iScience (Apr 2025)

Targeting mTOR in myeloid cells prevents infection-associated inflammation

  • Yohana C. Toner,
  • Jazz Munitz,
  • Geoffrey Prevot,
  • Judit Morla-Folch,
  • William Wang,
  • Yuri van Elsas,
  • Bram Priem,
  • Jeroen Deckers,
  • Tom Anbergen,
  • Thijs J. Beldman,
  • Eliane E.S. Brechbühl,
  • Muhammed D. Aksu,
  • Athanasios Ziogas,
  • Sebastian A. Sarlea,
  • Mumin Ozturk,
  • Zhenhua Zhang,
  • Wenchao Li,
  • Yang Li,
  • Alexander Maier,
  • Jessica C. Fernandes,
  • Glenn A.O. Cremers,
  • Bas van Genabeek,
  • Joost H.C.M. Kreijtz,
  • Esther Lutgens,
  • Niels P. Riksen,
  • Henk M. Janssen,
  • Serge H.M. Söntjens,
  • Freek J.M. Hoeben,
  • Ewelina Kluza,
  • Gagandeep Singh,
  • Evangelos J. Giamarellos-Bourboulis,
  • Michael Schotsaert,
  • Raphaël Duivenvoorden,
  • Roy van der Meel,
  • Leo A.B. Joosten,
  • Lei Cai,
  • Ryan E. Temel,
  • Zahi A. Fayad,
  • Musa M. Mhlanga,
  • Mandy M.T. van Leent,
  • Abraham J.P. Teunissen,
  • Mihai G. Netea,
  • Willem J.M. Mulder

Journal volume & issue
Vol. 28, no. 4
p. 112163

Abstract

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Summary: Infections, cancer, and trauma can cause life-threatening hyperinflammation. In the present study, using single-cell RNA sequencing of circulating immune cells, we found that the mammalian target of rapamycin (mTOR) pathway plays a critical role in myeloid cell regulation in COVID-19 patients. Previously, we developed an mTOR-inhibiting nanobiologic (mTORi-nanobiologic) that efficiently targets myeloid cells and their progenitors in the bone marrow. In vitro, we demonstrated that mTORi-nanobiologics potently inhibit infection-associated inflammation in human primary immune cells. Next, we investigated the in vivo effect of mTORi-nanobiologics in mouse models of hyperinflammation and acute respiratory distress syndrome. Using 18F-FDG uptake and flow cytometry readouts, we found mTORi-nanobiologic therapy to efficiently reduce hematopoietic organ metabolic activity and inflammation to levels comparable to those of healthy control animals. Together, we show that regulating myelopoiesis with mTORi-nanobiologics is a compelling therapeutic strategy to prevent deleterious organ inflammation in infection-related complications.

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