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:
The Journal of experimental medicine
影响因子:
--
通讯作者:
Reber LL
Reber LL
中科院分区:
其他
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

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CAPS是一种由NLRP 3功能获得性突变引起的IL-1β介导的自身炎症性疾病。这项工作表明,皮肤浸润中性粒细胞是CAPS患者中IL-1β的重要来源。在小鼠中,仅限于中性粒细胞的Nlrp 3功能获得突变足以引发严重的CAPS。NLRP 3中的功能获得性突变负责一系列自身炎症性疾病,统称为“cryopyrin相关周期性综合征”(CAPS)。用IL-1靶向疗法治疗CAPS患者是有效的,证实了IL-1β的中心致病作用。然而,在CAPS中表现出炎性小体活性和持续IL-1β产生的特定骨髓细胞群仍然难以捉摸。以往的研究表明肥大细胞在这一过程中起着重要作用。在这里,我们报告说,在小鼠中,Nlrp 3的功能获得性突变仅限于中性粒细胞,在较小程度上是巨噬细胞/树突状细胞,但不是MC,足以触发严重的CAPS。此外,在临床确诊的CAPS患者中,我们发现皮肤浸润中性粒细胞是IL-1β的重要生物来源。总之,我们的数据表明,中性粒细胞,而不是MC,可以代表CAPS病理的主要细胞驱动程序。
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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