We determined the NF-κB- and
NOD-like receptor (NLR)P3-dependent molecular mechanisms involved in
sepsis and evaluated the role of
retinoid-related orphan receptor (ROR)-α in
melatonin's anti-inflammatory actions. Western blot, RT-PCR, ELISA, and spectrophotometric analysis revealed that NF-κB and NLRP3 closely interact, leading to proinflammatory and
pro-oxidant status in heart tissue of septic C57BL/6J mice. Moreover, mitochondrial oxygen consumption was reduced by 80% in septic mice. In vivo and in vitro analysis showed that
melatonin administration blunts NF-κB transcriptional activity through a sirtuin1-dependent NF-κB deacetylation in septic mice.
Melatonin also decreased NF-κB-dependent proinflammatory response and restored redox balance and mitochondrial homeostasis, thus inhibiting the NLRP3
inflammasome. In an important finding, the inhibition of NF-κB by
melatonin, but not that of NLRP3, was blunted in RORα (sg/sg) mice, indicating that functional RORα
transcription factor is necessary for the initiation of the innate immune response against
inflammation. Our results are evidence of the NF-κB/NLRP3 connection during
sepsis and identify NLRP3 as a novel molecular target for
melatonin. The multiple molecular targets of
melatonin in this study explain its potent anti-inflammatory efficacy against systemic innate immune activation and herald a promising therapeutic application for
melatonin in the treatment of
sepsis.