PROJECT SUMMARY
Sepsis is common, has a high mortality rate, and is a very resource-intensive healthcare problem in the U.S.A.
Sepsis is associated with cytokine storm, an exacerbated immune response, resulting in excessive
vasodilation and severe vascular leakage leading to circulatory shock and multiple organ failure. As sepsis
persists, patients often develop features of immunoparalysis. The majority of shock-related deaths occur during
this secondary hypo-immune state, likely due to the failure to clear the initial infection and/or secondary
nosocomial infection despite antibiotic treatment. We have found that mice deficient in mitogen-activated
protein kinase (MAPK) phosphatase (Mkp)-1, an inducible negative regulator of the p38 and JNK MAPKs,
exhibit exacerbated inflammation following bacterial infections. These mice experienced a substantially
enhanced cytokine storm and showed markedly increased mortality associated with vascular leak and
circulatory collapse. Given the enhanced inflammatory response, paradoxically, Mkp-1-/- mice exhibited
defective bacterial clearance. This picture of an augmented inflammatory response, and yet an inability to clear
bacteria, mimics what is often seen in septic patients that go on to develop shock and multi-organ failure.
However, the mechanisms leading to the impaired bactericidal activity in Mkp-1-/- mice are not known.
Additionally, using bone marrow reconstituted mice, we found that Mkp-1 in cells of non-bone marrow origin
(such as endothelial cells) plays a pivotal role in maintaining vascular barrier function. Our central hypothesis
is that adequately enhancing Mkp-1 expression may dampen inflammation, enhance anti-bacterial
immune defense, and improve barrier function, ultimately leading to better outcomes for patients with
sepsis. Although Mkp-1 is critically important in the innate immune response, its regulation remains poorly
understood. In preliminary studies we found that mutation of two serine residues at the C-terminus of Mkp-1,
which mimics phosphorylation by ERK, increased Mkp-1 stability 20-fold without affecting Mkp-1 ubiquitination.
Computer-based analysis suggests that the C-terminus of Mkp-1, adjacent to these two serine residues,
contains an intrinsically disordered domain and that phosphorylation of these two serine residues decreases
the disorder of this domain. This suggests that the ERK pathway stabilizes Mkp-1 via increasing the order of
an intrinsic disorderd domain. Therefore, we propose to elucidate the function of Mkp-1 in phagocytes and
endothelial cells and to define the mechanism by which ERK stabilizes the Mkp-1 protein. We will also
determine if enhancing ERK activity can be an effective strategy for sustaining Mkp-1 expression, thereby
preventing the second phase of p38 activation, ultimately inhibiting cytokine production. The objective of this
application is to understand the function and regulation of Mkp-1 in phagocytes and endothelial cells during
bacterial sepsis and determine if selective ERK activation can be an effective means to attenuate inflammation.