RT Journal Article T1 Caspase-8 inhibition represses initial human monocyte activation in septic shock model. A1 Oliva-Martin, Maria Jose A1 Sanchez-Abarca, Luis Ignacio A1 Rodhe, Johanna A1 Carrillo-Jimenez, Alejandro A1 Vlachos, Pinelopi A1 Herrera, Antonio Jose A1 Garcia-Quintanilla, Albert A1 Caballero-Velazquez, Teresa A1 Perez-Simon, Jose Antonio A1 Joseph, Bertrand A1 Venero, Jose Luis K1 Pathology Section K1 caspase-8 K1 inflammation K1 monocyte K1 necroptosis K1 sepsis AB In septic patients, the onset of septic shock occurs due to the over-activation of monocytes. We tested the therapeutic potential of directly targeting innate immune cell activation to limit the cytokine storm and downstream phases. We initially investigated whether caspase-8 could be an appropriate target given it has recently been shown to be involved in microglial activation. We found that LPS caused a mild increase in caspase-8 activity and that the caspase-8 inhibitor IETD-fmk partially decreased monocyte activation. Furthermore, caspase-8 inhibition induced necroptotic cell death of activated monocytes. Despite inducing necroptosis, caspase-8 inhibition reduced LPS-induced expression and release of IL-1β and IL-10. Thus, blocking monocyte activation has positive effects on both the pro and anti-inflammatory phases of septic shock. We also found that in primary mouse monocytes, caspase-8 inhibition did not reduce LPS-induced activation or induce necroptosis. On the other hand, broad caspase inhibitors, which have already been shown to improve survival in mouse models of sepsis, achieved both. Thus, given that monocyte activation can be regulated in humans via the inhibition of a single caspase, we propose that the therapeutic use of caspase-8 inhibitors could represent a more selective alternative that blocks both phases of septic shock at the source. PB Impact Journals LLC YR 2016 FD 2016-05-16 LK http://hdl.handle.net/10668/10141 UL http://hdl.handle.net/10668/10141 LA en NO Oliva-Martin MJ, Sanchez-Abarca LI, Rodhe J, Carrillo-Jimenez A, Vlachos P, Herrera AJ, et al. Caspase-8 inhibition represses initial human monocyte activation in septic shock model. Oncotarget. 2016 Jun 21;7(25):37456-37470. NO We acknowledge Mr. Joshua Long for a thorough and comprehensive proof-editing of this manuscript. This work was supported by grants SAF2012-39029 and SAF2015-64171R (MINECO/FEDER, UE), the Junta of Andalucía (P10-CTS-6494), the Swedish Research Council, the Swedish Childhood Cancer Foundation, the Swedish Cancer Foundation, Swedish Parkinson Foundation and the Swedish Brain Foundation. DS RISalud RD Apr 8, 2025