PMID- 27187378 OWN - NLM STAT- MEDLINE DCOM- 20170309 LR - 20181113 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 17 IP - 5 DP - 2016 May 13 TI - The Relationship between NALP3 and Autoinflammatory Syndromes. LID - 10.3390/ijms17050725 [doi] LID - 725 AB - The nucleotide-binding domain, leucine-rich repeat/pyrin domain-containing-3 (NALP3) inflammasome, which is required for synthesis of interleukin-1beta, has been implicated in the pathogenesis of several autoinflammatory syndromes. This review of the literature summarizes the interconnectedness of NALP3 inflammasome with some of these disorders. Familial Mediterranean fever results from a mutation in the Mediterranean fever (MEFV) gene, which encodes the pyrin protein. Previous study results suggest that pyrin suppresses caspase-1 activation, perhaps by competing for the adaptor protein, termed, pyrin domain of apoptosis/speck-like protein containing a caspase-recruitment domain (ACS) which therefore interferes with NALP3 inflammasome activation. The nucleotide-binding domain, leucine-rich repeat/pyrin domain-containing-3 (NALP3) inflammasome is constitutively activated in cryopyrin-associated periodic syndromes due to gain-of-function mutations resulting from point mutations within the neuronal apoptosis inhibitor protein/class 2 transcription factor/heterokaryon incompatibility/telomerase-associated protein-1 (NACHT) domain of the NALP3 protein. Pyogenic arthritis, pyoderma gangrenosum and acne (PAPA) syndrome is caused by mutations in the genes encoding proline-serine-threonine phosphatase interacting protein 1 (PSTPIP1). These PSTPIP1 mutants are thought to bind to pyrin causing an increase in the pyrin domain of apoptosis/speck-like protein containing a caspase-recruitment domain (ASC) pyroptosome assembly leading to procaspase-1 recruitment and therefore its activation. Hyperimmunoglublinemia D syndrome is caused by mevalonate kinase (MVK) deficiency, which may be affected by protein accumulation that leads to NALP3 inflammasome activation. Tumor necrosis factor receptor-associated periodic syndrome is associated with mutations in the tumor necrosis factor receptor superfamily, member 1A (TNFRSF1A) gene which decreases the level of soluble tumor necrosis factor receptor-1 (TNFR1) leading to neutralization of tumor necrosis factor (TNF)-alpha. In general, these autoinflammatory disorders have shown a clinical response to interleukin-1 (IL-1) antagonists, suggesting that the NALP3 inflammasome serves a critical role in their pathogenesis. FAU - Campbell, Lorna AU - Campbell L AD - Rheumatology Fellows at University Hospitals Case Medical Center, Cleveland, OH 44106-5076, USA. lorna.campbell@uhhospitals.org. FAU - Raheem, Irfan AU - Raheem I AD - Rheumatology Fellows at University Hospitals Case Medical Center, Cleveland, OH 44106-5076, USA. irfan.raheem@uhhospitals.org. FAU - Malemud, Charles J AU - Malemud CJ AD - Department of Medicine, Division of Rheumatic Diseases, Case Western Reserve University School of Medicine and University Hospitals Case Medical Center, 2061 Cornell Road, Cleveland, OH 44106-5076, USA. cjm4@cwru.edu. FAU - Askari, Ali D AU - Askari AD AD - Department of Medicine, Division of Rheumatic Diseases, Case Western Reserve University School of Medicine and University Hospitals Case Medical Center, 2061 Cornell Road, Cleveland, OH 44106-5076, USA. ali.askari@uhhospitals.org. LA - eng PT - Journal Article PT - Review DEP - 20160513 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Immunosuppressive Agents) RN - 0 (Inflammasomes) RN - 0 (NLR Family, Pyrin Domain-Containing 3 Protein) RN - 0 (NLRP3 protein, human) SB - IM MH - Animals MH - Anti-Inflammatory Agents/therapeutic use MH - Hereditary Autoinflammatory Diseases/drug therapy/*genetics/immunology MH - Humans MH - Immunosuppressive Agents/pharmacology/therapeutic use MH - Inflammasomes/drug effects/genetics/immunology MH - NLR Family, Pyrin Domain-Containing 3 Protein/*genetics/metabolism PMC - PMC4881547 OTO - NOTNLM OT - NALP3 inflammasome OT - autoinflammatory syndromes OT - interleukin IL-1beta EDAT- 2016/05/18 06:00 MHDA- 2017/03/10 06:00 PMCR- 2016/05/01 CRDT- 2016/05/18 06:00 PHST- 2016/03/17 00:00 [received] PHST- 2016/05/06 00:00 [revised] PHST- 2016/05/06 00:00 [accepted] PHST- 2016/05/18 06:00 [entrez] PHST- 2016/05/18 06:00 [pubmed] PHST- 2017/03/10 06:00 [medline] PHST- 2016/05/01 00:00 [pmc-release] AID - ijms17050725 [pii] AID - ijms-17-00725 [pii] AID - 10.3390/ijms17050725 [doi] PST - epublish SO - Int J Mol Sci. 2016 May 13;17(5):725. doi: 10.3390/ijms17050725.