Organ Transplantation Center, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Organ Transplantation Center, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Transplant Proc. 2020 Dec;52(10):2947-2954. doi: 10.1016/j.transproceed.2019.10.024. Epub 2020 Oct 31.
The NLR family pyrin domain containing 3 (NLRP3) inflammasome is a widely studied inflammasome that plays a critical role in inflammatory responses. Many triggers, including microbial pathogens (ie, bacteria and viruses) and other signals (ie, reactive oxygen species, adenosine triphosphate, urate, silicon, and asbestos), can stimulate the NLRP3 inflammasome. Liver ischemia/reperfusion (I/R) injury is a common pathologic process during liver surgery and shock and can induce severe liver damage. Although its pathogenesis is still unclear, oxidative stress and overproduction of the inflammatory response are likely to contribute to I/R injury. The NLRP3 inflammasome is activated during the I/R process, resulting in further recruitment and activation of caspase-1. Activated caspase-1 cleaves the pro-forms of interleukin-1β and interleukin-18 and results in their maturation, triggering a proinflammatory cytokine cascade and causing liver damage. Bruton's tyrosine kinase is a critical molecule involved in diverse cellular pathways, such as proliferation, apoptosis, inflammation, and angiogenesis. Intrahepatic Bruton's tyrosine kinase is mainly expressed on Kupffer cells and sinusoidal endothelial cells, and the inflammasome is activated in Kupffer cells. Our study found that inhibition of Bruton's tyrosine kinase effectively attenuated liver I/R injury by suppressing activation of the NLRP3 inflammasome in Kupffer cells.
NLR 家族包含pyrin 结构域的 3(NLRP3)炎性小体是一种广泛研究的炎性小体,在炎症反应中发挥关键作用。许多触发物,包括微生物病原体(即细菌和病毒)和其他信号(即活性氧、三磷酸腺苷、尿酸盐、硅和石棉),可以刺激 NLRP3 炎性小体。肝缺血/再灌注(I/R)损伤是肝手术和休克期间常见的病理过程,可导致严重的肝损伤。尽管其发病机制尚不清楚,但氧化应激和炎症反应的过度产生可能导致 I/R 损伤。NLRP3 炎性小体在 I/R 过程中被激活,导致 caspase-1 的进一步募集和激活。活化的 caspase-1 切割白细胞介素-1β和白细胞介素-18 的前体形式,导致它们成熟,触发促炎细胞因子级联反应并导致肝损伤。布鲁顿酪氨酸激酶是一种参与多种细胞途径的关键分子,如增殖、凋亡、炎症和血管生成。肝内布鲁顿酪氨酸激酶主要表达在枯否细胞和肝窦内皮细胞上,并且炎性小体在枯否细胞中被激活。我们的研究发现,通过抑制 Kupffer 细胞中 NLRP3 炎性小体的激活,抑制布鲁顿酪氨酸激酶可有效减轻肝 I/R 损伤。
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