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Lately, researchers realized that a variety of bacterial   NOD-like receptors are one of the pattern recognition
           and nonbacterial stimuli  (e.g.  substance related   receptors  (PRR);  they  can  be  assembled  into
           to  autoimmune  diseases  and  cardiovascular  and   inflammasome under the stimulation of pathogens or
           cerebrovascular diseases [7-9] ) can drive programmed   other dangerous signals. According to different NLRs,
           cell deaths similar to pyroptosis. Meanwhile, in   the inflammasome can be classified into four types,
           addition to macrophages, there are a variety of cells   NLRP-1, 3, 4 Ice Protease-Activating Factor (IPAF),
           (such as dendritic cells, etc.) undergoing programmed   5. During pathogen stimulation, effector domains of
           death involving caspase-1 activation, thereby different   NLRs are  exposed to  activating  caspase-1 through
           from caspase-3 mediate apoptosis. Moreover, cells   CARD-CARD and PYD-PYD interactions  or with
           undergoing pyroptosis exhibit a series of cellular   the help of ASC directly. Different types of NLRs
           changes from complete necrosis to complete the     respond  to  different  stimuli. NALP3 is sensible  to
           apoptosis. [10-12]                                 perforin, extracellular adenosine triphosphate (ATP),
                                                              urate crystals, DNA and RNA in virus and ultraviolet.
           MECHANISMS OF PYROPTOSIS                           IPAF is sensible to extracellular pathogens, such as
                                                              Pseudomonas,  and  intracellular  pathogens  such  as
           Pyroptosis and caspase-1 are closely associated.   Salmonella, Listeria, Shigella, Legionella bacteria.
           Caspase family is a group of proteases with high   Legionella also needs the help of NALP5-5 to activate
           homology, and it can be divided into two categories   caspase-1. [16,17]  AIM plays an important role in viral
           according to its relationship with apoptosis and   infections; its function is to identify DNA cytoplasm. It
           pyroptosis. One includes apoptosis-related proteases,   is a cytoplasmic DNA transducer, one of PRRs sensible
           for instance caspase-3, the executor of apoptosis, and   to extrinsic DNA. It belongs to HIN-200 family, with
           also caspase-2, 6, 7, 8, 9, 10 etc. Caspase-3 is activated   a PYD domain in amino-terminal and an HIN-200
           by co-action of caspase-2, 6, 7, 8, 9, 10 etc., and activated   domain in carboxy-terminal. [18]  In virus-infected cells,
           caspase-3 could induce DNA dissolution, proteolysis,   AIM2 and caspase-1 can form inflammasome to induce
           and downstream events leading to apoptosis. The    innate immunity and resist intracellular bacteria and
           second is inflammation-associated proteases, including   DNA viruses. [19]  RIG-I also binds to the adaptor ASC to
           caspase-1 and caspase-4, 5, 11, 12, 13, 14 etc., taking   trigger caspase-1-dependent inflammasome activation
           part in cytokines-mediated inflammatory response. [13]    by a mechanism independent from CARD and NLRP3
           Caspase-1 is not involved in apoptosis, but represents   in RNA infection. [15]  The effects of ASC are to combine
           the  key  factor  in  pyrotosis.  Caspase-1  is  an  IL-1β   caspase-1 and NLRP1, NLRP3, AIM2, RIG-I together.
           converting enzyme. Pro-caspase-1 does not have     The mechanism is mediated by the PYD domain in the
           biological activity when produced. Its molecular weight   carboxyl terminus of ASC combined with PYD domain
           is 45 kDa, constituted by the three domains, including   in NLRP1 NLRP3 and AIM, with the CARD domain
           the caspase activation and recruitment domains (CARD)   in N-terminal of ASC combined with pro-caspase-1’s
           structure in NH -terminal, a large subunit about 20 kDa,   CARD domain. In addition, ASC can be assembled into
                        2
           and a small subunit about 10 kDa. Then, pro-caspase-1   ASC dimer without the participation of NLRs, and ASC
           is converted into heterodimer in the cytoplasm, and   dimer can activate caspase-1 directly. This ASC dimer
           further assembled into biologically active tetrameric   has been named Pyroptosome recently. [20]
           caspase-1. [13]  This activation process is regulated by
           a multi-protein complex in the cytoplasm named     The activators of the inflammasomes can be divided into
           inflammasome. [14]                                 two categories: pathogen associated molecular patterns
                                                              activate a host-defense reaction, and damage associated
           Inflammasome is a multi-protein complex composed   molecular patterns activate a self-defense mechanism in
           by  NOD-like  receptors  (NLRs),  proteins  containing   response to danger signals.  Activators include bacteria,
                                                                                     [21]
           NATCH, leucine-rich repeat and PYD domains (NLRP1   virus, fungus, protozoa, microbial proteins, crystalline
           NLRC4 NLRP3 NAIP5 and NLRC5), or absent in         urea, RNA, Alum, ATP, potassium efflux, fatty acids, Aβ,
           melanoma 2 (AIM2), or Caspase-1 etc. Some of the   and most recently, degraded mitochondrial DNA. [22-24]
           inflammasomes  also  contain  apoptosis-associated   Overall the assembly and activation of inflammasomes
           speck-like proteins containing CARD (ASC). Recent   are cell-type and stimulus-specific. [25,26]
           studies have confirmed that retinoic acid-inducible
           gene I  (RIG-I), one of the receptors of some RNA   With inflammasome, pro-caspase-1 is activated to
           viruses, can form inflammasome with ASC, without   caspase-1. Its function includes conversion of the pro-IL-
           the participation of NLRs. [15]  Under the regulation of   1β and pro-IL-18 into active IL-1β and IL-18. When bound
           inflammasome, pro-caspase-1 is activated, promoting   to their receptors, IL-1R and IL-18R, they lead to nuclear
           the processing and maturation of pro-inflammatory   factor-κB dependent gene transcription. [27,28]  IL-1β is a
           factors such as IL-1 and IL-18.                    key molecule in inflammasome initiation and IL-18 can



          Neuroimmunol Neuroinflammation | Volume 1 | Issue 2 | September 2014                              61
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