2

Tartrate-resistant acidic phosphatase (TRAP) staining analysis in Figure 1D and E.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig1-data2-v1.xlsx
Figure 1—figure supplement 1
Doxorubicin causes bone loss in female mice.

Femurs from 10-week-old WT female (A, C) and male (B, D) mice were analyzed by VivaCT before (baseline) and 4 weeks after a single i.p. injection of 5 mg/kg doxorubicin (A–C) or vehicle (D). For …

Doxorubicin causes cytokinemia, leukopenia, release of danger-associated molecular patterns (DAMPs), and NETosis in vivo.

Twelve-week-old WT mice were exposed to a single dose of vehicle or 5 mg/kg doxorubicin. Serum samples were harvested 3 days (A–D) or 2 days (F–J) later and analyzed by MSD (IL-1β, IL-6, and TNF-α) …

Figure 2—source data 1

Serum samples analysis of inflammatory cytokines, ATP, citrullinated histone 3 (Cit-H3), myeloperoxidase (MPO), and cfDNA in Figure 2A–D and F–J.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig2-data1-v1.xlsx
Figure 2—source data 2

Complete blood count in Figure 2E.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig2-data2-v1.xlsx
Doxorubicin activates inflammasomes and causes macrophage pyroptosis.

WT bone marrow-derived macrophages (BMMs) were left untreated or primed with LPS for 3 hr, then treated with various doxorubicin concentrations for 16 hr. IL-1β (A), LDH (B), and ATP (C) in the …

Figure 3—source data 1

IL-1β, lactate dehydrogenase (LDH), and ATP analysis of bone marrow-derived macrophages (BMMs) supernatant in Figure 3A–C.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig3-data1-v1.xlsx
Figure 3—source data 2

ASC+ cells analysis in Figure 3H.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig3-data2-v1.xlsx
Figure 4 with 2 supplements
Doxorubicin activates inflammasome-dependent and -independent pathways in macrophages.

WT bone marrow-derived macrophages (BMMs) were left untreated or primed with LPS for 3 hr, then treated with various doxorubicin concentrations for 16 hr. Whole cell lysates were analyzed by …

Figure 4—source data 1

Original file for the western blot analysis in Figure 4 (NLRP3).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig4-data1-v1.zip
Figure 4—source data 2

Original file for the western blot analysis in Figure 4 (AIM2).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig4-data2-v1.zip
Figure 4—source data 3

Original file for the western blot analysis in Figure 4 (caspase-1).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig4-data3-v1.zip
Figure 4—source data 4

Original file for the western blot analysis in Figure 4 (cleaved caspase-1).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig4-data4-v1.zip
Figure 4—source data 5

Original file for the western blot analysis in Figure 4 (caspase-3/cleaved caspase-3).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig4-data5-v1.zip
Figure 4—source data 6

Original file for the western blot analysis in Figure 4 (gasdermin D [GSDMD]/cleaved GSDMD).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig4-data6-v1.zip
Figure 4—source data 7

Original file for the western blot analysis in Figure 4 (gasdermin D [GSDMD]/cleaved GSDMD [(p10])).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig4-data7-v1.zip
Figure 4—source data 8

Original file for the western blot analysis in Figure 4 (GSDME/cleaved GSDME).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig4-data8-v1.zip
Figure 4—source data 9

Original file for the western blot analysis in Figure 4 (β-actin).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig4-data9-v1.zip
Figure 4—source data 10

Original images of the relevant western blot analysis (NLRP3, AIM2, caspase-1/cleaved caspase-1, caspase-3/cleaved caspase-3, gasdermin D [GSDMD]/cleaved GSDMD, GSDME/cleaved GSDME, and β-actin) with highlighted bands and sample labels in Figure 4.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig4-data10-v1.zip
Figure 4—figure supplement 1
Cleavage sites of gasdermin D (GSDMD) and GSDME.

Cleavage sites of murine GSDMD by caspase-1 and caspase-3 (A). Cleavage sites of murine GSDME by caspase-3 (B).

Figure 4—figure supplement 2
Doxorubicin activates inflammasome-dependent and -independent pathways in macrophages.

WT bone marrow-derived macrophages (BMMs) were left untreated or primed with lipopolysaccharide (LPS) for 3 hr, then treated with various doxorubicin concentrations for 16 hr. Bar graph represents …

Figure 4—figure supplement 2—source data 1

Western blot analysis of bone marrow-derived macrophages (BMMs) in Figure 4—figure supplement 2.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig4-figsupp2-data1-v1.xlsx
Figure 5 with 1 supplement
Doxorubicin activates inflammasome-dependent and -independent pathways in neutrophils.

WT mouse bone marrow neutrophils were left untreated or primed with LPS for 3 hr, then treated with various doxorubicin concentrations for 16 hr. Whole cell lysates were analyzed by immunoblotting. …

Figure 5—source data 1

Original file for the western blot analysis in Figure 5A (NLRP3).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig5-data1-v1.zip
Figure 5—source data 2

Original file for the western blot analysis in Figure 5A (caspase-1/cleaved caspase-1).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig5-data2-v1.zip
Figure 5—source data 3

Original file for the western blot analysis in Figure 5A (gasdermin D [GSDMD]/cleaved GSDMD).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig5-data3-v1.zip
Figure 5—source data 4

Original file for the western blot analysis in Figure 5A (GSDME/cleaved GSDME).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig5-data4-v1.zip
Figure 5—source data 5

Original file for the western blot analysis in Figure 5A (caspase-3/cleaved caspase-3).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig5-data5-v1.zip
Figure 5—source data 6

Original file for the western blot analysis in Figure 5A (β-actin).

https://cdn.elifesciences.org/articles/92885/elife-92885-fig5-data6-v1.zip
Figure 5—source data 7

Original images for the western blot analysis (NLRP3, caspase-1/cleaved caspase-1, gasdermin D [GSDMD]/cleaved GSDMD, GSDME/cleaved GSDME, caspase-3/cleaved caspase-3, and β-actin) with highlighted bands and sample labels in Figure 5A.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig5-data7-v1.zip
Figure 5—source data 8

IL-1β and lactate dehydrogenase (LDH) analysis of bone marrow neutrophils supernatant in Figure 5B and C.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig5-data8-v1.xlsx
Figure 5—figure supplement 1
Doxorubicin activates inflammasome-dependent and -independent pathways in neutrophils.

Wild-type (WT) neutrophils were left untreated or primed with lipopolysaccharide (LPS) for 3 hr, then treated with various doxorubicin concentrations for 16 hr. Bar graph represents the quantitative …

Doxorubicin causes NETosis in vitro.

Wild-type (WT) mouse bone marrow neutrophils were left untreated or treated with 10 µM doxorubicin for 16 hr (A). Cit-H3 and MPO were analyzed by immunofluorescence. Scale bars: 50 μm. Images are …

Figure 6—source data 1

Cell-free DNA (cfDNA) and IL-1β analysis of bone marrow neutrophils supernatant in Figure 6B–C.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig6-data1-v1.xlsx
Figure 7 with 2 supplements
AIM2 and NLRP3 inflammasomes are involved in bone-damaging effects of doxorubicin.

WT, Aim2-/-, Nlrp3-/-, Aim2-/-;Nlrp3-/- or Casp1-/- bone marrow-derived macrophages (BMMs) (A, B) and neutrophils (C, D) were left untreated or primed with LPS for 3 hr, then exposed or not to 10 µM …

Figure 7—source data 1

IL-1β and lactate dehydrogenase (LDH) analysis of different genotypes of bone marrow-derived macrophages (BMMs) and bone marrow neutrophils supernatant in Figure 7A–D.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig7-data1-v1.xlsx
Figure 7—source data 2

Micro-computed tomography (µCT) analysis of different genotypes of mice in Figure 7F and G.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig7-data2-v1.xlsx
Figure 7—source data 3

Tartrate-resistant acidic phosphatase (TRAP) staining analysis of different genotypes of mice in Figure 7H and I.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig7-data3-v1.xlsx
Figure 7—figure supplement 1
AIM2 and NLRP3 inflammasomes are involved in bone-damaging effects of doxorubicin in male mice.

Femurs from WT, Aim2-/-, Nlrp3-/-, Aim2-/-; Nlrp3-/- or Casp1-/- male mice were analyzed by VivaCT before (baseline) and 4 weeks after a single intraperitoneal injection of 5 mg/kg doxorubicin (A, B)…

Figure 7—figure supplement 1—source data 1

Micro-computed tomography (µCT) analysis of different genotypes of male mice in Figure 7—figure supplement 1B.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig7-figsupp1-data1-v1.xlsx
Figure 7—figure supplement 2
AIM2 and NLRP3 inflammasomes are involved in bone-damaging effects of doxorubicin in female mice.

Femurs from WT, Aim2-/-, Nlrp3-/-, Aim2-/-; Nlrp3-/- or Casp1-/- female mice were analyzed by VivaCT before (baseline) and 4 weeks after a single intraperitoneal injection of 5 mg/kg doxorubicin. …

Figure 7—figure supplement 2—source data 1

Micro-computed tomography (µCT) analysis of different genotypes of female mice in Figure 7—figure supplement 2B–D.

https://cdn.elifesciences.org/articles/92885/elife-92885-fig7-figsupp2-data1-v1.xlsx
Graphical abstract.

Double line arrows: direct effects of doxorubicin on target cells. Solid line arrows: direct contribution to systemic inflammation. Broken line arrows: indirect contribution to systemic inflammation.

© 2024, BioRender Inc. Figure 8 was created using BioRender, and is published under a CC BY-NC-ND license. Further reproductions must adhere to the terms of this license.

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