Cited by 10Immune Response and InflammationSepsis Diagnosis and TreatmentInflammation biomarkers and pathways

Molecular control of PDPNhi macrophage subset induction by ADAP as a host defense in sepsis

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Zhang, Pengchao, Wang, Xinning, Yang, Xiaodong, Liu, Hebin·2025·JCI Insight

Abstract

Induction of podoplanin (PDPN) expression is a critical response of macrophages to LPS stimulation or bacterial infection in sepsis, but how this key process of TLR4-stimulated PDPN upregulation is regulated and the effect of PDPN expression on macrophage function remain elusive. Here, we determined how this process is regulated in vitro and in vivo. PDPN failed to be upregulated in TLR4-stimulated macrophages deficient in adhesion and degranulation-promoting adapter protein (ADAP), which could be rescued by the reconstitution of ADAP. A distinct PDPN hi peritoneal macrophage (PM) subset, which exhibited an M2-like phenotype and enhanced phagocytic activity, was generated in WT but not in ADAP-deficient septic mice. The blockade of PDPN hi PMs mimicked the effect of ADAP deficiency, which exacerbated sepsis. Mechanistically, Bruton’s tyrosine kinase–mediated (BTK-mediated) tyrosine phosphorylation of ADAP at Y 571 worked together with mTOR to converge on STAT3 activation for the transactivation of the PDPN promoter. Moreover, agonist activation of STAT3 profoundly potentiated the PDPN hi PM subset generation and alleviated sepsis severity in mice. Together, our findings reveal a mechanism whereby ADAP resets macrophage function by controlling the TLR4-induced upregulation of PDPN as a host innate immune defense during sepsis.

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  1. [45]Singer M et al The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) JAMA 2016 315 8 801 810 10.1001/jama.2016.0287 26903338 PMC4968574 · DOI · Paper page

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Authors
Zhang, P., Wang, X., Yang, X., & Liu, H.
Affiliations
  • Soochow University (CN)
  • Second Affiliated Hospital of Soochow University (CN)
Corresponding author
Liu, Hebin
Venue
JCI Insight
Published
2025-02-04
Volume
10
Issue
6
ISSN
2379-3708 (ISSN-L)
OpenAlex
W4407133453
Cited by
10
References
49
Citations by year
2026: 8 · 2025: 2
FWCI
3.70
Type
journal article
Language
en
Open access
Locations
  • JCI Insight (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Natural Science Foundation of Jiangsu Higher Education Institution-Key Program (21KJA310002)
  • Soochow University Research Development Funds (Q424900220)
  • Soochow University Interdisciplinary Medicine Program Funds (50340000122)
  • Suzhou Key Program Special Funds in XJTLU (KSF-A-21)
  • National Natural Science Foundation of China (31470840)
Topics
  • Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
  • Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
  • Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
Keywords
podoplanin, ADAP, sepsis, macrophage polarization, M2 macrophages, TLR4 signaling, Bruton's tyrosine kinase, STAT3 activation, mTOR, peritoneal macrophages, innate immunity, host defense, phagocytosis, LPS
MeSH terms
Agammaglobulinaemia Tyrosine Kinase, Animals, Disease Models, Animal, Lipopolysaccharides, Macrophages, Male, Membrane Glycoproteins, Mice, Inbred C57BL, Phosphorylation, Signal Transduction, Macrophages, Peritoneal, Mice, Knockout, Sepsis, Adaptor Proteins, Signal Transducing, STAT3 Transcription Factor, Toll-Like Receptor 4, Mice, TOR Serine-Threonine Kinases

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