Center of Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, University of Amsterdam, The Netherlands.
Center for Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam, The Netherlands.
Eur J Immunol. 2018 Jan;48(1):66-79. doi: 10.1002/eji.201646554. Epub 2017 Nov 3.
Streptococcus (S.) pneumoniae is the most common cause of community-acquired pneumonia. The Nod-like receptor family pyrin domain containing 3 (NLRP3) inflammasome, consisting of NLRP3, ASC (the adaptor apoptosis-associated speck-like protein containing a CARD) and caspase-1, has been implicated in protective immunity during pneumonia induced by high doses of S. pneumoniae serotype 2. Here we investigated the role of the NLRP3 inflammasome in the host response during lethal airway infection with a low dose of serotype 3 S. pneumoniae. Mice were euthanized at predefined endpoints for analysis or observed in survival studies. In additional studies, Tlr2 /Tlr4 mice and Myd88 mice incapable of Toll-like receptor signaling were studied. In stark contrast with existing literature, both Nlrp3 and Asc mice showed a strongly improved host defense, as reflected by a markedly reduced mortality rate accompanied by diminished bacterial growth and dissemination. Host defense was unaltered in Tlr2 /Tlr4 mice and Myd88 mice. These results show that the NLRP3 inflammasome impairs host defense during lethal pneumonia caused by serotype 3 S. pneumoniae. Our findings challenge the current paradigm that proximal innate detection systems are indispensable for an adequate host immune response against bacteria.
肺炎链球菌(S. pneumoniae)是社区获得性肺炎最常见的病因。Nod 样受体家族包含 pyrin 结构域的 3 号(NLRP3)炎性小体,由 NLRP3、ASC(衔接凋亡相关斑点样蛋白,包含 CARD)和 caspase-1 组成,在高剂量 2 型肺炎链球菌诱导的肺炎中被认为与保护性免疫有关。在这里,我们研究了 NLRP3 炎性小体在低剂量 3 型肺炎链球菌引起的致死性气道感染过程中宿主反应的作用。在预定的终点处死小鼠进行分析或在生存研究中观察。在其他研究中,研究了不能进行 Toll 样受体信号转导的 Tlr2/Tlr4 小鼠和 Myd88 小鼠。与现有文献形成鲜明对比的是,Nlrp3 和 Asc 小鼠均表现出强烈的宿主防御改善,死亡率明显降低,同时细菌生长和扩散减少。Tlr2/Tlr4 小鼠和 Myd88 小鼠的宿主防御没有改变。这些结果表明,NLRP3 炎性小体在由 3 型肺炎链球菌引起的致死性肺炎中损害宿主防御。我们的发现挑战了当前的范式,即近端先天检测系统对宿主针对细菌的免疫反应是必不可少的。