Neutrophil-specific gain-of-function mutations in Nlrp3 promote development of cryopyrin-associated periodic syndrome.
Neutrophil-specific gain-of-function mutations in Nlrp3 promote development of cryopyrin-associated periodic syndrome.
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DOI:
10.1084/jem.20201466
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发表时间:
2021-10-04
期刊:
影响因子:
--
通讯作者:
Reber LL
中科院分区:
文献类型:
--
作者:
Stackowicz J;Gaudenzio N;Serhan N;Conde E;Godon O;Marichal T;Starkl P;Balbino B;Roers A;Bruhns P;Jönsson F;Moguelet P;Georgin-Lavialle S;Broderick L;Hoffman HM;Galli SJ;Reber LL
CAPS is an IL-1β–mediated autoinflammatory disease due to gain-of-function mutations in NLRP3. This work shows that skin-infiltrating neutrophils represent a substantial source of IL-1β in CAPS patients. In mice, gain-of-function mutations in Nlrp3 restricted to neutrophils are sufficient to trigger severe CAPS. Gain-of-function mutations in NLRP3 are responsible for a spectrum of autoinflammatory diseases collectively referred to as “cryopyrin-associated periodic syndromes” (CAPS). Treatment of CAPS patients with IL-1–targeted therapies is effective, confirming a central pathogenic role for IL-1β. However, the specific myeloid cell population(s) exhibiting inflammasome activity and sustained IL-1β production in CAPS remains elusive. Previous reports suggested an important role for mast cells (MCs) in this process. Here, we report that, in mice, gain-of-function mutations in Nlrp3 restricted to neutrophils, and to a lesser extent macrophages/dendritic cells, but not MCs, are sufficient to trigger severe CAPS. Furthermore, in patients with clinically established CAPS, we show that skin-infiltrating neutrophils represent a substantial biological source of IL-1β. Together, our data indicate that neutrophils, rather than MCs, can represent the main cellular drivers of CAPS pathology.
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