Department of Rheumatology, General Hospital of Northern Theater Command, Shenyang, Liaoning, China.
Graduate School, Dalian Medical University, Dalian, Liaoning, China.
Front Immunol. 2024 Jul 19;15:1386939. doi: 10.3389/fimmu.2024.1386939. eCollection 2024.
This study aimed to evaluate the role of absent in melanoma 2 (AIM2) inflammasome-mediated pyroptosis in the pathogenesis of acute gouty arthritis (AGA) and asymptomatic hyperuricemia(AHU).
A cohort of 30 AGA patients, 30 AHU individuals, and 30 healthy controls (HC) was assembled. Demographic and biochemical data, along with blood samples, were collected. Serum double-stranded DNA (dsDNA) levels were quantified using a fluorescent assay. Transcriptomic and proteomic analysis of AIM2, Caspase-1, GSDMD, IL-1β, and IL-18 in peripheral blood mononuclear cells was performed using qRT-PCR and Western blot. Enzyme-linked immunosorbent assay (ELISA) was employed to measure serum IL-1β and IL-18. Spearman correlation analysis was utilized to assess relationships between variables.
Both AGA and AHU groups demonstrated elevated metabolic indicators and serum levels of dsDNA, IL-1β, and IL-18 compared to the HC group. AGA patients exhibited higher inflammatory markers than the AHU group. In the AGA group, there was a significant increase in the mRNA and protein levels of AIM2, Caspase-1, GSDMD, IL-1β, and IL-18 (P<0.05 to P<0.001). The AHU group showed higher AIM2, Caspase-1, GSDMD, and IL-18 mRNA levels than the HC group (P<0.001 to P<0.01), with a non-significant increase in AIM2, GSDMD, and IL-1β proteins (P>0.05). In contrast, Caspase-1 and IL-18 proteins were significantly higher in the AHU group (P<0.05). Notable correlations were observed between AIM2 protein expression and levels of Caspase-1 and GSDMD in both AGA and AHU groups. In the AGA group, AIM2 protein correlated with IL-1β, but not in the AHU group. The AIM2 protein in the AHU group was positively associated with IL-18, with no such correlation in the AGA group.
AIM2 inflammasome may play a role in the inflammatory processes of AGA and AHU and that its activation may be related to the pyroptosis pathway.
本研究旨在评估缺失型黑色素瘤 2(AIM2)炎性小体介导的细胞焦亡在急性痛风性关节炎(AGA)和无症状高尿酸血症(AHU)发病机制中的作用。
收集了 30 例 AGA 患者、30 例 AHU 个体和 30 例健康对照者(HC)的队列研究数据,包括人口统计学和生化数据以及血样。采用荧光法检测血清双链 DNA(dsDNA)水平。采用 qRT-PCR 和 Western blot 检测外周血单个核细胞中 AIM2、Caspase-1、GSDMD、IL-1β和 IL-18 的转录组和蛋白质组学。采用酶联免疫吸附试验(ELISA)测定血清 IL-1β和 IL-18。采用 Spearman 相关分析评估变量之间的关系。
AGA 组和 AHU 组的代谢指标和血清 dsDNA、IL-1β和 IL-18 水平均高于 HC 组。AGA 患者的炎症标志物水平高于 AHU 组。AGA 组中 AIM2、Caspase-1、GSDMD、IL-1β和 IL-18 的 mRNA 和蛋白水平均显著升高(P<0.05 至 P<0.001)。AHU 组的 AIM2、Caspase-1、GSDMD 和 IL-18 mRNA 水平高于 HC 组(P<0.001 至 P<0.01),而 AIM2、GSDMD 和 IL-1β 蛋白水平无显著升高(P>0.05)。相反,Caspase-1 和 IL-18 蛋白在 AHU 组中显著升高(P<0.05)。在 AGA 和 AHU 两组中,AIM2 蛋白表达与 Caspase-1 和 GSDMD 水平之间存在显著相关性。在 AGA 组中,AIM2 蛋白与 IL-1β 相关,但在 AHU 组中不相关。在 AHU 组中,AIM2 蛋白与 IL-18 呈正相关,而在 AGA 组中则无相关性。
AIM2 炎性小体可能在 AGA 和 AHU 的炎症过程中发挥作用,其激活可能与细胞焦亡途径有关。