1. Academic Validation
  2. Targeting Glutamate transport: A breakthrough in mitigating sepsis lung injury

Targeting Glutamate transport: A breakthrough in mitigating sepsis lung injury

  • Free Radic Biol Med. 2025 Aug 1:235:190-199. doi: 10.1016/j.freeradbiomed.2025.04.043.
Yu-Jia Qiu 1 Fan Zhan 2 Hai-Peng Cheng 3 Min Shao 1 Xiao-Hong Li 2 Xing-Wen Bao 1 Xin-Yue Liang 1 Qian Zeng 4 Wei Liu 4 Si-Yuan Tang 4 Yang Han 1 Dan-Dan Feng 1 Shao-Jie Yue 5 Yan Zhou 6 Zi-Qiang Luo 7
Affiliations

Affiliations

  • 1 Department of Physiology, Xiangya School of Medicine, Central South University, Changsha, Hunan, 410078, China.
  • 2 The First Affiliated Hospital, University of South China, Hengyang, Hunan, 410000, China.
  • 3 Department of Pathology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410000, China.
  • 4 Xiangya Nursing School, Central South University, Changsha, Hunan, 410000, China.
  • 5 Department of Pediatrics, Xiangya Hospital, Central South University, Changsha, Hunan, 410013, China.
  • 6 Department of Physiology, Xiangya School of Medicine, Central South University, Changsha, Hunan, 410078, China. Electronic address: zhouyanxy@csu.edu.cn.
  • 7 Department of Physiology, Xiangya School of Medicine, Central South University, Changsha, Hunan, 410078, China. Electronic address: luoziqiang@csu.edu.cn.
Abstract

Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) can result from various factors, including sepsis, one of the high-risk causes of ALI/ARDS. Recent research emphasizes the role of Glutamate metabolism in ALI/ARDS. Our study found a strong correlation between the difference in serological Glutamate levels of arterial vs venous blood and the progression of lung injury. High arterial - venous (A-V) Glutamate discrepancies were significantly associated with severity in ALI/ARDS patients. Additionally, the subunit of Glutamate transporter system XC- was notably elevated in mouse lungs affected by sepsis and LPS-induced macrophages. Pharmacological inhibition of system XC- or knocking down xCT worsened sepsis-related lung injury in mice. We also showed that xCT in macrophages is essential for activating system XC- for Glutamate transport, offering protection against sepsis-related ALI. Our findings highlight the therapeutic potential of Glutamate transport in mitigating lung injury and provide a promising approach for predicting ALI/ARDS prognosis.

Keywords

Acute lung injury; Glutamate; Macrophages; Sepsis; System X(C)(−); xCT.

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