Division of Nephrology and National Clinical Research Center for Geriatrics, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, 610041, China.
Division of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, No.37 Guoxue Alley, Wuhou District, Chengdu, 610041, China.
Mol Cell Biochem. 2021 Mar;476(3):1377-1386. doi: 10.1007/s11010-020-03997-z. Epub 2021 Jan 3.
Hyperuricemic nephropathy (HN) is a common clinical complication of hyperuricemia. High-serum uric acid can trigger renal inflammation. The inflammasome family has several members and shows a significant effect on inflammatory responses. NLRP3 (NOD-, LRR-, and pyrin domain-containing 3) senses the stimuli signal of excessive uric acid and then it recruits apoptosis-related specular protein (ASC) as well as aspartic acid-specific cysteine protease (caspase)-1 precursor to form NLRP3 inflammasome. NLRP3 inflammasome is activated in acute kidney injury (AKI), chronic kidney diseases (CKD), diabetic nephropathy (DN), and HN. This review focuses on important role for the involvement of NLRP3 inflammasome and associated signaling pathways in the pathogenesis of hyperuricemia-induced renal injury and the potential therapeutic implications. Additionally, several inhibitors targeting NLRP3 inflammasome are under development, most of them for experiment. Therefore, researches into NLRP3 inflammasome modulators may provide novel therapies for HN.
高尿酸血症肾病(HN)是高尿酸血症的一种常见临床并发症。高血清尿酸可引发肾脏炎症。炎性小体家族有几个成员,对炎症反应有显著影响。NLRP3(NOD、LRR 和 pyrin 结构域包含 3)感知过量尿酸的刺激信号,然后招募凋亡相关斑点样蛋白(ASC)和天冬氨酸特异性半胱氨酸蛋白酶(caspase)-1 前体形成 NLRP3 炎性小体。NLRP3 炎性小体在急性肾损伤(AKI)、慢性肾脏病(CKD)、糖尿病肾病(DN)和 HN 中被激活。本综述重点关注 NLRP3 炎性小体及其相关信号通路在高尿酸血症诱导的肾损伤发病机制中的重要作用及其潜在的治疗意义。此外,正在开发几种针对 NLRP3 炎性小体的抑制剂,其中大多数处于实验阶段。因此,对 NLRP3 炎性小体调节剂的研究可能为 HN 提供新的治疗方法。