Abstract
Caspase-1 is a proinflammatory enzyme that is essential in many inflammatory conditions including infectious, autoimmune, and autoinflammatory disorders. The inflammation is mainly mediated by the generation of inflammasomes that activate caspase-1 and subsequently interleukin (IL)-1β and IL-18. In addition, homotypic CARD/CARD interaction of procaspase-1 with RIP2 and thereby activation of the NF-κB pathways may play some role in the inflammation. However, normally, this pathway seems to become downregulated rapidly by the cleavage and excretion of RIP2 by active (pro-)caspase-1. In patients with unexplained recurrent systemic inflammation, CASP1 variants were detected, which often destabilized the caspase-1 dimer interface. Obviously, the resulting decreased or abrogated enzymatic activity and IL-1β production did not prevent the febrile episodes. As an unexpected finding, the inactive procaspase-1 variants significantly enhanced proinflammatory signaling by increasing RIP2 mediated NF-κB activation in an in vitro cell transfection model. A likely reason is the failure of inactive procaspase-1 to cleave bound RIP2 and also to mediate its excretion out of the intracelluar space thereby keeping the RIP2-NF-κB pathway upregulated. Hence, proinflammatory effects of enzymatically inactive procaspase-1 variants may partially explain the inflammatory episodes of the patients.
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Acknowledgments
S.W., J.R., S.H., and A.RW. were supported by the Deutsche Forschungsgemeinschaft (WI 4269/1-2, HO 4510/1-1 and 2, RO 847/11-1 and 2) and by the Federal Ministry of Education and Research (BMBF) in PID-NET TPA4 (01GM1111C).
The p.A68P/WT variant was detected by Raphaela Goldbach-Mansky (NIH) and left to the authors for functional analyses.
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Luksch, H., Winkler, S., Heymann, M.C. et al. Current Knowledge on Procaspase-1 Variants with Reduced or Abrogated Enzymatic Activity in Autoinflammatory Disease. Curr Rheumatol Rep 17, 45 (2015). https://doi.org/10.1007/s11926-015-0520-5
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DOI: https://doi.org/10.1007/s11926-015-0520-5