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Functional diversity of NLRP3 gain-of-function mutants associated with CAPS autoinflammation.


ABSTRACT: NLRP3-associated autoinflammatory disease is a heterogenous group of monogenic conditions caused by NLRP3 gain-of-function mutations. The poor functional characterization of most NLRP3 variants hinders diagnosis despite efficient anti-IL-1 treatments. Additionally, while NLRP3 is controlled by priming and activation signals, gain-of-functions have only been investigated in response to priming. Here, we characterize 34 NLRP3 variants in vitro, evaluating their activity upon induction, priming, and/or activation signals, and their sensitivity to four inhibitors. We highlight the functional diversity of the gain-of-function mutants and describe four groups based on the signals governing their activation, correlating partly with the symptom severity. We identify a new group of NLRP3 mutants responding to the activation signal without priming, associated with frequent misdiagnoses. Our results identify key NLRP3 residues controlling inflammasome activity and sensitivity to inhibitors, and antagonistic mechanisms with broader efficacy for therapeutic strategies. They provide new insights into NLRP3 activation, an explanatory mechanism for NLRP3-AID heterogeneity, and original tools for NLRP3-AID diagnosis and drug development.

SUBMITTER: Cosson C 

PROVIDER: S-EPMC10966137 | biostudies-literature | 2024 May

REPOSITORIES: biostudies-literature

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Functional diversity of NLRP3 gain-of-function mutants associated with CAPS autoinflammation.

Cosson Camille C   Riou Romane R   Patoli Danish D   Niu Tingting T   Rey Amaury A   Groslambert Marine M   De Rosny Charlotte C   Chatre Elodie E   Allatif Omran O   Henry Thomas T   Venet Fabienne F   Milhavet Florian F   Boursier Guilaine G   Belot Alexandre A   Jamilloux Yvan Y   Merlin Etienne E   Duquesne Agnès A   Grateau Gilles G   Savey Léa L   Jacques Maria Alexandre Thibault AT   Pagnier Anne A   Poutrel Solène S   Lambotte Olivier O   Mallebranche Coralie C   Ardois Samuel S   Richer Olivier O   Lemelle Irène I   Rieux-Laucat Frédéric F   Bader-Meunier Brigitte B   Amoura Zahir Z   Melki Isabelle I   Cuisset Laurence L   Touitou Isabelle I   Geyer Matthias M   Georgin-Lavialle Sophie S   Py Bénédicte F BF  

The Journal of experimental medicine 20240326 5


NLRP3-associated autoinflammatory disease is a heterogenous group of monogenic conditions caused by NLRP3 gain-of-function mutations. The poor functional characterization of most NLRP3 variants hinders diagnosis despite efficient anti-IL-1 treatments. Additionally, while NLRP3 is controlled by priming and activation signals, gain-of-functions have only been investigated in response to priming. Here, we characterize 34 NLRP3 variants in vitro, evaluating their activity upon induction, priming, an  ...[more]

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