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Inflammation — a lifelong companion

Attempt at a non-analytical holistic view

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Abstract

Inflammation is a key component of the immune system. It has important functions in both defense and pathophysiological events maintaining the dynamic homeostasis of a host organism including its tissues, organs and individual cells. On the cellular level it is controlled by more than 400 currently known genes. Their polymorphisms and environmental conditions give rise to different genotypes in human population. Pro-inflammatory genotype, which dominates in the present population, may be advantageous in childhood but not in elderly people because it is characterized by an increased vulnerability to, and intensity of, inflammatory reactions. These reactions may be the possible reasons of chronic inflammatory diseases, especially in old age. Better understanding of complex molecular and cellular inflammatory mechanisms is indispensable for detailed knowledge of pathogenesis of many diseases, their prevention and directed drug therapy. Here we summarize the basic current knowledge on these mechanisms.

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Abbreviations

βA:

β amyloid peptide

AD:

Alzheimer’s disease

APAF:

apoptosis-proteinase activating factor

ASC:

apoptotic-associatedspeck-like protein containing acaspase recruitment domain

BIR:

baculovirus inhibitor of apoptosis repeat

CIITA:

class II transactivator

CARD:

caspase-activating and recruitment domain

CATERPILLER (group):

CARD,transcriptionenhancer,R (purine)-binding,pyrin,lots ofleucinerepeat

COX-2:

cyclooxygenase-2

CRP:

C-reactive protein

DAMP:

damage-associated molecular patterns

DD:

death domain

ER:

endoplasmic reticulum

FMF:

familial Mediterranean fever

HDL:

high-density lipoprotein (level)

HIDS:

hyperimmunoglobulinemia D with periodic fever syndrome

HLA:

histocompatibility locus antigen (molecules)

HMGB:

high-mobility group box 1

Hsp:

heat shock protein

ICE:

enzyme converting IL-1

IFN:

interferon

Ig:

immunoglobulin

IL:

interleukin

IRAK:

IL-1receptor-associatedkinase

LDL:

low-density lipoprotein (level)

LPS:

lipopolysaccharide

LRR:

leucine-rich repeat

MALT:

mucosal-associated lymphoid tissue

MHC:

major histocompatibility complex

MR:

mannose receptor

NACHT (domain):

named after NAIP, CIITA, HET-E and TP1

NAIP:

neuronal apoptosis inhibitory protein

NALP(s):

NACHT-, LRR- and PYD-containing protein(s)

NBD:

nucleotide binding domain

NF-κB:

nuclear factor κB

NLR:

nucleotide-binding domain and leucine-rich repeat containing family

NOD:

nucleotide-oligomerization domain

PAMP:

pathogen-associated molecular pattern

PRR:

pattern-recognition receptor

PYD:

pyrin domain

R-genes:

host resistance genes

RIP:

receptor-interacting protein

SR-a:

scavenger receptor

TGF-β:

transforming growth factor β

TIR:

Toll-interleukin-1receptor

TLR:

Toll-like receptor

TNF:

tumor necrosis factor

TP1:

telomerase-associated protein

TRAPS:

TNF receptor-associated periodic syndrome

TREM-1:

triggeringreceptorexpressed onmyeloid cells

TRIF:

TIR domain containing adaptor interacting with TLR(s)

VALT:

vascular-associated lymphoid tissue

WD-40 repeat:

Trp-Asp forty-amino-acid repeat

References

  • Akira S., Uematsu S., Takeuchi O.: Pathogen recognition and innate immunity.Cell 124, 783–801 (2006).

    Article  PubMed  CAS  Google Scholar 

  • Akyiama H., Barger S., Barnum S., Bradt B., Bauer J., Cole G.M., Cooper N.R., Eikelenboom P., Emmerling M., Fiebich B.L., Finch C.E., Frautschy S., Griffin W.S.T., Hampel H., Hull M., Landreth G., Lih-Fen Lue, Mark R., Mackenzie I.R., McGeer P.L., O’Banion M.K., Pachter J., Pasinetti G., Plata-Salaman C., Rogers J., Rydel R., Yong Shen, Streit W., Strohmeyer R., Tooyoma I., Van Muiswinkel F.L., Veerhuis R., Walker D., Webster S., Wegrzyniak B., Wenk G., Wyss-Coray T.: Inflammation and Alzheimer’s disease.Neurobiol.Aging 21, 383–421 (2000).

    Article  Google Scholar 

  • Andreotti F., Porto I., Crea F., Maseri A.: Inflammatory gene polymorphisms and ischemic heart disease: review of population association studies.Heart 87, 107–112 (2002).

    Article  PubMed  CAS  Google Scholar 

  • Arendt T.: Alzheimer’s disease as a disorder of mechanisms underlying structural brain self-organization.Neuroscience 102, 723–765 (2001).

    Article  PubMed  CAS  Google Scholar 

  • Bouchon A., Dietrich J., Colonna M.: Cutting edge: inflammatory responses can be triggered by TREM-1, a novel receptor expressed on neutrophils and monocytes.J.Immunol. 164, 4991–4995 (2000).

    PubMed  CAS  Google Scholar 

  • Bruunsgaard H., Pedersen M., Pedersen B.K.: Aging and proinflammatory cytokines.Curr.Opin.Hematol. 131, 131–136 (2001).

    Article  Google Scholar 

  • Bruunsgaard H., Ladelund S., Pedersen A.N., Schroll M., Jorgensen T., Petersen B.K.: Predicting death from necrosis factor-α and interleukin-6 in 80-year-old people.Clin.Exp.Immunol. 132, 24–31 (2003).

    Article  PubMed  CAS  Google Scholar 

  • Calle E.E., Thun M.J., Petrelli J.M., Rodriguez C., Heath C.W. Jr.: Body-mass index and mortality in a prospective cohort of US adults.N.Engl.J.Med. 341, 1097–1105 (1999).

    Article  PubMed  CAS  Google Scholar 

  • Carneiro L.A.M., Travassos L.H., Philpott D.J.: Innate immune recognition of microbes through Nod1 and Nod2: implications for disease.Microbes Infection 6, 609–616 (2004).

    Article  CAS  Google Scholar 

  • Caruso C., Lio D., Cavallone L., Franceschi C.: Ageing, longevity, inflammation, and cancer.Ann.N.Y.Acad.Sci. 1028, 1–13 (2004).

    Article  PubMed  CAS  Google Scholar 

  • Chamaillard M., Girardin S.E., Viala J., Philpott D.J.: Nods, Nalps and Naip: intracellular regulators of bacterial-induced inflammation.Cell Microbiol. 5, 581–592 (2003).

    Article  PubMed  CAS  Google Scholar 

  • Cheng C., de Crom R., van Haperen R., Helderman F., Gourabi B.M., van Damme L.C.A., Kirschbaum S.W., Slager C.J., van der Steen A.F.W., Krams R.: The role of shear stress in atherosclerosis — action through gene expression and inflammation.Cell Biochem.Biophys. 41, 279–295 (2004).

    Article  PubMed  Google Scholar 

  • Curran J.E., Jowett J.B.M., Elliot K.S., Gao Y., Gluschenko K., Wang J., Azim D.M.A., Cai G., Mahaney M.C., Comuzzie A.G., Dyer T.D., Ealder K.R., Zimmet P., MacCluer J.W., Collier G.R., Kissebah A.H., Blangero J.: Genetic variation in selenoprotein S influences inflammatory response.Nature Genet. 37, 1234–1241 (2005).

    Article  PubMed  CAS  Google Scholar 

  • Dandona P., Aljada A., Bandyopadhyay A.: Inflammation: the link between insulin resistance, obesity and diabetes.Trends Immunol. 25, 4–7 (2004).

    Article  PubMed  CAS  Google Scholar 

  • Das U.: Metabolic syndrome X: an inflammatory condition?Curr.Hypertens.Rep. 6, 66–73 (2004).

    Article  PubMed  Google Scholar 

  • Erlinger T.P., Platz E.A., Rifai N., Helzlsouer K.J.: C-Reactive protein and the risk of incident colorectal cancer.AMA 291, 585–590 (2004).

    CAS  Google Scholar 

  • Ferenčík M., Ebringer L.: Modulatory effect of selenium and zinc on the immune system.Folia Microbiol. 48, 417–426 (2003).

    Article  Google Scholar 

  • Ferenčík M., Novák M., Rovenský J., Rybár I.: Alzheimer’s disease, inflammation and non-steroidal antiinflammatory drugs.Bratislava Med.J. 102, 123–132 (2001).

    Google Scholar 

  • Ferenčík M., Štvrtinová V., Hulín I.: Defects in regulation of local immune responses resulting in atherosclerosis.Clin.Develop. Immunol. 12, 225–234 (2005).

    Article  CAS  Google Scholar 

  • Franceschi C., Bonafe M., Valensin S., Olivieri F., De Luca M., Ottavian E., De Benedictis G.: Inflamm-aging. An evolutionary perspective on immunosenescence.Ann.N.Y.Acad.Sci. 908, 208–218 (2000).

    PubMed  Google Scholar 

  • Frostegard J.: Autoimmunity, oxidized LDL and cardiovascular disease.Autoimm.Rev. 1, 233–237 (2002).

    Article  CAS  Google Scholar 

  • Gordon S.: Pattern recognition receptors.Cell 111, 927–930 (2002).

    Article  PubMed  CAS  Google Scholar 

  • Graves D.R., Channon K.M.: Inflammation and immune responses in atherosclerosis.Trends Immunol. 25, 535–541 (2002).

    Article  Google Scholar 

  • Greiwe J.S., Cheng B., Rubin D.C., Yarasheski K.E., Semenkovich C.F.: Resistance exercise decreases skeletal muscle tumor necrosis factor α in frail elderly humans.FASEB J. 15, 475–482 (2001).

    Article  PubMed  CAS  Google Scholar 

  • Han J., Ulevitch R.J.: Limiting inflammatory responses during activation of innate immunity.Nature Immunol. 6, 1182–1189 (2005).

    Article  CAS  Google Scholar 

  • Hargreaves D.C., Medzhitov R.: Innate sensors of microbial infection.J.Clin.Immunol 25, 503–510 (2005).

    Article  PubMed  CAS  Google Scholar 

  • Harris H.F., Andersson U.: Mini-review: the nuclear HMGB1 as a proinflammatory mediator.Eur.J.Immunol. 34, 1503–1512 (2004).

    Article  CAS  Google Scholar 

  • Harris T.B., Ferrucci T., Tracy R.P., Corti M.C., Wacholder S., Ettinger W.H. Jr.,Heimovitz H., Cohen H.J., Wallace R.: Associations of elevated interleukin-6 and C-reactive protein levels with mortality in the elderly.Am.J.Med. 106, 506–512 (1999).

    Article  PubMed  CAS  Google Scholar 

  • Henson P.M.: Dampening inflammation.Nature Immunol. 6, 1179–1181 (2005).

    Article  CAS  Google Scholar 

  • Herre J., Gordon S., Brown G.D.: Dectin-1 and its role in the recognition of β-glucans by macrophages.Molec.Immunol. 40, 869–876 (2004).

    Article  CAS  Google Scholar 

  • Hussain S.P., Hofseth L.J., Harris C.C.: Radical causes of cancer.Nature Rev.Cancer 3, 276–285 (2003).

    Article  CAS  Google Scholar 

  • Kereiakes D.J., Willerson J.T.: Metabolic syndrome epidemic.Circulation 108, 1552–1553 (2003).

    Article  PubMed  Google Scholar 

  • Konsman J.P., Parnet P., Dantzer R.: Cytokine-induced sickness behavior: mechanisms and implications.Trends Neurosci. 25, 154–159 (2002).

    Article  PubMed  CAS  Google Scholar 

  • Krabbe K.S., Pedersen M., Bruunsgaard H.: Inflammatory mediators in the elderly.Exp.Gerontol. 39, 687–699(2004).

    Article  PubMed  CAS  Google Scholar 

  • Lazar M.A.: How obesity causes diabetes: not a tall tale.Science 307, 373–375 (2005).

    Article  PubMed  CAS  Google Scholar 

  • Lee Y.B., Nagai A., Kim S.U.: Cytokines, chemokines, and cytokine receptors in human microglia.J.Neurosci.Res. 69, 94–103 (2002).

    Article  PubMed  CAS  Google Scholar 

  • Libby P.: Inflammation in atherosclerosis.Nature 420, 868–874 (2002).

    Article  PubMed  CAS  Google Scholar 

  • Libby P., Ridger P.M.: Inflammation and atherosclerosis: role of C-reactive protein in risk assesment.Am.J.Med. 116 (Suppl. 1), 9–16 (2004).

    Article  Google Scholar 

  • Licastro F.: Genomic and immune molecules: early detection of cognitive decline and new therapeutic interventions.Expert.Rev. Neurotherap. 2, 639–645 (2002).

    Article  CAS  Google Scholar 

  • Licastro F., Pedrini S., Caputo L., Annoni G., Davis L.J., Ferri C., Casadei V., Grimaldi L.M.: Increased plasma level of interleukin-1, interleukin-6 and α-1-antichymotrypsin in patients with Alzheimer’s disease: peripheral inflammation signals or signals from the brain?J.Neuroimmunol. 103, 97–102 (2000).

    Article  PubMed  CAS  Google Scholar 

  • Licastro F., Grimaldi L.M., Bonafe M., Martina C., Olivieri F.: Interleukin-6 gene alleles affect the risk of Alzheimer’s disease and levels of the cytokine in blood and brain.Neurobiol.Aging 24, 921–926 (2003).

    Article  PubMed  CAS  Google Scholar 

  • Licastro F., Candore G., Lio D., Porcellini E., Colonna-Romano G., Franceshi C., Caruso C.: Innate immunity and inflammation in ageing: a key for understanding age-related diseases.Immunity Ageing 2, 8–23 (2005).

    Article  PubMed  CAS  Google Scholar 

  • Lotze M.T., Tracey K.J.: High-mobility group box 1 protein (HMGB1): nuclear weapon in the immune arsenal.Nature Rev. 5, 331–342 (2005).

    Article  CAS  Google Scholar 

  • Maeda S.: Nod2 mutation in Crohn’s disease potentiates NF-κB activity and IL-1β processing.Science 307, 734–738 (2004).

    Article  CAS  Google Scholar 

  • Martinon F., Burns K., Tschopp J.: The inflammasome: a molecular platform triggering activation of inflammatory caspases and processing of proIL-1β.Mol.Cell 10, 417–426 (2002).

    Article  PubMed  CAS  Google Scholar 

  • Mc Dermott M.F., Aksentijevich I.: The antiinflammatory syndromes.Curr.Opin.Allergy Clin.Immunol. 2, 511–516 (2002).

    Article  Google Scholar 

  • Mc Geer E.G., Mc Geer P.L.: Innate immunity in Alzheimer’s disease.Molec.Interventions 1, 22–29 (2001a).

    CAS  Google Scholar 

  • Mc Geer P.L., Mc Geer E.G.: Polymorphisms in inflammatory genes and the risk of Alzheimer’s disease.Arch.Neurol. 58, 1790–1792 (2001b).

    Article  CAS  Google Scholar 

  • Mc Geer E.G., Klegeris A., Mc Geer P.L.: Inflammation, the complement system and the disease of aging.Neurobiol.Aging 26, 94–97 (2005).

    Article  CAS  Google Scholar 

  • Medzhitov R., Janeway C. Jr.: Innate immunity.N.Engl.J.Med. 343, 338–344 (2000).

    Article  PubMed  CAS  Google Scholar 

  • Novák M.: Neuroimmunolgy of Alzheimer’ disease. (In Slovak)Bratisl.Lek.Listy 98, 303–314 (1997).

    PubMed  Google Scholar 

  • Padah S.: Periodic fever syndromes.Pediat.Clin.N.Am. 52, 577–609 (2005).

    Article  Google Scholar 

  • Pahl H.L., Baeuerle P.A.: The ER-overload response: activation of NF-κB.Trends Biochem.Sci. 22, 63–67 (1997).

    Article  PubMed  CAS  Google Scholar 

  • Pearson T.A., Mensah G.A., Alexander R.W., Anderson J.K.L., Cannon R.O., Cariqui M., Fadl Y.Y., Fortmann S.P., Hong Y., Myers G.L., Rifai N., Smith S.C., Taubert K., Tracy R.P., Vinicor F.: Markers of inflammation and cardiovascular disease: application to clinical and public health practice — a statement for health care professionals from theCenter for Disease Control and Prevention and theAmerican Hearth Association.Circulation 107, 499–511 (2003).

    Article  PubMed  Google Scholar 

  • Perry V.H.: The influence of systemic inflammation on inflammation in the brains, implications for chronic neurodegenerative diseases.Brain Behav.Immun. 18, 407–413 (2004).

    Article  PubMed  CAS  Google Scholar 

  • Plackett T.P., Boehmer E.O., Faunce D.E., Kovacs E.J.: Ageing and innate immune cells.J.Leukoc.Biol. 76, 1–9 (2004).

    Article  CAS  Google Scholar 

  • Pockley A.G., Wu R., Lemme C., Kiessling R., de Faire V., Frostegard J.: Circulating heat shock protein 60 is associated with early cardiovascular disease.Hypertension 36, 303–307 (2000).

    PubMed  CAS  Google Scholar 

  • Renshaw M., Rockwell J., Engleman C., Gewirtz A., Katz J., Sambhara S.: Cutting edge: impaired Toll-like receptor expression and function in aging.J.Immunol 169, 4697–4701 (2002).

    PubMed  CAS  Google Scholar 

  • Ridger P.M., Morrow D.A.: C-Reactive protein, inflammation, and coronary risk.Cardiol.Clin. 21, 315–325 (2003).

    Article  Google Scholar 

  • Ross R.: Atherosclerosis: an inflammatory disease.N.Engl.J.Med. 340, 115–126 (1999).

    Article  PubMed  CAS  Google Scholar 

  • Roubenoff R.: Catabolism of ageing: is it an inflammatory process?Curr.Opin.Clin.Nutr.Metab.Care 6, 295–299 (2003).

    Article  PubMed  Google Scholar 

  • Rudin E., Barzilai N.: Inflammatory peptides derived from adipose tissue.Immunol.Ageing 2, 1–5 (2005).

    Article  CAS  Google Scholar 

  • Sandor F., Buc M.: Toll-like receptors. I. Structure, function and their ligands.Folia Biol. 51, 148–156 (2005).

    CAS  Google Scholar 

  • Selkoe D.J.: Alzheimer’s disease: genes, proteins, and therapy.Physiol.Rev. 81, 741–766 (2001).

    PubMed  CAS  Google Scholar 

  • Senn J., Klover P., Nowak I., Mooney R.: Interleukin-6 induces cellular insulin resistance in hepatocytes.Diabetes 51, 3391–3399 (2002).

    Article  PubMed  CAS  Google Scholar 

  • Stehlik C., Reed J.C.: The PYRIN connection: novel players in innate immunity and inflammation.J.Exp.Med. 200, 551–558 (2004).

    Article  PubMed  CAS  Google Scholar 

  • Stephens J.W., Humphries S.E.: The molecular genetics of cardiovascular disease: clinical implications.J.Intern.Med. 253, 120–127 (2003).

    Article  PubMed  CAS  Google Scholar 

  • Stojanov S., Kastner D.L.: Familial autoinflammatory diseases: genetics, pathogenesis and treatment.Curr.Opin.Rheumatol. 17, 586–599 (2005).

    Article  PubMed  CAS  Google Scholar 

  • Strober W., Murray P.J., Kitani A., Watanabe T.: Signaling pathways and molecular interactions of NOD1 and NOD2.Nature Rev.Immunol. 6, 9–20 (2006).

    Article  CAS  Google Scholar 

  • Szlosarek P.W., Balkwill F.R.: Tumor necrosis factor α: a potential target for the therapy of solid tumors.Lancet Oncol. 4, 565–573 (2003).

    Article  PubMed  CAS  Google Scholar 

  • Takeda K., Akira S.: Toll-like receptors in innate immunity.Intern.Immunol. 17, 1–14 (2005).

    Article  CAS  Google Scholar 

  • Takeda K., Kaisho T., Akira S.: Toll-like receptors.Ann.Rev.Immunol. 21, 335–376 (2003).

    Article  CAS  Google Scholar 

  • Thun M.J., Kenley S.J., Gansler T.: Inflammation and cancer: an epidemiological perspective.Novartis Found.Symp. 256, 2–21 (2004).

    Google Scholar 

  • Town T., Nikolic V., Tan J.: The microglial “activation” continuum: from innate to adaptive responses.J.Neuroinfl. 2, 24–32 (2005).

    Article  CAS  Google Scholar 

  • Tschopp J., Martinon F., Burns K.: NALPS: a novel protein family involved in inflammation.Nature Rev.Molec.Cell Biol. 4, 95–104 (2003).

    Article  CAS  Google Scholar 

  • Tuppo E.E., Arias H.R.: The role of inflammation in Alzheimer’s disease.Internat.J.Biochem.Cell Biol. 73, 289–305 (2005).

    Article  CAS  Google Scholar 

  • Van Cruchten S., Van den Broeck W.: Morphological and biochemical aspects of apoptosis, oncosis and necrosis.Anat.Histol. Embryol. 31, 214–223 (2002).

    Article  PubMed  Google Scholar 

  • Waltner-Romen M., Falkensammer G., Rabl W., Wick G.: A previously unrecognized site of local accumulation of mononuclear cells: the vascular-associated lymphoid tissue.J.Histochem.Cytochem. 46, 1347–1350 (1998).

    PubMed  CAS  Google Scholar 

  • Wang H., Yang H., Czura C.J., Sama A.E., Tracey K.J.: HMGB1 as a late mediator of lethal systemic inflammation.Am.J.Respir. Crit.Care Med. 164, 1768–1773 (2001).

    PubMed  CAS  Google Scholar 

  • Wick G., Perschinka H., Millonig G.: Atherosclerosis as an autoimmune disease: an update.Trends Immunol. 22, 665–669 (2001).

    Article  PubMed  CAS  Google Scholar 

  • Wick G., Knoflach M., Xu Q.: Autoimmune and inflammatory mechanisms in atherosclerosis.Ann.Rev.Immunol. 22, 361–403 (2004).

    Article  CAS  Google Scholar 

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Correspondence to M. Ferenčík.

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This work was partially supported by theSlovak Grant Agency (grant VEGA no. 2/5101/26), and theEuropean Science Foundation (project ESF 131 202 00026).

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Ferenčík, M., Štvrtinová, V., Hulín, I. et al. Inflammation — a lifelong companion. Folia Microbiol 52, 159–173 (2007). https://doi.org/10.1007/BF02932155

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