补体和 NLRP3 及非 NLRP3 炎性小体对脉络膜新生血管形成的不同作用。

Distinct effects of complement and of NLRP3- and non-NLRP3 inflammasomes for choroidal neovascularization.

机构信息

Cutaneous Biology Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, United States.

Department of Ophthalmology, University of Halle, Halle, Germany.

出版信息

Elife. 2020 Dec 11;9:e60194. doi: 10.7554/eLife.60194.

Abstract

NLRP3 inflammasome activation and complement-mediated inflammation have been implicated in promoting choroidal neovascularization (CNV) in age-related macular degeneration (AMD), but central questions regarding their contributions to AMD pathogenesis remain unanswered. Key open questions are (1) whether NLRP3 inflammasome activation mainly in retinal pigment epithelium (RPE) or rather in non-RPE cells promotes CNV, (2) whether inflammasome activation in CNV occurs via NLRP3 or also through NLRP3-independent mechanisms, and (3) whether complement activation induces inflammasome activation in CNV. Here we show in a neovascular AMD mouse model that NLRP3 inflammasome activation in non-RPE cells but not in RPE cells promotes CNV. We demonstrate that both NLRP3-dependent and NLRP3-independent inflammasome activation mechanisms induce CNV. Finally, we find that complement and inflammasomes promote CNV through independent mechanisms. Our findings uncover an unexpected role of non-NLRP3 inflammasomes for CNV and suggest that combination therapies targeting inflammasomes and complement may offer synergistic benefits to inhibit CNV.

摘要

NLRP3 炎性小体激活和补体介导的炎症反应被认为可促进年龄相关性黄斑变性(AMD)中的脉络膜新生血管(CNV)形成,但关于它们在 AMD 发病机制中的作用仍存在一些关键问题尚未得到解答。主要的未解决问题包括:(1)NLRP3 炎性小体激活是主要发生在视网膜色素上皮(RPE)细胞还是在非 RPE 细胞中促进 CNV;(2)CNV 中的炎性小体激活是通过 NLRP3 还是通过非 NLRP3 依赖的机制发生;(3)补体激活是否在 CNV 中诱导炎性小体激活。在这里,我们在新生血管性 AMD 小鼠模型中显示,非 RPE 细胞中的 NLRP3 炎性小体激活而非 RPE 细胞中的 NLRP3 炎性小体激活促进了 CNV。我们证明了 NLRP3 依赖和非 NLRP3 依赖的炎性小体激活机制均可诱导 CNV。最后,我们发现补体和炎性小体通过独立的机制促进 CNV。我们的研究结果揭示了非 NLRP3 炎性小体在 CNV 中的意外作用,并表明靶向炎性小体和补体的联合治疗可能会通过抑制 CNV 带来协同益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbe/7732340/b390980987c9/elife-60194-fig1.jpg

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