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Fucosylated haptoglobin promotes inflammation via Mincle in sepsis: an observational study

Author

Listed:
  • Taylor Roh

    (Chungnam National University
    Chungnam National University
    Chungnam National University)

  • Sungeun Ju

    (Pohang University of Science and Technology (POSTECH))

  • So Young Park

    (Kangdong Sacred Heart Hospital)

  • Yeonghwan Ahn

    (Pohang University of Science and Technology (POSTECH))

  • Jiyun Chung

    (Pohang University of Science and Technology (POSTECH))

  • Miyako Nakano

    (Higashi-Hiroshima)

  • Gyoungah Ryu

    (Chungnam National University
    Chungnam National University)

  • Young Jae Kim

    (Chungnam National University
    Chungnam National University
    Chungnam National University)

  • Geumseo Kim

    (Chungnam National University
    Chungnam National University
    Chungnam National University)

  • Hyewon Choi

    (Pohang University of Science and Technology (POSTECH))

  • Sung-Gwon Lee

    (National Institutes of Health (NIH))

  • In Soo Kim

    (Chungnam National University
    Chungnam National University
    Chungnam National University)

  • Song-I Lee

    (Chungnam National University Hospital)

  • Chaeuk Chung

    (Chungnam National University)

  • Takashi Shimizu

    (Suita
    Suita)

  • Eiji Miyoshi

    (Suita)

  • Sung-Soo Jung

    (Chungnam National University)

  • Chungoo Park

    (Chonnam National University)

  • Sho Yamasaki

    (Suita
    Suita
    Suita)

  • Seung-Yeol Park

    (Pohang University of Science and Technology (POSTECH))

  • Eun-Kyeong Jo

    (Chungnam National University
    Chungnam National University)

Abstract

Haptoglobin (Hp) scavenges cell-free hemoglobin and correlates with the prognosis of human sepsis, a life-threatening systemic inflammatory condition. Despite extensive research on Hp glycosylation as a glyco-biomarker for cancers, understanding glycosylated modifications of Hp in sepsis patients (SPs) remains limited. Our study reveals elevated levels of terminal fucosylation at Asn207 and Asn211 of Hp in SP plasma, along with heightened inflammatory responses, compared to healthy controls (trial registration NCT05911711). Fucosylated (Fu)-Hp purified from SPs upregulates inflammatory cytokines and chemokines, along with NLRP3 inflammasome activation. Single-cell RNA sequencing identifies a distinct macrophage-like cell population with increased expressions of inflammatory mediators and FUT4 in response to Fu-Hp. Additionally, Mincle, a C-type lectin receptor, interacts with Fu-Hp to amplify the inflammatory responses and signaling. Moreover, the Hp fucosylation (AAL) level significantly correlates with the levels of inflammatory cytokines in sepsis patients, suggesting that Fu-Hp is clinically relevant. Finally, Fu-Hp treatment significantly enhances the levels of inflammatory cytokines in the plasma and various tissues of mice. Together, our findings reveal a role of Fu-Hp, derived from sepsis patients, in driving inflammation, and suggest that targeting Fu-Hp could serve as a promising intervention for combating sepsis. Trial registration NCT05911711

Suggested Citation

  • Taylor Roh & Sungeun Ju & So Young Park & Yeonghwan Ahn & Jiyun Chung & Miyako Nakano & Gyoungah Ryu & Young Jae Kim & Geumseo Kim & Hyewon Choi & Sung-Gwon Lee & In Soo Kim & Song-I Lee & Chaeuk Chun, 2025. "Fucosylated haptoglobin promotes inflammation via Mincle in sepsis: an observational study," Nature Communications, Nature, vol. 16(1), pages 1-21, December.
  • Handle: RePEc:nat:natcom:v:16:y:2025:i:1:d:10.1038_s41467-025-56524-3
    DOI: 10.1038/s41467-025-56524-3
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    References listed on IDEAS

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    1. Mette Kristiansen & Jonas H. Graversen & Christian Jacobsen & Ole Sonne & Hans-Jürgen Hoffman & S.K. Alex Law & Søren K. Moestrup, 2001. "Identification of the haemoglobin scavenger receptor," Nature, Nature, vol. 409(6817), pages 198-201, January.
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