DOCSLIB.ORG

Genetic Variants of the NLRP3 Inflammasome Are Associated with Stroke in Patients with Rheumatoid Arthritis

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Genetic Variants of the NLRP3 Inflammasome Are Associated with Stroke in Patients with Rheumatoid Arthritis Genetic Variants of the NLRP3 Inflammasome Are Associated with Stroke in Patients with Rheumatoid Arthritis Alf Kastbom, Lisbeth Ärlestig, and Solbritt Rantapää-Dahlqvist ABSTRACT. Objective. Inflammasomes are intracellular protein complexes important for the production of pro- inflammatory cytokines. Studies have suggested that the NLRP3 inflammasome influences both the severity of rheumatoid arthritis (RA) and development of atherosclerosis. Therefore, we investigated whether functional genetic variants related to the NLRP3 inflammasome influence the risk of cardio- vascular (CV) disease (CVD) in patients with RA. Methods. The incidence of CVD was assessed in 522 patients with established RA by a retrospective survey of medical records in combination with a 6-year prospective followup. NLRP3-Q705K and CARD8-C10X genotypes were analyzed in relation to CVD by logistic regression, adjusting for tradi- tional risk factors, antirheumatic treatment, and age at the onset of RA. Results. Carriage of the NLRP3-Q705K minor allele was associated with an increased risk of stroke/transient ischemic attack (TIA; OR 2.01, 95% CI 1.0–4.1, p = 0.05), while CARD8-C10X was not associated with any type of CV event. Patients with ≥ 1 variant allele in both polymorphisms had an increased risk of CVD when compared with patients without variant alleles present in both polymor- phisms (adjusted OR 3.05, 95% CI 1.42–6.54, p = 0.004). Stratification showed that this risk was confined to stroke/TIA (adjusted OR 5.09, 95% CI 2.27–11.44, p < 0.0001) and not to myocardial infarction (MI)/angina pectoris (adjusted OR 1.58, 95% CI 0.67–3.73). Risk estimates were consis- tently higher among female patients. Conclusion. Genetic variants of the NLRP3 inflammasome influence the risk of stroke/TIA, but not of MI/angina pectoris in Swedish patients with established RA. (First Release July 15 2015; J Rheumatol 2015;42:1740–5; doi:10.3899/jrheum.141529) Key Indexing Terms: RHEUMATOID ARTHRITIS INFLAMMASOMES GENETICS CARDIOVASCULAR DISEASE Cardiovascular (CV) disease (CVD) is significantly overrep- It is well established that local inflammation in vessel resented among patients with rheumatoid arthritis (RA). It is walls is crucial in the development of atherosclerotic lesions, a major cause of the increased risk of premature death consis- and in patients without a concurrent inflammatory disease tently associated with established RA1,2. Apart from tradi- such as RA7. However, understanding of the mechanisms by tional proatherosclerotic risk factors, inflammatory activity which systemic inflammation increases the risk of clinical enhances the risk of CV events3,4 and may possibly be CVD in patients with RA remains incomplete. We have modified by antirheumatic therapy5,6. previously suggested a role for the interleukin 1β (IL-1β)-regulating NLRP3 inflammasome in the disease From the Department of Rheumatology, and Department of Clinical and course of early RA because functional single-nucleotide Experimental Medicine, Linköping University, Linköping; the Department of Public Health and Clinical Medicine/Rheumatology, Umeå University, polymorphisms (SNP) in the genes encoding NLRP3 and Umeå, Sweden. CARD8 were found to be associated with inflammatory Supported by grants from the County Council of Östergötland, the activity and the subsequent need for therapy with tumor Reinhold Sund Foundation, the Swedish Society of Medicine, the Swedish 8,9 Research Council (K2011–68X–20611–04–3 and Dnr 825-2010-5986), necrosis factor inhibitors (TNFi) . Intriguingly, there is also King Gustaf V’s 80–Year Fund, King Gustaf V’s and Queen Victoria’s increasing evidence for a role of the NLRP3 inflammasome Fund, the Swedish Rheumatism Association, the Swedish COMBINE in the development of atherosclerotic lesions. First, it was program, the Department of Research, Västerbotten county council, and shown that the NLRP3 inflammasome was activated by the Swedish Foundation for Strategic Research. 10,11 A. Kastbom, MD, PhD, Department of Rheumatology, and Department of cholesterol crystals, resulting in the secretion of IL-1β , Clinical and Experimental Medicine, Linköping University; L. Ärlestig, and that this mechanism significantly contributed to athero- PhD; S. Rantapää-Dahlqvist, Department of Public Health and Clinical genesis in a mouse model11. Second, activation of the NLRP3 Medicine/Rheumatology, Umeå University. inflammasome was shown to accelerate macrophage lipid Address correspondence to Dr. A. Kastbom, AIR/Rheumatology, 12 Department of Clinical and Experimental Medicine, Linköping University, deposition and foam cell development . SE-581 85 Linköping, Sweden. E-mail: [email protected] Mutations in the gene encoding NLRP3 are associated Accepted for publication June 3, 2015. with rare autoinflammatory diseases [e.g., cryopyrin-associ- Personal non-commercial use only. The Journal of Rheumatology Copyright © 2015. All rights reserved. 1740 The Journal of Rheumatology 2015; 42:10; doi:10.3899/jrheum.141529 Downloaded on September 25, 2021 from www.jrheum.org ated periodic syndromes (CAPS)] and dysregulated IL-1β The study protocol was approved by the Research Ethics Committee in production13. The Q705K variant (rs35829419), however, is Umeå, Sweden. All patients gave informed consent to participate in the study that was performed according to the principles of the Helsinki Declaration. a polymorphism with about 10% of the Swedish population 8,9,14 Laboratory analyses. Genomic DNA was extracted from buffy-coat cells being carriers of a minor allele . NLRP3-Q705K causes using standard methods. HLA-DRB1 genotyping was performed using PCR significantly increased inflammasome-mediated release of sequence-specific primers from DR low-resolution kit and DRB1*04 IL-1β in vitro, although to a more moderate degree compared subtyping kit (Olerup SSP AB). Shared epitope was defined as 26 with the mutations causing CAPS15. CARD8 is an adaptor DRB1*0401/0404/0405/0408, as previously described in detail . protein that both interacts with inflammasome components NLRP3-Q705K and CARD8-C10X were genotyped using commercially κ κ 16,17 available TaqMan assays (Applied Biosystems) according to the manufac- and inhibits nuclear factor- B (NF- B) transcription . The turer’s instructions. The genotyping success rate was 99% for the CARD8-C10X polymorphism (rs2043211), which introduces CARD8-C10X polymorphism and 100% for NLRP3-Q705K. IgG-class anti- an early stop codon, has been shown to impair the citrullinated protein antibodies were analyzed by ELISA with second-gener- κ NF- B–inhibiting properties of the protein17, but functional ation cyclic citrullinated peptides as antigen (Axis Shield Diagnostics; cutoff studies in relation to inflammasomes are lacking. A number 5 U/ml). of reports have described interacting effects between Statistical methods. The chi-squared test or Fisher’s exact test, when appro- priate, was used for testing categorical data between groups, and logistic NLRP3-Q705K and CARD8-C10X, for example, regarding 8 18 regression analyses were used to estimate OR for predicting variables for RA , aortic abdominal aneurysms , inflammatory bowel the dependent variable. For analysis of continuous data, the independent 19,20 disease , and plasma levels of IL-1β in healthy Student t test was used. All p values are 2-sided, and p values ≤ 0.05 were individuals14. considered statistically significant. Calculations were performed using SPSS Given that CVD is overrepresented among patients with 22 software. Adjustments in the multiple logistic analyses were based on those factors that were significantly associated in simple logistic regression RA, and that the NLRP3 inflammasome has been linked to analyses. Empirical p values were calculated with Haploview 4.2, using both RA severity and the development of atherosclerosis, we 10,000 permutations. hypothesized that the NLRP3-Q705K and CARD8-C10X polymorphisms increase the risk of CVD in patients with RA. RESULTS Genotype frequencies were in Hardy-Weinberg equilibrium MATERIALS AND METHODS for both SNP (p > 0.1), and comparable with previous Subjects. The study subjects were 560 patients with established RA from 8,9,14 northern Sweden fulfilling the 1987 American College of Rheumatology RA findings from Swedish datasets . Table 1 shows classification criteria21, consecutively recruited into the study during the first demographic and clinical characteristics of the patients. From 4 months of 1995, 2000, and 200122. Of these, 522 patients (382 women and the onset of RA to the 6-year followup, 121 patients were 140 men) donated blood samples for DNA analysis. A thorough survey of recorded as undergoing a CV event(s): 74 had an MI, 20 had all the available patient records from the onset of RA until inclusion in the angina pectoris with intervention, and 50 experienced a study was performed retrospectively according to a structured study regis- stroke/TIA. Patients with registered CV event(s) after the tration form. All patients were followed prospectively for 6 years from the inclusion date. CV events after the onset of RA were registered retrospec- onset of RA were older, had a longer duration of the disease, tively according to the following definitions: (1) a myocardial infarction and had more often survived a CV event before the onset of (MI) diagnosed by a clinical physiologist or cardiologist based upon typical RA as compared with those without a CV event(s). They were 23 changes in electrocardiograms according to the Minnesota code
Load more

Recommended publications
  • Inflammasome Activation-Induced Hypercoagulopathy
    cells Review Inflammasome Activation-Induced Hypercoagulopathy: Impact on Cardiovascular Dysfunction Triggered in COVID-19 Patients Lealem Gedefaw, Sami Ullah, Polly H. M. Leung , Yin Cai, Shea-Ping Yip * and Chien-Ling Huang * Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China; [email protected] (L.G.); [email protected] (S.U.); [email protected] (P.H.M.L.); [email protected] (Y.C.) * Correspondence: [email protected] (S.-P.Y.); [email protected] (C.-L.H.) Abstract: Coronavirus disease 2019 (COVID-19) is the most devastating infectious disease in the 21st century with more than 2 million lives lost in less than a year. The activation of inflammasome in the host infected by SARS-CoV-2 is highly related to cytokine storm and hypercoagulopathy, which significantly contribute to the poor prognosis of COVID-19 patients. Even though many studies have shown the host defense mechanism induced by inflammasome against various viral infections, mechanistic interactions leading to downstream cellular responses and pathogenesis in COVID-19 remain unclear. The SARS-CoV-2 infection has been associated with numerous cardiovascular disor- ders including acute myocardial injury, myocarditis, arrhythmias, and venous thromboembolism. The inflammatory response triggered by the activation of NLRP3 inflammasome under certain car- diovascular conditions resulted in hyperinflammation or the modulation of angiotensin-converting enzyme 2 signaling pathways. Perturbations of several target cells and tissues have been described in inflammasome activation, including pneumocytes, macrophages, endothelial cells, and dendritic cells. Citation: Gedefaw, L.; Ullah, S.; Leung, P.H.M.; Cai, Y.; Yip, S.-P.; The interplay between inflammasome activation and hypercoagulopathy in COVID-19 patients is an Huang, C.-L.
    [Show full text]
  • Inflammasome Function in Neutrophils Kaiwen Chen Bachelor of Science (Honours Class I)
    Inflammasome function in neutrophils Kaiwen Chen Bachelor of Science (Honours Class I) A thesis submitted for the degree of Doctor of Philosophy at The University of Queensland in 2015 Institute for Molecular Bioscience i ii Abstract The innate immune system protects against infection but also drives inflammatory disorders. Key molecular drivers of both processes are ‘inflammasomes’, multi-protein complexes that assemble in the cytosol to activate the protease, caspase-1. Active caspase-1 cleaves specific proinflammatory cytokines [e.g. interleukin (IL)-1β] into their mature, secreted forms, and initiates a form of inflammatory cell lysis called pyroptosis. Inflammasomes are assembled by select pattern recognition receptors such as NLRC4, NLRP3, AIM2, or via a non-canonical pathway involving caspase-11. Whilst inflammasomes functions have been intensely researched, the cell types mediating inflammasome signalling in distinct in vivo settings were unclear. Neutrophils are one of the first cells to arrive to a site of infection or injury, and thus have the opportunity to detect inflammasome-activating molecules in vivo, but their ability to signal by inflammasome pathways had not been closely examined. This thesis offers a detailed investigation of NLRC4, NLRP3 and caspase-11 inflammasome signalling in neutrophils during in vitro or in vivo challenge with whole microbe, purified microbial components, or adjuvant. This thesis demonstrates that acute Salmonella infection triggered NLRC4-dependent caspase-1 activation and IL-1β processing in neutrophils, and neutrophils were a major cellular compartment for IL-1β production during acute Salmonella challenge in vivo. Importantly, neutrophils did not undergo pyroptotic cell death upon NLRC4 activation, allowing these cells to sustain IL-1β production at a site of infection without compromising their crucial inflammasome-independent antimicrobial effector functions.
    [Show full text]
  • NLRP3-Inflammasome Inhibition During Respiratory Virus Infection
    viruses Article NLRP3-Inflammasome Inhibition during Respiratory Virus Infection Abrogates Lung Immunopathology and Long-Term Airway Disease Development Carrie-Anne Malinczak 1 , Charles F. Schuler 2,3, Angela J. Duran 1, Andrew J. Rasky 1, Mohamed M. Mire 1, Gabriel Núñez 1, Nicholas W. Lukacs 1,3 and Wendy Fonseca 1,* 1 Department of Pathology, University of Michigan, Ann Arbor, MI 48109, USA; [email protected] (C.-A.M.); [email protected] (A.J.D.); [email protected] (A.J.R.); [email protected] (M.M.M.); [email protected] (G.N.); [email protected] (N.W.L.) 2 Department of Internal Medicine, Division of Allergy and Clinical Immunology, University of Michigan, Ann Arbor, MI 48109, USA; [email protected] 3 Mary H. Weiser Food Allergy Center, University of Michigan, Ann Arbor, MI 48109, USA * Correspondence: [email protected] Abstract: Respiratory syncytial virus (RSV) infects most infants by two years of age. It can cause severe disease leading to an increased risk of developing asthma later in life. Previously, our group has shown that RSV infection in mice and infants promotes IL-1β production. Here, we characterized the role of NLRP3-Inflammasome activation during RSV infection in adult mice and neonates. We observed that the inhibition of NLRP3 activation using the small molecule inhibitor, MCC950, or in Citation: Malinczak, C.-A.; Schuler, genetically modified NLRP3 knockout (Nlrp3−/−) mice during in vivo RSV infection led to decreased C.F.; Duran, A.J.; Rasky, A.J.; Mire, lung immunopathology along with a reduced expression of the mucus-associated genes and reduced M.M.; Núñez, G.; Lukacs, N.W.; production of innate cytokines (IL-1β, IL-33 and CCL2) linked to severe RSV disease while leading to Fonseca, W.
    [Show full text]
  • Inflammasome Regulation: Therapeutic Potential For
    molecules Review Inflammasome Regulation: Therapeutic Potential for Inflammatory Bowel Disease Qiuyun Xu 1, Xiaorong Zhou 1 , Warren Strober 2,* and Liming Mao 1,3,* 1 Department of Immunology, School of Medicine, Nantong University, 19 Qixiu Road, Nantong 226019, China; [email protected] (Q.X.); [email protected] (X.Z.) 2 Mucosal Immunity Section, Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA 3 Basic Medical Research Center, School of Medicine, Nantong University, Nantong 226019, China * Correspondence: [email protected] (W.S.); [email protected] (L.M.) Abstract: Inflammasomes are multiprotein complexes formed to regulate the maturation of pro- inflammatory caspases, in response to intracellular or extracellular stimulants. Accumulating studies showed that the inflammasomes are implicated in the pathogenesis of inflammatory bowel disease (IBD), although their activation is not a decisive factor for the development of IBD. Inflammasomes and related cytokines play an important role in the maintenance of gut immune homeostasis, while its overactivation might induce excess immune responses and consequently cause tissue damage in the gut. Emerging studies provide evidence that some genetic abnormalities might induce enhanced NLRP3 inflammasome activation and cause colitis. In these cases, the colonic inflammation can be ameliorated by blocking NLRP3 activation or its downstream cytokine IL-1β. A number of natural products were shown to play a role in preventing colon inflammation in various experimental colitis models. On the other hand, lack of inflammasome function also causes intestinal abnormalities. Thus, an appropriate regulation of inflammasomes might be a promising therapeutic strategy for IBD Citation: Xu, Q.; Zhou, X.; Strober, intervention.
    [Show full text]
  • J.M. Davis and L. Ramakrishnan. 2009. the Role of the Granuloma In
    The Role of the Granuloma in Expansion and Dissemination of Early Tuberculous Infection J. Muse Davis1 and Lalita Ramakrishnan2,* 1Immunology and Molecular Pathogenesis Graduate Program, Emory University, Atlanta, GA 30322, USA 2Departments of Microbiology, Medicine, and Immunology, University of Washington, Seattle, WA 98195, USA *Correspondence: [email protected] DOI 10.1016/j.cell.2008.11.014 SUMMARY and plateaus coincident with the development of adaptive immu- nity (North and Jung, 2004; Swaim et al., 2006). Hence, accord- Granulomas, organized aggregates of immune cells, ing to the classical model, granuloma formation requires adap- form in response to persistent stimuli and are hall- tive immunity and is critical for restricting bacterial expansion marks of tuberculosis. Tuberculous granulomas (Andersen, 1997; Saunders and Cooper, 2000). have long been considered host-protective struc- Studies in transparent zebrafish embryos infected with Myco- tures formed to contain infection. However, work in bacterium marinum (Mm), a system which recapitulates the zebrafish infected with Mycobacterium marinum earliest stages of tuberculosis (Clay et al., 2008; Dannenberg, 1993; Lesley and Ramakrishnan, 2008; Stamm and Brown, suggests that granulomas contribute to early bacte- 2004; Tobin and Ramakrishnan, 2008), refute the classical model rial growth. Here we use quantitative intravital micros- of granuloma initiation as a host-protective event in fundamental copy to reveal distinct steps of granuloma formation ways. First, epithelioid granulomas are found to form within days and assess their consequence for infection. Intracel- of infection, well before adaptive immunity is present (Davis lular mycobacteria use the ESX-1/RD1 virulence locus et al., 2002). Second, granuloma formation coincides with the to induce recruitment of new macrophages to, and accelerated bacterial expansion widely thought to precede it their rapid movement within, nascent granulomas.
    [Show full text]
  • NLRP3 Inflammasome at the Interface of Inflammation, Endothelial
    cells Review NLRP3 Inflammasome at the Interface of Inflammation, Endothelial Dysfunction, and Type 2 Diabetes Ilona M. Gora *, Anna Ciechanowska and Piotr Ladyzynski Nalecz Institute of Biocybernetics and Biomedical Engineering, Polish Academy of Sciences, Ks. Trojdena 4, 02-109 Warsaw, Poland; [email protected] (A.C.); [email protected] (P.L.) * Correspondence: [email protected] Abstract: Type 2 diabetes mellitus (T2DM), accounting for 90–95% cases of diabetes, is characterized by chronic inflammation. The mechanisms that control inflammation activation in T2DM are largely unexplored. Inflammasomes represent significant sensors mediating innate immune responses. The aim of this work is to present a review of links between the NLRP3 inflammasome, endothelial dys- function, and T2DM. The NLRP3 inflammasome activates caspase-1, which leads to the maturation of pro-inflammatory cytokines interleukin 1β and interleukin 18. In this review, we characterize the structure and functions of NLRP3 inflammasome as well as the most important mechanisms and molecules engaged in its activation. We present evidence of the importance of the endothelial dysfunction as the first key step to activating the inflammasome, which suggests that suppressing the NLRP3 inflammasome could be a new approach in depletion hyperglycemic toxicity and in averting the onset of vascular complications in T2DM. We also demonstrate reports showing that the expression of a few microRNAs that are also known to be involved in either NLRP3 inflammasome activation or endothelial dysfunction is deregulated in T2DM. Collectively, this evidence suggests that T2DM is an inflammatory disease stimulated by pro-inflammatory cytokines. Finally, studies revealing the role of glucose concentration in the activation of NLRP3 inflammasome are analyzed.
    [Show full text]
  • The Molecular Links Between Cell Death and Inflammasome
    cells Review The Molecular Links between Cell Death and Inflammasome Kwang-Ho Lee 1,2 and Tae-Bong Kang 1,2,* 1 Department of Biotechnology, College of Biomedical & Health Science, Konkuk University, Chungju 27478, Korea 2 Research Institute of Inflammatory Diseases, Konkuk University, Chungju 27478, Korea * Correspondence: [email protected]; Tel.: +82-43-840-3904; Fax: +82-43-852-3616 Received: 30 July 2019; Accepted: 9 September 2019; Published: 10 September 2019 Abstract: Programmed cell death pathways and inflammasome activation pathways can be genetically and functionally separated. Inflammasomes are specialized protein complexes that process pro-inflammatory cytokines, interleukin-1β (IL-1β), and IL-18 to bioactive forms for protection from a wide range of pathogens, as well as environmental and host-derived danger molecules. Programmed cell death has been extensively studied, and its role in the development, homeostasis, and control of infection and danger is widely appreciated. Apoptosis and the recently recognized necroptosis are the best-characterized forms of programmed death, and the interplay between them through death receptor signaling is also being studied. Moreover, growing evidence suggests that many of the signaling molecules known to regulate programmed cell death can also modulate inflammasome activation in a cell-intrinsic manner. Therefore, in this review, we will discuss the current knowledge concerning the role of the signaling molecules originally associated with programmed cell death in the activation of inflammasome and IL-1β processing. Keywords: inflammasome; apoptosis; necroptosis; programmed cell death; Caspase-8; RIPK1/3; MLKL; PGAM5; DRP1 1. Introduction Homeostasis is a principle property of living organisms and it is maintained at the systemic, tissue, and cellular levels through the homeostatic control system.
    [Show full text]
  • Role of the Inflammasome, IL-1Β, and IL-18 in Bacterial Infections
    Review Article TheScientificWorldJOURNAL (2011) 11, 2037–2050 ISSN 1537-744X; doi:10.1100/2011/212680 Role of the Inflammasome, IL-1β, and IL-18 in Bacterial Infections Manoranjan Sahoo, Ivonne Ceballos-Olvera, Laura del Barrio, and Fabio Re Department of Microbiology, Immunology, and Biochemistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA Received 20 July 2011; Accepted 30 September 2011 Academic Editor: Giamila Fantuzzi The inflammasome is an important innate immune pathway that regulates at least two host responses protective against infections: (1) secretion of the proinflammatory cytokines IL-1β and IL-18 and (2) induction of pyroptosis, a form of cell death. Inflammasomes, of which different types have been identified, are multiprotein complexes containing pattern recognition receptors belonging to the Nod-like receptor family or the PYHIN family and the protease caspase-1. The molecular aspects involved in the activation of different inflammasomes by various pathogens are being rapidly elucidated, and their role during infections is being characterized. Production of IL-1β and IL-18 and induction of pyroptosis of the infected cell have been shown to be protective against many infectious agents. Here, we review the recent literature concerning inflammasome activation in the context of bacterial infections and identify important questions to be answered in the future. KEYWORDS: Innate immunity, pattern recognition receptors, Toll-like receptors, Nod-like receptors, inflammasome, caspase-1, Interleukin-1β, Interleukin-18, inflammation, and bacterial infection Correspondence should be addressed to Fabio Re, [email protected] Copyright © 2011 Manoranjan Sahoo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    [Show full text]
  • Snapshot: Inflammasomes Maninjay K
    272 Cell SnapShot: Infl ammasomes Maninjay K. Atianand,1 Vijay A. Rathinam,1 and Katherine A. Fitzgerald1 153 1Division of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA 01605, USA , March 28,2013 ©2013Elsevier Inc. , March DOI http://dx.doi.org/10.1016/j.cell.2013.03.009 Basic inflammasome structure Ca+ Bacterium containing CASR type III secretion system P2X7 receptor Gram-negative Bacteria Salmonella typhimurium Signal 2 ATP Pseuodomonas aeruginosa PLC AC Potassium RECEPTOR NLR or ALR efux Signal 3 Lysosomal destabilization GBP5 PrgJ ADAPTOR ASC Inflammasome Inhibition Bacterial Flagellin complex InsP3 of cAMP mRNA TLR4 Procaspase-1 TRIF + Ca ROS Mitochondrion NLRP3 NAIPs5/6 NAIP2 EFFECTOR Active caspase-1 PKC-δ ROS Type I interferons NLRC4/IPAF pro-IL-1b IL-1b ER stress pro-IL-18 IL-18 Oxidized + mitochondrial DNA Ca P P Signal 1 H+ ASC Active H+ caspase-11 M2 channel NUCLEUS Endoplasmic Trans-golgi Procaspase-1 Procaspase-1 reticulum (ER) Cell death IL-1a & HMGB1 release Active caspase-1 Cell death IL-1a & HMGB1 Cytosolic bacteria pro-IL-1b IL-1b release Francisella tularensis pro-IL-18 IL-18 Listeria monocyotgenes PA Anthrax See online version for legend and references. and legend for version online See lethal toxin Intestinal inflammation Diacylated AIM2 and homeostasis Yersinia pestis lipopeptides ASC LF Microbes ? NLRP6 NLRP12 NLRP7 DNA viruses NLRP1b mCMV Procaspase-1 Vaccinia Herpes viruses (In human monocytes & macrophages) IFI16 ASC KSHV DNA NUCLEUS Procaspase-1 SnapShot: Inflammasomes Maninjay K. Atianand,1 Vijay A. Rathinam,1 and Katherine A. Fitzgerald1 1Division of Infectious Diseases and Immunology, University of Massachusetts Medical School, Worcester, MA 01605, USA Large multiprotein complexes referred to as inflammasomes form in the cytosol during infection or in response to endogenous danger signals released from damaged or dying cells and regulate the processing and secretion of IL-1β and IL-18 as well as an inflammatory form of cell death called pyroptosis.
    [Show full text]
  • Development of a Characterised Tool Kit for the Interrogation of NLRP3
    www.nature.com/scientificreports OPEN Development of a characterised tool kit for the interrogation of NLRP3 infammasome-dependent Received: 19 January 2018 Accepted: 21 March 2018 responses Published: xx xx xxxx Elena Redondo-Castro1, Dorte Faust2, Simon Fox2, Alex G. Baldwin 3, Simon Osborne2, Michael J. Haley 1, Eric Karran4, Hugh Nuthall5, Peter J. Atkinson6, Lee A. Dawson7, Carol Routledge8, Stuart M. Allan1, Sally Freeman3, Janet Brownlees2 & David Brough 1 Infammation is an established contributor to disease and the NLRP3 infammasome is emerging as a potential therapeutic target. A number of small molecule inhibitors of the NLRP3 pathway have been described. Here we analysed the most promising of these inhibitor classes side by side to assess relative potency and selectivity for their respective putative targets. Assessed using ASC infammasome-speck formation, and release of IL-1β, in both human monocyte/macrophage THP1 cells and in primary mouse microglia, we compared the relative potency and selectivity of P2X7 inhibitors, infammasome inhibitors (diarylsulfonylurea vs. the NBC series), and caspase-1 inhibitors. In doing so we are now able to provide a well characterised small molecule tool kit for interrogating and validating infammasome- dependent responses with a range of nanomolar potency inhibitors against established points in the infammasome pathway. Infammation is a protective host response to infection, but when it occurs during non-communicable dis- ease it is ofen damaging and contributes to an acceleration of pathology and a worse outcome. An important infammatory process in disease is the activation of a multi-molecular complex called the NLRP3 infammasome (Fig. 1)1. Te NLRP3 infammasome consists of a pattern recognition receptor (PRR), which in this case is NLRP3 (NOD-like receptor (NLR) family, pyrin domain–containing protein 3 (NLRP3)), an adaptor protein called ASC (apoptosis-associated speck-like protein containing a caspase activation and recruitment domain (CARD)), and pro-caspase-12.
    [Show full text]
  • Cellular Models and Assays to Study NLRP3 Inflammasome Biology
    International Journal of Molecular Sciences Review Cellular Models and Assays to Study NLRP3 Inflammasome Biology 1 1, 1, 2 2,3 Giovanni Zito , Marco Buscetta y, Maura Cimino y, Paola Dino , Fabio Bucchieri and Chiara Cipollina 1,3,* 1 Fondazione Ri.MED, via Bandiera 11, 90133 Palermo, Italy; [email protected] (G.Z.); [email protected] (M.B.); [email protected] (M.C.) 2 Dipartimento di Biomedicina Sperimentale, Neuroscenze e Diagnostica Avanzata (Bi.N.D.), University of Palermo, via del Vespro 129, 90127 Palermo, Italy; [email protected] (P.D.); [email protected] (F.B.) 3 Istituto per la Ricerca e l’Innovazione Biomedica-Consiglio Nazionale delle Ricerche, via Ugo la Malfa 153, 90146 Palermo, Italy * Correspondence: [email protected]; Tel.: +39-091-6809191; Fax: +39-091-6809122 These authors contributed equally to this work. y Received: 19 May 2020; Accepted: 12 June 2020; Published: 16 June 2020 Abstract: The NLRP3 inflammasome is a multi-protein complex that initiates innate immunity responses when exposed to a wide range of stimuli, including pathogen-associated molecular patterns (PAMPs) and danger-associated molecular patterns (DAMPs). Inflammasome activation leads to the release of the pro-inflammatory cytokines interleukin (IL)-1β and IL-18 and to pyroptotic cell death. Over-activation of NLRP3 inflammasome has been associated with several chronic inflammatory diseases. A deep knowledge of NLRP3 inflammasome biology is required to better exploit its potential as therapeutic target and for the development of new selective drugs. To this purpose, in the past few years, several tools have been developed for the biological characterization of the multimeric inflammasome complex, the identification of the upstream signaling cascade leading to inflammasome activation, and the downstream effects triggered by NLRP3 activation.
    [Show full text]
  • Β-Glucan–Induced Reprogramming of Human Macrophages Inhibits NLRP3 Inflammasome Activation in Cryopyrinopathies
    β-Glucan–induced reprogramming of human macrophages inhibits NLRP3 inflammasome activation in cryopyrinopathies Giorgio Camilli, … , Sophie Georgin-Lavialle, Jessica Quintin J Clin Invest. 2020;130(9):4561-4573. https://doi.org/10.1172/JCI134778. Research Article Inflammation Graphical abstract Find the latest version: https://jci.me/134778/pdf The Journal of Clinical Investigation RESEARCH ARTICLE β-Glucan–induced reprogramming of human macrophages inhibits NLRP3 inflammasome activation in cryopyrinopathies Giorgio Camilli,1 Mathieu Bohm,1 Alícia Corbellini Piffer,1,2 Rachel Lavenir,1 David L. Williams,3 Benedicte Neven,4 Gilles Grateau,5 Sophie Georgin-Lavialle,5 and Jessica Quintin1 1Immunology of Fungal Infections, Department of Mycology, Institut Pasteur, Paris, France. 2Instituto de Microbiologia Paulo de Góes (IMPG), Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil. 3Department of Surgery, Center of Excellence in Inflammation, Infectious Disease and Immunity, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, Tennessee, USA. 4Pediatric Hematology-Immunology and Rheumatology Department, Necker-Enfants Malades Hospital, Assistance Publique – Hôpitaux de Paris (APHP), Paris, France. 5Service de Médecine Interne et Centre de Références des Maladies Auto-inflammatoires et des Amyloses Inflammatoires, Hôpital Tenon, Sorbonne Université, Paris, France. Exposure of mononuclear phagocytes to β-glucan, a naturally occurring polysaccharide, contributes to the induction of innate immune memory, which is associated with long-term epigenetic, metabolic, and functional reprogramming. Although previous studies have shown that innate immune memory induced by β-glucan confers protection against secondary infections, its impact on autoinflammatory diseases, associated with inflammasome activation and IL-1β secretion, remains poorly understood. In particular, whether β-glucan–induced long-term reprogramming affects inflammasome activation in human macrophages in the context of these diseases has not been explored.
    [Show full text]