Please cite this article in press as: Zhang et al., Enhanced Cellular Polysulfides Negatively Regulate TLR4 Signaling and Mitigate Lethal Endotoxin
2
007, 2011; Kuzmich et al., 2017). We found that NAC-S2 treat- models for their ability to block TLR4-mediated cytokine produc-
ment strongly inhibited NF-kB activation and TNF-a production, tion, and several have been tested in clinical trials (Kuzmich et al.,
induced by different TLR ligands such as zymosan A, poly(I:C), 2017). The known TLR4 antagonists belong to different classes
and LPS (Figures 4 and 6). Thus, the TAK1-NF-kB pathway of chemical compounds, primarily glycolipids, which mimic the
may be a target for the anti-inflammatory actions of NAC-S2.
natural TLR4 ligand lipid A, but also heterocyclic compounds,
We found that IFN-b production was inhibited not only by NAC- peptides, opioids, steroids, taxanes, and others, and these com-
S2but also by NAC-S1 (Figure 5). Such reduced IFN-b production pounds have natural and synthetic origins (Kuzmich et al., 2017).
may be associated with NAC polysulfide-mediated inhibition of
In this study, we demonstrated that NAC-S2 treatment pro-
iNOS expression and NO production (Figure 5). IFN-b-induced tected mice from lethal endotoxin shock, with a concomitant
phosphorylation of STAT1, which is essential for iNOS expression reduction in TNF-a production (Figure 7). This result suggests
(
Scheme S1), was also significantly inhibited by both NAC-S1 and that persulfide/polysulfide donors may be applicable as TLR4
NAC-S2 (Figure S6A). One hypothesis for why the TRAM-TRIF/ antagonists that can be used to treat endotoxin shock. Persul-
IFN-b axis is inhibited by NAC-S1 is that TRAM-TRIF-mediated fide/polysulfide donors solely or in combination with other
IFN-b production requires a longer activation period, such as TLR4 antagonists warrant additional investigation as potential
6 h, compared with that for the TIRAP-MyD88 pathway (Fig- therapeutic agents.
ure 5A). As seen in Figure S3B, a time-dependent increase in In summary, we demonstrated here that NAC polysulfides are
intracellular hydropersulfide/polysulfide levels was evident for cell permeable and are reduced thiol-activable persulfide/
cells treated with NAC-S1. Therefore, hydropersulfide/polysul- polysulfide donors. NAC polysulfides strongly desensitize
fide levels may become sufficient to inhibit TRAM-TRIF pathways macrophages to TLR-mediated innate immune responses that
even in cells treated with NAC-S1.
accompanies reduced production of pro-inflammatory cyto-
NAC polysulfides may exert anti-inflammatory effects in kines. NAC polysulfides may thus become powerful chemical
addition to antioxidant actions. Protein thiols are expected to be tools for studying biological processes that are sensitive to
modified by NAC polysulfides directly or via formation of low-mo- endogenous persulfide/polysulfide levels and for developing
lecular-weight hydropersulfides/polysulfides such as GSH hydro- strategies to treat pathological conditions associated with dysre-
polysulfides. Inflammatory responses including NF-kB activation gulated inflammatory responses. Integrated omics approaches
may be modulated through posttranslational thiol modifications combining genomic, transcriptomic, proteomic, and metabolo-
such as protein sulfhydration (Paul and Snyder, 2012). Stimulator mic analyses may help understanding of the mechanisms of
of interferon genes (STING) is one of the innate immune adaptor how NAC polysulfides modulate cellular responses by influ-
proteins essential for infection-induced production of type I encing thousands of cell signaling processes.
IFNs (Ishikawa et al., 2009). S-Palmitoylation of cysteine at 91
(
Cys91) of STING is critical for STING clustering and activation
Mukai et al., 2016). Haag et al. (2018) recently discovered that
SIGNIFICANCE
(
nitrofuran-type small molecules inhibited S-palmitoylation-
induced STING activation through covalent binding to Cys91 of
STING. This finding suggests that NAC polysulfides may exert
their inhibitory actions on IFN-b production by modulating STING
activity in a protein S-sulfhydration-dependent manner. Several
S-sulfhydration proteomics methods have been developed,
including a modified biotin-switch assay (Pan and Carroll, 2013),
tag-switch assay (Ida et al., 2014; Zhang et al., 2014), protein per-
sulfide detection protocol (Doka et al., 2016), and polyethylene
glycol-conjugated maleimide-labeling gel shift assay (Akaike
et al., 2017); these techniques may become powerful tools to
identify target proteins as well as signaling cascades affected
by protein S-sulfhydration. Additional study is thus warranted to
determine the effects of NAC polysulfide treatment on the S-sulf-
hydrationproteome, andparticularly itsassociationwithLPS-TLR
signaling cascade activity.
Chemical compounds that effectively eliminate (scavengers)
or enhance (donors) endogenous persulfides and polysul-
fides may become powerful tools for studying the biological
roles of reactive sulfur species. This work reports that
sulfane sulfur atoms stabilized by NAC (NAC polysulfides)
via disulfide bonds at both sides can act as potent persulfide
and polysulfide donors in cells. Mechanistic studies re-
vealed that sulfane sulfur atoms in NAC polysulfides are
readily transferred to acceptor thiols present in cells. The
major findings of this study are that innate immune re-
sponses in macrophages that are governed by TLR signaling
are highly affected by endogenous persulfide/polysulfide
levels and that they are strongly suppressed by NAC polysul-
fides. In addition, NAC polysulfides had anti-inflammatory
functions in mice and thus protected mice from lethal endo-
toxin shock. NAC polysulfides developed in this study will be
useful to investigators who are interested in studying the
roles of reactive sulfur species, including regulatory roles
of these species in immune responses.
Although activation of TLR4 signaling is an important response
for eradicating pathogenic invaders, excessive and dysregulated
activation of TLR4 signaling related to LPS overload leads to
endotoxin shock, which results in acute, life-threatening organ
dysfunctions (Cavaillon, 2018; Kuzmich et al., 2017). Endotoxin
shock, with increased LPS levels in blood, overexpression of
pro-inflammatory cytokines, activation of the blood coagulation
system, and accumulation of fibrinogen dysfunction products,
causes a breakdown of local and general hemodynamics and
endothelial dysfunction via TLR signaling pathways (Kuzmich
et al., 2017). Various compounds have been tested in animal
STAR+METHODS
Detailed methods are provided in the online version of this paper
and include the following:
d KEY RESOURCES TABLE
d CONTACT FOR REAGENT AND RESOURCE SHARING
Cell Chemical Biology 26, 1–13, May 16, 2019 11