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  2. Gasdermin D-dependent macrophage pyroptosis mediates polystyrene microplastics-induced pulmonary fibrosis

Gasdermin D-dependent macrophage pyroptosis mediates polystyrene microplastics-induced pulmonary fibrosis

  • Int Immunopharmacol. 2026 Mar 1:172:116189. doi: 10.1016/j.intimp.2026.116189.
Heng Liu 1 Dandan Wang 1 Jierui Li 2 Ya Wang 3 Zhenting Liang 3 Xiaoli Chen 3 Zewei Jiang 1 Jiaxin Lin 1 Shengming Liu 4
Affiliations

Affiliations

  • 1 Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Jinan University, Guangzhou 510630, China.
  • 2 The First Affiliated Hospital of Nanchang Medical College, Nanchang 330038, China.
  • 3 Department of Critical Care Medicine, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China; Guangzhou Institute of Respiratory and Health, Guangzhou, China; Medical Center for Respiratory Medicine, Guangzhou, China; State Key Laboratory of Respiratory Disease, Guangzhou, China.
  • 4 Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Jinan University, Guangzhou 510630, China. Electronic address: [email protected].
Abstract

Exposure to microplastic (MPs) pollution may induce pulmonary fibrosis (PF). Macrophage Pyroptosis has been directly implicated in the pathogenesis of PF. This study focused on the potential driving role of macrophage Pyroptosis in polystyrene microplastics (PS-MPs) induced pulmonary fibrosis. Through a 56-day intranasal exposure model in mice, we demonstrate that chronic exposure to 5-μm PS-MPs induces significant pulmonary fibrosis characterized by Collagen deposition, extracellular matrix remodeling, and substantial lung function impairment. PS-MPs specifically trigger GSDMD-dependent Pyroptosis in alveolar macrophages, as evidenced by enhanced NLRP3 inflammasome assembly, Caspase-1 activation, and GSDMD-NT pore formation. Genetic ablation of Gsdmd substantially attenuated fibrotic progression, improved pulmonary functional parameters, and reduced production of pro-fibrotic mediators including IL-1β. Crucially, we established a direct paracrine link between macrophage Pyroptosis and fibrogenesis through conditioned medium experiments, demonstrating that GSDMD-dependent release of pyroptotic factors promotes fibroblast activation and extracellular matrix production. Our results delineate a complete pathogenic pathway wherein PS-MPs induce pulmonary fibrosis through macrophage Pyroptosis, thereby positioning GSDMD as both a key mediator and promising therapeutic target for combating microplastic-associated lung disease. These findings provide crucial insights into the environmental health risks of microplastics and identify potential intervention strategies for plastic pollution-related respiratory disorders.

Keywords

Gasdermin D; Macrophage; Polystyrene microplastics; Pulmonary fibrosis; Pyroptosis.

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