2型糖尿病伴慢性牙周炎患者龈沟液Omentin-1、MMP-9、OPG/RANKL比值与牙周指标、氧化应激和NLRP3炎症小体的关系

摘要 目的：探讨2型糖尿病（T2DM）伴慢性牙周炎（CP）患者龈沟液网膜素-1（Omentin-1）、基质金属蛋白酶-9（MMP-9）、骨保护素（OPG）/细胞核因子κB受体活化因子配体（RANKL）比值与牙周指标、氧化应激和核苷酸结合寡聚化结构域样受体蛋白3（NLRP3）炎症小体的关系。方法：选择2020年6月至2022年6月首都医科大学附属北京康复医院收治的73例T2DM患者（T2DM组）,77例CP患者（CP组）,83例T2DM伴CP患者（T2DM伴CP组）。检测所有患者龈沟液中Omentin-1、MMP-9、OPG/RANKL比值,分析其与牙周指标、氧化应激和NLRP3炎症小体相关分子信使核糖核酸（mRNA）表达的相关性。结果：T2DM伴CP组龈沟液中Omentin-1,OPG/RANKL比值、总抗氧化能力（TAC）、超氧化物歧化酶（SOD）低于T2DM组和CP组（P＜0.05）,MMP-9、丙二醛（MDA）、NLRP3mRNA、凋亡相关斑点样蛋白（ASC）mRNA、半胱氨酸蛋白酶-1（caspase-1）mRNA表达以及出血指数（SBI）、菌斑指数（PLI）、牙周袋探诊深度（PD）、附着丧失（AL）高于T2DM组和CP组（P＜0.05）。T2DM伴CP患者龈沟液中Omentin-1、OPG/RANKL比值与TAC、SOD呈正相关（P＜0.05）,与MDA、NLRP3mRNA、ASC mRNA、caspase-1mRNA表达以及PLI、SBI、AL、PD呈负相关（P＜0.05）,MMP-9与TAC、SOD呈负相关（P＜0.05）,与MDA、NLRP3mRNA、ASC mRNA、caspase-1mRNA表达以及PLI、SBI、AL、PD呈正相关（P＜0.05）。结论：T2DM伴CP患者龈沟液中Omentin-1水平、OPG/ RANKL比值降低,MMP-9水平升高,与牙周组织破坏加重、氧化应激、NLRP3炎症小体激活有关。     

Autolytic proteolysis within the function to find domain (FIIND) is required for NLRP1 inflammasome activity

Nucleotide-binding domain leucine-rich repeat proteins (NLRs) play a key role in immunity and disease through their ability to modulate inflammation in response to pathogen-derived and endogenous danger signals. Here, we identify the requirements for activation of NLRP1, an NLR protein associated with a number of human pathologies, including vitiligo, rheumatoid arthritis, and Crohn disease. We demonstrate that NLRP1 activity is dependent upon ASC, which associates with the C-terminal CARD domain of NLRP1. In addition, we show that NLRP1 activity is dependent upon autolytic cleavage at Ser(1213) within the FIIND. Importantly, this post translational event is dependent upon the highly conserved distal residue His(1186). A disease-associated single nucleotide polymorphism near His(1186) and a naturally occurring mRNA splice variant lacking exon 14 differentially affect this autolytic processing and subsequent NLRP1 activity. These results describe key molecular pathways that regulate NLRP1 activity and offer insight on how small sequence variations in NLR genes may influence human disease pathogenesis.     

病毒感染对NLRP3炎症小体活化、组装和效应的影响

炎症小体是存在于胞浆的大分子多蛋白复合物,在感染或应激状态下被激活,并触发IL-1β和IL-18等促炎细胞因子的释放,诱导细胞焦亡,从而参与先天免疫防御。NLRP3识别病毒复制过程中产生的各种病原体相关分子模式（PAMP）和危险相关分子模式（DAMP）,启动NLRP3炎症小体依赖的抗病毒免疫反应。但是,有些病毒也进化出复杂的策略而靶向炎症小体,以逃避天然免疫监视。本综述讨论了病毒感染过程对NLRP3炎症小体的活化、组装和效应的影响。     

NLRP1炎性体

核苷酸结合寡聚化结构域样受体蛋白1(NLRP1)炎性体是NLRP1在识别胞内病原相关分子模式(PAMP)后与凋亡相关斑点样蛋白(ASC)以及半胱天冬氨酸酶(Caspase-1、Caspase-5)前体等分子结合形成的蛋白复合物,活化后促进IL-1β、IL-18、IL-33等炎症因子的成熟和释放,在先天性免疫中发挥重要作用。本文主要介绍了NLRP1炎性体的组成、激活机制、信号通路、负向调控及生物学功能,综述了NLRP1炎性体在炭疽、弓形虫病、泛发型白癜风、肠炎、牛皮癣等疾病中作用的研究进展。     

外周血单核细胞CHOP、NLRP3、S100A8/A9 mRNA表达水平与脓毒症患者炎症反应和预后的关系分析

摘要 目的：探讨外周血单核细胞（PBMC）中CCAAT/增强子结合蛋白同源蛋白（CHOP）、核苷酸结合寡聚化结构域样受体蛋白3（NLRP3）、S100A8/A9 信使核糖核酸（mRNA）表达水平与脓毒症患者炎症反应和预后的关系。方法：选取2020年1月～2022年1月新疆维吾尔自治区人民医院收治的170例脓毒症患者为脓毒症组,另选取同期68名健康体检者为对照组。采用酶联免疫吸附法检测血清白介素（IL）-6、IL-10、IL-17、IL-23、转化生长因子-β（TGF-β）水平,实时荧光定量PCR（qRT-PCR）法检测PBMC中CHOP、NLRP3、S100A8/A9 mRNA表达水平,比较脓毒症组与对照组上述指标差异。采用Pearson/Spearman相关系数分析脓毒症患者PBMC中CHOP、NLRP3、S100A8/A9 mRNA表达水平与炎症因子水平的相关性。脓毒症患者根据28d预后差异分为死亡组和存活组,收集临床资料,采用多因素Logistic回归分析脓毒症患者预后的影响因素。结果：脓毒症组PBMC中CHOP、NLRP3、S100A8/A9 mRNA相对表达量和血清IL-6、IL-10、IL-17、IL-23、TGF-β水平均明显高于对照组（P＜0.05）。Pearson/Spearman相关性分析显示,脓毒症患者PBMC中CHOP、NLRP3、S100A8/A9 mRNA表达水平与血清IL-6、IL-10、IL-17、IL-23、TGF-β水平均呈正相关（P＜0.05）。不同预后脓毒症患者比较,死亡组年龄大于存活组,脓毒性休克、多器官功能障碍综合征（MODS）、ICU住院时间≥10 d、机械通气时间≥3 d患者比例、脓毒症相关器官衰竭评估（SOFA）评分、血乳酸、血清IL-6、IL-10、IL-17、IL-23、TGF-β水平以及PBMC中CHOP、NLRP3、S100A8/A9 mRNA相对表达量均高于存活组,而氧合指数低于存活组（P＜0.05）。多因素Logistic回归分析显示,校正其他因素后,PBMC中CHOP mRNA、NLRP3 mRNA、S100A8/A9 mRNA表达水平升高是脓毒症患者预后不良的危险因素（P＜0.05）。结论：脓毒症患者PBMC中CHOP、NLRP3、S100A8/A9 mRNA呈高表达,且表达水平与炎症反应及患者预后密切相关。     

食源性致病菌激活NLRP3炎症小体及食源性功能物质的抑制机理研究进展

食源性致病菌感染是引起食源性疾病的首要因素,严重影响人类健康。炎症小体通过识别受体感知入侵宿主的危险信号进而组装形成多聚蛋白复合物,从而诱导炎症反应,是先天免疫系统中识别食源性病原菌感染和清除病原体的重要防线。NLRP3炎症小体是位于胞内的炎症反应平台,可以感知多种病原微生物的侵袭,在先天性免疫反应中起着至关重要的作用。食源性致病菌感染常引起NLRP3炎症小体的异常激活,介导多种炎症性疾病的发生和发展,因此,许多抗炎研究中常常以NLRP3炎症小体作为靶点。本文总结了食源性致病菌及其代谢产物激活NLRP3炎症小体的分子机制,以及天然产物和膳食功能物质抑制NLRP3炎症小体激活的机理,为治疗炎症性疾病、开发缓解致病菌诱导的炎症反应的功能化合物提供新的思路。     

NLRP3 activation contributes to endothelin‐1‐induced erectile dysfunction

In the present study, we hypothesized that endothelin (ET) receptors (ET_A and ET_B) stimulation, through increased calcium and ROS formation, leads to Nucleotide Oligomerization Domain‐Like Receptor Family, Pyrin Domain Containing 3 (NLRP3) activation. Intracavernosal pressure (ICP/MAP) was measured in C57BL/6 (WT) mice. Functional and immunoblotting assays were performed in corpora cavernosa (CC) strips from WT, NLRP3^−/− and caspase^−/− mice in the presence of ET‐1 (100 nM) and vehicle, MCC950, tiron, BAPTA AM, BQ123, or BQ788. ET‐1 reduced the ICP/MAP in WT mice, and MCC950 prevented the ET‐1 effect. ET‐1 decreased CC ACh‐, sodium nitroprusside (SNP)‐induced relaxation, and increased caspase‐1 expression. BQ123 an ET_A receptor antagonist reversed the effect. The ET_B receptor antagonist BQ788 also reversed ET‐1 inhibition of ACh and SNP relaxation. Additionally, tiron, BAPTA AM, and NLRP3 genetic deletion prevented the ET‐1‐induced loss of ACh and SNP relaxation. Moreover, BQ123 diminished CC caspase‐1 expression, while BQ788 increased caspase‐1 and IL‐1β levels in a concentration‐dependent manner (100 nM–10 μM). Furthermore, tiron and BAPTA AM prevented ET‐1‐induced increase in caspase‐1. In addition, BAPTA AM blocked ET‐1‐induced ROS generation. In conclusion, ET‐1‐induced erectile dysfunction depends on ET_A‐ and ET_B‐mediated activation of NLRP3 in mouse CC via Ca²⁺‐dependent ROS generation.     

Quercetin protects against diabetic encephalopathy via SIRT1/NLRP3 pathway in db/db mice

Epidemiological studies have found that diabetes and cognitive dysfunction are closely related. Quercetin has been certified with the effect on improving diabetes mellitus (DM) and cognitive impairment. However, the effect and related mechanism of quercetin on diabetic encephalopathy (DE) are still ambiguous. In this study, we used the db/db mice (diabetic model) to discover whether quercetin could improve DE through the Sirtuin1/NLRP3 (NOD-, LRR- and pyrin domain-containing 3) pathway. Behavioural results (Morris water maze and new object recognition tests) showed that quercetin (70 mg/kg) improved the learning and memory. Furthermore, quercetin alleviated insulin resistance and the level of fasting blood glucose. Besides, Western blot analysis also showed that quercetin increased the protein expressions of nerve- and synapse-related protein, including postsynapticdensity 93 (PSD93), postsynapticdensity 95 (PSD95), brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) in the brain of db/db mice. Quercetin also increased the protein expression of SIRT1 and decreased the expression of NLRP3 inflammation-related proteins, including NLRP3, the adaptor protein ASC and cleaved Caspase-1, the pro-inflammatory cytokines IL-1β and IL-18. In conclusion, the present results indicate that the SIRT1/NLRP3 pathway may be a crucial mechanism for the neuroprotective effect of quercetin against DE.