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Publication : cAMP metabolism controls caspase-11 inflammasome activation and pyroptosis in sepsis.

First Author  Chen R Year  2019
Journal  Sci Adv Volume  5
Issue  5 Pages  eaav5562
PubMed ID  31131320 Mgi Jnum  J:388679
Mgi Id  MGI:6455646 Doi  10.1126/sciadv.aav5562
Citation  Chen R, et al. (2019) cAMP metabolism controls caspase-11 inflammasome activation and pyroptosis in sepsis. Sci Adv 5(5):eaav5562
abstractText  The ability of cytosolic lipopolysaccharide (LPS) to activate caspase-11-dependent nonclassical inflammasome is intricately controlled to avoid excessive inflammatory responses. However, very little is known about the regulatory role of various metabolic pathways in the control of caspase-11 activation. Here, we demonstrate that l-adrenaline can act on receptor ADRA2B to inhibit the activation of the caspase-11 inflammasome by cytosolic LPS or Escherichia coli infection in macrophages. l-adrenaline-induced cAMP production via the enzyme ADCY4 promotes protein kinase A (PKA) activation, which then blocks the caspase-11-mediated proteolytic maturation of interleukin-1beta, gasdermin D (GSDMD) cleavage, and consequent DAMP release. Inhibition of PDE8A-mediated cAMP hydrolysis limits caspase-11 inflammasome activation and pyroptosis in macrophages. Consequently, pharmacological modulation of the ADRA2B-ADCY4-PDE8A-PKA axis, knockout of caspase-11 (Casp11(-/-) ), or Gsdmd inactivation (Gsdmd(I105N/I105N) ) similarly protects against LPS-induced lethality in poly(I:C)-primed mice. Our results provide previously unidentified mechanistic insight into immune regulation by cAMP and represent a proof of concept that immunometabolism constitutes a potential therapeutic target in sepsis.
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