Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Department of Integrative Life Sciences, Graduate School of Life Sciences, Tohoku University, Sendai, Japan.
J Exp Med. 2022 Jun 6;219(6). doi: 10.1084/jem.20211889. Epub 2022 Apr 28.
Mutations in the C-terminal region of the CDC42 gene cause severe neonatal-onset autoinflammation. Effectiveness of IL-1β-blocking therapy indicates that the pathology involves abnormal inflammasome activation; however, the mechanism underlying autoinflammation remains to be elucidated. Using induced-pluripotent stem cells established from patients carrying CDC42R186C, we found that patient-derived cells secreted larger amounts of IL-1β in response to pyrin-activating stimuli. Aberrant palmitoylation and localization of CDC42R186C protein to the Golgi apparatus promoted pyrin inflammasome assembly downstream of pyrin dephosphorylation. Aberrant subcellular localization was the common pathological feature shared by CDC42 C-terminal variants with inflammatory phenotypes, including CDC42192C24 that also localizes to the Golgi apparatus. Furthermore, the level of pyrin inflammasome overactivation paralleled that of mutant protein accumulation in the Golgi apparatus, but not that of the mutant GTPase activity. These results reveal an unexpected association between CDC42 subcellular localization and pyrin inflammasome activation that could pave the way for elucidating the mechanism of pyrin inflammasome formation.
CDC42 基因 C 末端区域的突变可导致严重的新生儿起病的自身炎症。IL-1β 阻断治疗的有效性表明该病理学涉及异常的炎症小体激活;然而,自身炎症的机制仍有待阐明。我们使用从携带 CDC42R186C 的患者中建立的诱导多能干细胞发现,与对照细胞相比,患者来源的细胞在受到吡喃激活刺激时会分泌更多的 IL-1β。CDC42R186C 蛋白的异常棕榈酰化和向高尔基体的定位促进了 pyrin 炎症小体在 pyrin 去磷酸化的下游组装。异常的亚细胞定位是具有炎症表型的 CDC42 C 末端变体的共同病理特征,包括也定位于高尔基体的 CDC42192C24。此外,pyrin 炎症小体过度激活的程度与高尔基体中突变蛋白的积累程度平行,但与突变 GTPase 活性无关。这些结果揭示了 CDC42 亚细胞定位与 pyrin 炎症小体激活之间的意外关联,这可能为阐明 pyrin 炎症小体形成的机制铺平道路。