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Publication : Inflammasome-Independent and Atypical Processing of IL-1β Contributes to Acid Aspiration-Induced Acute Lung Injury.

First Author  Mizushina Y Year  2019
Journal  J Immunol Volume  203
Issue  1 Pages  236-246
PubMed ID  31109954 Mgi Jnum  J:276602
Mgi Id  MGI:6315656 Doi  10.4049/jimmunol.1900168
Citation  Mizushina Y, et al. (2019) Inflammasome-Independent and Atypical Processing of IL-1beta Contributes to Acid Aspiration-Induced Acute Lung Injury. J Immunol 203(1):236-246
abstractText  Inflammation plays a pivotal role in the pathophysiology of gastric aspiration-induced acute lung injury (ALI). However, its mechanism remains unclear. In this study, we investigated the role of NLRP3 inflammasome-driven IL-1beta production in a mouse model of acid aspiration-induced inflammation and ALI. Acid aspiration-induced inflammatory responses and ALI in wild-type mice were significantly attenuated in IL-1beta(-/-) mice, but not NLRP3(-/-) mice. In vitro experiments revealed that severe acidic stress (pH 1.75) induced the processing of pro-IL-1beta into its 18-kDa mature form (p18-IL-1beta), which was different from the caspase-1-processed 17-kDa form (p17-IL-1beta), in human THP-1 macrophages and primary murine macrophages. Deficiency of NLRP3 and caspase-1 had no effect on acidic stress-produced IL-1beta. The production of IL-1beta by severe acidic stress was prevented by inhibitors of serine proteases [4-(2-aminoethyl)benzenesulfonyl fluoride hydrochloride], but not of cysteine proteases (E-64), cathepsin G, or inflammasome. The cathepsin D inhibitor pepstatin A inhibited IL-1beta production induced by mild acidic stress (pH 6.2) or lactic acid, but not severe acidic stress. Using mass spectrometry and processing-site mutants of pro-IL-1beta, we identified D109 as a novel cleavage site of pro-IL-1beta in response to severe acidic stress and calculated the theoretical molecular mass of the mature form to be 18.2 kDa. The bioactivity of acidic stress-produced IL-1beta was confirmed by its ability to promote p38 phosphorylation and chemokine upregulation in alveolar epithelial cells. These findings demonstrate a novel mechanism of acid-induced IL-1beta production and inflammation independent of NLRP3 inflammasome and provide new insights into the therapeutic strategies for aspiration pneumonitis and ALI.
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