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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2014.1755</article-id>
<article-id pub-id-type="publisher-id">ijmm-34-01-0341</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Lipopolysaccharide/adenosine triphosphate induces IL-1&#x003B2; and IL-18 secretion through the NLRP3 inflammasome in RAW264.7 murine macrophage cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>XIE</surname><given-names>QIANG</given-names></name><xref rid="af1-ijmm-34-01-0341" ref-type="aff">1</xref><xref rid="af2-ijmm-34-01-0341" ref-type="aff">2</xref><xref rid="af3-ijmm-34-01-0341" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>SHEN</surname><given-names>WEN-WEN</given-names></name><xref rid="af1-ijmm-34-01-0341" ref-type="aff">1</xref><xref rid="af2-ijmm-34-01-0341" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHONG</surname><given-names>JIAN</given-names></name><xref rid="af1-ijmm-34-01-0341" ref-type="aff">1</xref><xref rid="af2-ijmm-34-01-0341" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>HUANG</surname><given-names>CHENG</given-names></name><xref rid="af1-ijmm-34-01-0341" ref-type="aff">1</xref><xref rid="af2-ijmm-34-01-0341" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>LEI</given-names></name><xref rid="af1-ijmm-34-01-0341" ref-type="aff">1</xref><xref rid="af2-ijmm-34-01-0341" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>JUN</given-names></name><xref rid="af1-ijmm-34-01-0341" ref-type="aff">1</xref><xref rid="af2-ijmm-34-01-0341" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-ijmm-34-01-0341"/></contrib></contrib-group>
<aff id="af1-ijmm-34-01-0341">
<label>1</label>School of Pharmacy, Anhui Medical University, Ministry of Education, Hefei, Anhui 230032, P.R. China</aff>
<aff id="af2-ijmm-34-01-0341">
<label>2</label>The Key Laboratory of Anti-inflammatory and Immune Medicine (Anhui Medical University), Ministry of Education, Hefei, Anhui 230032, P.R. China</aff>
<aff id="af3-ijmm-34-01-0341">
<label>3</label>PET/CT Center, Anhui Provincial Hospital, Hefei, Anhui 230001, P.R. China</aff>
<author-notes>
<corresp id="c1-ijmm-34-01-0341">Correspondence to: Professor Jun Li, School of Pharmacy, Anhui Medical University, 81 Meishan Road, Hefei, Anhui 230032, P.R. China, E-mail: <email>lj@ahmu.edu.cn</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>7</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>24</day>
<month>04</month>
<year>2014</year></pub-date>
<volume>34</volume>
<issue>1</issue>
<fpage>341</fpage>
<lpage>349</lpage>
<history>
<date date-type="received">
<day>03</day>
<month>12</month>
<year>2013</year></date>
<date date-type="accepted">
<day>28</day>
<month>03</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>The NOD-like receptor family, pyrin domain-containing 3 (NLRP3) inflammasome plays pivotal roles in inflammation and autoimmunity. The NLRP3 inflammasome is activated in response to various signals, including pathogen-associated molecular patterns (PAMPs) and danger-associated molecular patterns (DAMPs). However, its role in inflammation remains unclear. In this study, we used lipopolysaccharide (LPS) and adenosine triphosphate (ATP) to simulate an inflammatory environment as the testing model. We found that the exposure of RAW264.7 cells to LPS/ATP triggered the activation of caspase-1 (P&lt;0.01) and the cleavage of interleukin (IL)-1&#x003B2; (P&lt;0.01), as well as the release of other cytokines, such as IL-18 (P&lt;0.01) and IL-33 (P&lt;0.01). Extracellular potassium chloride at a high concentration (150 mM) abrogated the secretion of IL-1&#x003B2; and IL-18 (P&lt;0.01), but did not reduce the processing of IL-33 (P&gt;0.05). In addition, the silencing of NLRP3 with small interfering RNA (siRNA) suppressed the generation of proinflammatory cytokines, such as IL-1&#x003B2; (P&lt;0.01), IL-18 (P&lt;0.01), but not IL-33 (P&gt;0.05), along with the decreased mRNA and protein expression of NLRP3 and caspase-1 (P&lt;0.05). However, extracellular potassium at a high concentration and NLRP3 siRNA did not affect the level of apoptosis-associated speck-like protein containing a caspase recruitment domain (CARD) (ASC; P&gt;0.05). Our results suggest that the NLRP3/ASC/caspase-1 axis participates in the regulation of pro-imflammatory cytokine secretion in RAW264.7 cells, particularly the generation of IL-1&#x003B2; and IL-18.</p></abstract>
<kwd-group>
<kwd>NOD-like receptor family</kwd>
<kwd>pyrin domain-containing 3</kwd>
<kwd>caspase-1</kwd>
<kwd>inflammasome</kwd>
<kwd>interleukin-1&#x003B2;</kwd>
<kwd>interleukin-18</kwd>
<kwd>RAW264.7 cells</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Innate immunity offers the first defense in mammals, depending on its capacity to rapidly detect invading pathogens and then eliminating the &#x02018;foreign danger&#x02019; (<xref ref-type="bibr" rid="b1-ijmm-34-01-0341">1</xref>). However, innate immunity is also involved in the development of inflammatory responses that occur in a sterile milieu (<xref ref-type="bibr" rid="b2-ijmm-34-01-0341">2</xref>). Inflammasomes are intracellular multiprotein complexes that regulate the activity of caspase-1 and can be activated by various cellular dangers that trigger the processing and release of pro-inflammatory cytokines to engage innate immunity (<xref ref-type="bibr" rid="b3-ijmm-34-01-0341">3</xref>). Nucleotide-binding oligomerization domain (NOD)-like receptors (NLRs) have recently been identified as innate immune receptors that play a pivotal role in initiating the inflammatory response (<xref ref-type="bibr" rid="b4-ijmm-34-01-0341">4</xref>). The NLR family, pyrin domain-containing 3 (NLRP3) inflammasome is currently one of the most fully characterized inflammasomes. The NLRP3 inflammasome consists of the NLRP3 scaffold, the apoptosis-associated speck-like protein containing a caspase recruitment domain (CARD) (ASC) adaptor and caspase-1 (<xref ref-type="bibr" rid="b5-ijmm-34-01-0341">5</xref>,<xref ref-type="bibr" rid="b6-ijmm-34-01-0341">6</xref>). The NLRP3 inflammasome is activated in response to a variety of signals that include pathogen-associated molecular patterns (PAMPs) or danger-associated molecular patterns (DAMPs) (<xref ref-type="bibr" rid="b6-ijmm-34-01-0341">6</xref>). The NLRP3 inflammasome is a multiprotein complex that activates cysteine protease caspase-1, which leads to the maturation and secretion of pro-inflammatory cytokines, such as interleukin-1&#x003B2; (IL)-1&#x003B2; and IL-18 (<xref ref-type="bibr" rid="b7-ijmm-34-01-0341">7</xref>).</p>
<p>The molecular mechanisms of NLRP3 inflammasome assembly and activation have been gradually explored. Previous studies have indicated that reactive oxygen species (ROS) generation, potassium (K<sup>&#x0002B;</sup>) efflux, and the release of cathensin B can activate the NLRP3 inflammasome (<xref ref-type="bibr" rid="b3-ijmm-34-01-0341">3</xref>). It is also well recognized that the activation of the NLRP3 inflammasome requires double signals: one is a priming signal from PAMPs that controls the expression of NLRP3; the second stimulus is DAMPs that induce the activation of caspase-1 (<xref ref-type="bibr" rid="b3-ijmm-34-01-0341">3</xref>,<xref ref-type="bibr" rid="b5-ijmm-34-01-0341">5</xref>,<xref ref-type="bibr" rid="b8-ijmm-34-01-0341">8</xref>,<xref ref-type="bibr" rid="b9-ijmm-34-01-0341">9</xref>). Lipopolysaccharide (LPS), the major outer membrane component in Gram-negative bacteria, is one of the most characterized PAMPs (<xref ref-type="bibr" rid="b10-ijmm-34-01-0341">10</xref>). Adenosine triphosphate (ATP), released from dying cells, has a high concentration within the cell. Extracellular ATP, one of the DAMPs, serves as the second signal for NLRP3 inflammasome activation (<xref ref-type="bibr" rid="b11-ijmm-34-01-0341">11</xref>). The IL-1 family has been recognized to play important roles in inflammation with pro-inflammatory properties, associated with acute and chronic inflammation, and plays a significant role in the innate immune defense (<xref ref-type="bibr" rid="b12-ijmm-34-01-0341">12</xref>). There are several cytokines in the IL-1 family, including IL-1&#x003B1;, IL-1&#x003B2;, IL-18 and IL-33. Among the IL-1 family of cytokines, IL-1&#x003B2; is the most characterized cytokine; studies have demonstrated that IL-1&#x003B2; plays an essential role in the pathophysiology of autoimmune diseases (<xref ref-type="bibr" rid="b13-ijmm-34-01-0341">13</xref>,<xref ref-type="bibr" rid="b14-ijmm-34-01-0341">14</xref>). Importantly, IL-1&#x003B2; maturation requires 2 steps: first, the upregulation of the precursor of IL-1&#x003B2; (pro IL-1&#x003B2;) transcription through Toll-like receptor (TLR) ligands, such as LPS; and second, the activation of the cysteine protease, caspase-1 (<xref ref-type="bibr" rid="b15-ijmm-34-01-0341">15</xref>). Caspase-1 is a proteolytic enzyme that processes the inactive precursor of IL-1&#x003B2; into the mature form, and is termed IL-1&#x003B2; converting enzyme (ICE). Caspase-1 itself acts as an inactive precursor in the cytoplasm and can be activated by NLRP3 inflammasome assembly and subsequent proteolytic self-processing (<xref ref-type="bibr" rid="b16-ijmm-34-01-0341">16</xref>).</p>
<p>It has been widely accepted that the NLRP3 inflammasome plays critical roles in inflammation and immune system regulation. However, whether LPS and/or ATP affect the regulation of NLRP3 inflammasome components, the induction of caspase-1, the cleavage and release of IL-1&#x003B2;, IL-18 and IL-33 remains unclear. Thus, in this study, we performed a series of experiments using RAW264.7 murine macrophage cells. Our findings suggested that a high concentration of potassium chloride or the silencing of NLRP3 with small interfering (siRNA) partially abrogated the LPS-induced secretion of pro-inflammatory cytokines <italic>in vitro</italic>.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Chemicals and reagents</title>
<p>Dimethyl sulfoxide (DMSO), ATP, ultrapure LPS and potassium chloride were purchased from Sigma (St. Louis, MO, USA). Phenylmethanesulfonyl fluoride (PMSF) and RIPA lysis buffer were both from the Beyotime Institute of Biotechnology (Shanghai, China). Rabbit anti-NLRP3 polyclonal antibody, rabbit anti-ASC polyclonal antibody, rabbit anti-caspase-1 polyclonal antibody, mouse anti-&#x003B2;-actin monoclonal antibody were all purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz CA, USA). Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM) and fetal bovine serum (FBS) were obtained from HyClone Laboratories, Inc. (Logan, UT, USA) and Tianchang Heng Sheng Medical Devices Co., Ltd. (Huzhou, China), respectively. The mouse IL-1&#x003B2;, IL-18 and IL-33 enzyme-linked immunosorbent assay (ELISA) kits were purchased from R&amp;D Systems (Minneapolis, MN, USA). Small interfering RNA targeting NLRP3 were purchased from GenePharma Corp. (Shanghai, China). All other chemicals were of reagent grade.</p></sec>
<sec>
<title>Cell culture and treatment</title>
<p>The RAW264.7 murine macrophages cells were obtained from the American Type Culture Collection (ATCC; Rockville, MD, USA). The cells were cultured in high glucose DMEM medium (HyClone Laboratories, Inc.) supplemented with 10&#x00025; (v/v) heat-inactivated FBS (Tianchang Heng Sheng Medical Devices Co., Ltd.), 100 U/ml penicillin and 100 mg/ml streptomycin (both from Beyotime Institute of Biotechnology) and kept in a 37&#x000B0;C incubator under a humidified atmosphere containing 5&#x00025; CO<sub>2</sub>. The cells were allowed to adhere overnight (37&#x000B0;C, 5&#x00025; CO<sub>2</sub>) and washed with fresh medium to remove unattached cells prior to the experiment. Our experiment on RAW264.7 cells included 2 groups. In the first group, cells were treated with LPS, ATP and a high concentration of K<sup>&#x0002B;</sup>, including 8 subgroups. RAW264.7 cells were stimulated with LPS (200 ng/ml) for 6 h and 2 mM ATP for an additional 30 min (LPS &#x0002B; ATP) or ATP alone. Potassium chloride (150 mM) was additionally added to the cell culture medium for 30 min prior to LPS and/or ATP stimulation in the last 4 subgroups. In the second group, the cells were treated with LPS, ATP and NLRP3 siRNA, including 7 subgroups. RAW264.7 cells without treatment (untreated group) were used as the controls. In the second group, RAW264.7 cells were stimulated with LPS and/or ATP as indicated in the first group. We transfected the RAW264.7 cells with NLRP3 siRNA prior to stimulation with LPS and/or ATP in the last 3 subgroups. After these treatments, supernatants were collected for ELISA assay. The cells were washed with PBS 3 times, and then the cell lysis (the mixture of RIPA and PMSF, v/v&#x0003D;100:1) was added into the culture plate without any culture medium. The whole progress of protein extraction was carried out on ice. The mixture, including cell lysis and the cells was sucked out and then place into a 1.5 ml EP tube. The protein sample of RAW264.7 cells for western blot analysis was obtained by vortexing the mixture evenly and centrifugation at 12,000 rpm, at 4&#x000B0;C for 40 min, then removing the supernatant and adding protein loading buffer.</p></sec>
<sec>
<title>ELISA</title>
<p>The RAW264.7 cells (2&#x000D7;10<sup>6</sup> cells/well) were seeded in a 6-well-plate, and the cells are treated as indicated. IL-1&#x003B2;, IL-18 and IL-33 levels in the cell supernatants were measured using ELISA kits according to the manufacturer&#x02019;s instructions.</p></sec>
<sec>
<title>Quantitative reverse transcription-polymerase chain reaction (qRT-PCR)</title>
<p>Total RNA was extracted from the RAW264.7 cells using TRIzol reagent (Invitrogen, Carlsband, CA, USA). cDNA was obtained using a ThermoScript RT-PCR synthesis kit (Fermentas, San Diego, CA, USA) according to the manufacturer&#x02019;s instructions. The sequences of primers used fro qRT-PCR are listed in <xref rid="tI-ijmm-34-01-0341" ref-type="table">Table I</xref>. qRT-PCR analyses for the mRNA expression of NLRP3, ASC, caspase-1 and &#x003B2;-actin were performed using QuantiFast SYBR-Green RT-PCR kits (Qiagen, Hilden, Germany) and analyzed using the PikoReal 96 Real-Time PCR system (Thermo Scientific, Vantaa, Finland). The mRNA level of &#x003B2;-actin was measured as an internal control. Data were computed using the PikoReal 96 Real-Time PCR system software. Three experiments from 3 independent RNA samples were performed.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>The RAW264.7 cells were collected and lysed in lysis buffer (Beyotime Institute of Biotechnology), then the whole cell lysate was separated by SDS-PAGE and further transfered onto PVDF membranes (Millipore Corp., Billerica, MA, USA). The membranes were then incubated at room temperature for 3 h with 5&#x00025; non-fat milk in Tris-buffered saline (TBS) solution with the detergent, Tween-20 (TBST), and were subsequently incubated with specific primary antibody at 4&#x000B0;C for 12 h in blocking solution. Specific primary antibodies targeting NLRP3, ASC, caspase-1 and &#x003B2;-actin were used 1:1,000, 1:500, 1:500, 1:500, respectively. Following 3 washes with TBST, the membranes were incubated at room temperature for 1 h with HRP-conjugated secondary antibody (anti-rabbit and anti-mouse, respectively). The protein blots were detected using the ECL-chemiluminescent kit (Thermo Scientific).</p></sec>
<sec>
<title>RNA interference</title>
<p>siRNAs targeting NLRP3 were obtained from GenePharma Corp. and contained the following sequences: NLRP3 siRNA (sense, 5&#x02032;-GGCGAGACCUCUGGGAAA ATT-3&#x02032; and antisense, 5&#x02032;-UUUUCCCAGAGGUCUCGCCTT-3&#x02032;); negative control (sense, 5&#x02032;-UUCUCCGAACGUGUCACGUTT and antisense, 5&#x02032;-ACGUGACACGUUCGGAG AATT-3&#x02032;). The RAW264.7 (2&#x000D7;10<sup>6</sup>/ml cells) were cultured in 6-well plates with DMEM containing 10&#x00025; FBS for 24 h and maintained in a 37&#x000B0;C incubator under a humidified atmosphere containing 5&#x00025; CO<sub>2</sub> (until the density of the transfected cells reached 30 to 80&#x00025;). The transfection mixture was prepared using 5 &#x003BC;l of Lipofectamine 2000 and 4.2 &#x003BC;l of NLRP3 siRNA, to 300 &#x003BC;l of Opti-MEM. The siRNAs were then transfected into the RAW264.7 cells using Lipofectamine 2000 according to the instructions of the manufacturer. Knockdown efficiency was determined by qRT-PCR and western blot analysis. Following transfection, the cells were incubated for 6 h with antibiotics-free Opti-MEM, and were then subjected to LPS/ATP stimulation with DMEM containing 10&#x00025; FBS and used for the assays. Three independent transfection experiments were performed.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Statistic analysis was performed using SPSS 10.01 for Windows (SPSS, Inc., Chicago, IL, USA). P-values were assessed using unpaired, two-tailed Student&#x02019;s t-tests or one-way analysis of variance (ANOVA) with the Tukey-Kramer method. Values are reported as the means &#x000B1; standard deviation (SD). Data shown are representative of at least triplicate experiments. A P-value &lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>LPS and ATP induce NLRP3 inflammasome activation, exerting a synergistic effect</title>
<p>Treatment with LPS (200 ng/ml) prior to treatment with 5 mM ATP induced the upregulation of each component of the NLRP3 inflammasome in the RAW264.7 murine macrophages. The expression of NLRP3 and ASC in the RAW264.7 cells treated with LPS alone was higher than that in those stimulated with ATP alone, as shown by western blot analysis (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Figs. 1</xref> and <xref rid="f4-ijmm-34-01-0341" ref-type="fig">4</xref>). On the contrary, the expression of caspase-1 was further induced by ATP alone compared to stimulation with LPS alone (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Figs. 1</xref> and <xref rid="f4-ijmm-34-01-0341" ref-type="fig">4</xref>). Nevertheless, at the same time, dual stimulation with LPS and ATP, had a synergistic effect on the expression of the NLRP3 inflammasome (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Figs. 1</xref> and <xref rid="f4-ijmm-34-01-0341" ref-type="fig">4</xref>). Moreover, the mRNA levels of NLRP3, ASC and caspase-1 in the RAW264.7 cells, were further detected by qRT-PCR assay. The results revealed that the expression of NLRP3 and caspase-1 was significantly enhanced in the LPS &#x0002B; ATP group (P&#x0003D;0.003 and P&#x0003D;0.002 for NLRP3 and caspase-1, respectively) (<xref rid="f3-ijmm-34-01-0341" ref-type="fig">Fig. 3</xref>), whereas the ASC levels were modestly upregulated (P&#x0003D;0.040). However, treatment with ATP had no effect on the mRNA expression of ASC compared with the control group (P&#x0003D;0.140) (<xref rid="f3-ijmm-34-01-0341" ref-type="fig">Fig. 3</xref>). Collectively, our findings showed that the mRNA and protein expression levels of the NLRP3 inflammasome were similar (<xref rid="f4-ijmm-34-01-0341" ref-type="fig">Fig. 4</xref>).</p></sec>
<sec>
<title>High concentration of extracellular K<sup>&#x0002B;</sup>/knockdown of the NLRP3 gene suppresses the activation of NLRP3 and caspase-1 induced by LPS and/or ATP, but has no effect on ASC</title>
<p>The RAW264.7 cells were cultivated in a 150 nM potassium environment for 30 min prior to stimulation with LPS and/or ATP. The protein expression of NLRP3 was moderately reduced compared with the other corresponding groups (P&lt;0.05) (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Fig. 1B</xref>). However, the RAW264.7 cells cultured in a high potassium milieu only demonstrated no difference compared with the control group as regards the NLRP3 level (P&#x0003D;0.064) (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Fig. 1B</xref>). The ASC levels slightly decreased following stimulation with LPS &#x0002B; ATP in high K<sup>&#x0002B;</sup> cell culture medium (P&#x0003D;0.033) (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Fig. 1B</xref>). Nevertheless, the expression of caspase-1 significantly decreased in the LPS group, ATP group and the LPS &#x0002B; ATP group (P&#x0003D;0.004, P&#x0003D;0.003, P&#x0003D;0.001, respectively) (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Fig. 1B</xref>). The expression of caspase-1 was low even without any stimuli when the RAW264.7 cells were cultured in high K<sup>&#x0002B;</sup> culture medium compared with the control (P&#x0003D;0.023) (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Fig. 1B</xref>). Using specific siRNA to knockdown the NLRP3 gene, we found that the expression of NLRP3 and caspase-1 significantly decreased, while the ASC levels increased compared with the other corresponding groups, as shown by qRT-PCR (<xref rid="f3-ijmm-34-01-0341" ref-type="fig">Fig. 3</xref>). The results of western blot analysis for the protein expression of the NLRP3 inflammasome were similar to those obtained by qRT-PCR (<xref rid="f4-ijmm-34-01-0341" ref-type="fig">Fig. 4</xref>). Of note, the decrease in the ASC levels was not statistically significant with the increasing extracellular K<sup>&#x0002B;</sup> ion concentration in the culture mediem (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Fig. 1</xref>); NLRP3 siRNA had no effect on ASC at the mRNA and protein level. The underlying mechanisms remain unclear, and require further investigation.</p></sec>
<sec>
<title>ATP enhances the LPS-induced expression of IL-1&#x003B2;, IL-18 and IL-33 in RAW264.7 cells</title>
<p>The secretion of IL-1&#x003B2; and IL-18 requires the induction of pro-IL-1&#x003B2; and pro-IL-18 expression, followed by its proteolytic processing to mature IL-1&#x003B2; and IL-18 by the NLRP3 inflammasome (<xref ref-type="bibr" rid="b17-ijmm-34-01-0341">17</xref>). The processing and generation of IL-33 are not yet clear. Caspase-1 plays a proteolytic role among the NLRP3 inflammasome complex. The RAW264.7 cells were treated with 5 mM ATP for an additional 30 min in the presence or absence of 200 ng/ml LPS for 6 h. The results revealed that the expression of IL-1&#x003B2;, IL-18 and IL-33 increased when the cells were treated with a combination of LPS and ATP (0.75&#x000B1;0.08, 0.88&#x000B1;0.09 and 0.93&#x000B1;0.09, respectively; <xref rid="f2-ijmm-34-01-0341" ref-type="fig">Fig. 2</xref>); (0.85&#x000B1;0.09, 0.91&#x000B1;0.11 and 0.87&#x000B1;0.08 ng/ml, respectively; <xref rid="f5-ijmm-34-01-0341" ref-type="fig">Fig. 5</xref>).</p></sec>
<sec>
<title>High concengtration of extracellular K<sup>&#x0002B;</sup>/NLRP3 siRNA attenuate the secretion of IL-1&#x003B2; and IL-18 induced by LPS and/or ATP, but have no effect on IL-33</title>
<p>Potassium efflux is essential for the LPS and/or ATP-induced NLRP3 inflammasome activation (<xref ref-type="bibr" rid="b18-ijmm-34-01-0341">18</xref>). Preventing K<sup>&#x0002B;</sup> efflux inhibits NLRP3 inflammasome assembly, mainly by elevating extracellular the K<sup>&#x0002B;</sup> concentration (<xref ref-type="bibr" rid="b19-ijmm-34-01-0341">19</xref>). In the present study, RAW264.7 cells were treated with a high concentration of K<sup>&#x0002B;</sup> (150 nM) prior to any stimulation for 30 min. The expression of IL-1&#x003B2; and IL-18 induced by LPS/ATP decreased significantly following treatment with K<sup>&#x0002B;</sup>, as shown by ELISA (P&lt;0.01) (<xref rid="f2-ijmm-34-01-0341" ref-type="fig">Fig. 2A and B</xref>). It is noteworthy that the secretion of IL-18 still decreased without any external stimuli when the RAW264.7 cells were cultured in high K<sup>&#x0002B;</sup> culture medium compared with the control (P&#x0003D;0.034) (<xref rid="f2-ijmm-34-01-0341" ref-type="fig">Fig. 2B</xref>). However, a high concentration of K<sup>&#x0002B;</sup> (150 mM) blocked the expression and release of IL-1&#x003B2; and IL-18, but not that of IL-33 (P&gt;0.05) (<xref rid="f2-ijmm-34-01-0341" ref-type="fig">Fig. 2C</xref>). The low protein expression of NLRP3 may abrogate NLRP3 inflammasome assembly. Thus, similar results were observed on these 3 cytokines when the NLRP3 gene was knocked down using NLRP3 siRNA (<xref rid="f5-ijmm-34-01-0341" ref-type="fig">Fig. 5</xref>). Specific siRNAs were used to knock down the NLRP3 gene in order to investigate the effects on the expression and release of cytokines in RAW264.7 cells (<xref rid="f5-ijmm-34-01-0341" ref-type="fig">Fig. 5</xref>). The results revealed that the NLRP3 knockdown decreased IL-18 expression (P&lt;0.01) (<xref rid="f5-ijmm-34-01-0341" ref-type="fig">Fig. 5B</xref>), and a certain decrease in IL-1&#x003B2; expression was also observed (P&lt;0.05) (<xref rid="f5-ijmm-34-01-0341" ref-type="fig">Fig. 5A</xref>). We also found a non-significant, but minor increase in IL-33 expression after the knockdown of NLRP3, compared to the ATP alone and LPS &#x0002B; ATP group (P&gt;0.05) (<xref rid="f5-ijmm-34-01-0341" ref-type="fig">Fig. 5C</xref>). However, the IL-33 levels were decreased compared with the LPS group (P&#x0003D;0.037) (<xref rid="f5-ijmm-34-01-0341" ref-type="fig">Fig. 5C</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The significance of innate immunity lies not only in comprising the first line of defense against pathogenic and non-pathogenic insults, but also in developing an efficient adaptive immune response (<xref ref-type="bibr" rid="b20-ijmm-34-01-0341">20</xref>&#x02013;<xref ref-type="bibr" rid="b24-ijmm-34-01-0341">24</xref>). The NLRP3 inflammasome provides multi-protein molecular platforms for the activation of caspase-1 and subsequent processing and the secretion of IL-1 family members, to engage innate immune defense (<xref ref-type="bibr" rid="b5-ijmm-34-01-0341">5</xref>,<xref ref-type="bibr" rid="b24-ijmm-34-01-0341">24</xref>). Given the importance of IL-1 family members associated with acute and chronic inflammation, understanding the role of the NLRP3 inflammasome in the initiation of innate immune response cannot be ignored (<xref ref-type="bibr" rid="b24-ijmm-34-01-0341">24</xref>). Therefore, we examined the effects of LPS/ATP on the expression of inflammatory cytokines and the components of the NLRP3 inflammasome in RAW264.7 macrophage cells. There are two signals required for the activation of the NLRP3 inflammasome in macrophages, the priming of the cells triggered by LPS, and extracellular ATP, which enables the subsequent orchestration of a robust processing and the release of inflammatory cytokines, such as IL-1&#x003B2; and IL-18 (<xref rid="f6-ijmm-34-01-0341" ref-type="fig">Fig. 6</xref>) (<xref ref-type="bibr" rid="b25-ijmm-34-01-0341">25</xref>). In our study, we found that LPS and/or ATP stimulation induced the activation of the NLRP3 inflammasome and the sequential use of LPS and ATP exerted synergistic effects on the protein expression of the NLRP3 inflammasome (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Figs. 1</xref> and <xref rid="f4-ijmm-34-01-0341" ref-type="fig">4</xref>).</p>
<p>Understanding the molecular mechanisms of NLRP3 inflammasome activation has become a focus or research. Mariathasan <italic>et al</italic> (<xref ref-type="bibr" rid="b11-ijmm-34-01-0341">11</xref>) found that the NLRP3 inflammasome can be activated by extracellular ATP stimulation. In addition, hyaluronan and &#x003B2;-amyloid plaque, the causative agents of Alzheimer&#x02019;s disease, elevate plasma glucose, as well as a diversity of environmental insults, including silica, have been found to induce NLRP3 inflammasome activation (<xref ref-type="bibr" rid="b26-ijmm-34-01-0341">26</xref>&#x02013;<xref ref-type="bibr" rid="b32-ijmm-34-01-0341">32</xref>). Similarly, exposure to UVB irradiation can trigger NLRP3 inflammasome activation (<xref ref-type="bibr" rid="b33-ijmm-34-01-0341">33</xref>). TLR4 can bind to LPS directly (one of the PAMPs), and ATP (one of the DAMPs) can bind to P2X7R (one of the purine receptors). However, given the divergent structures of DAMPs and PAMPs, it is likely that these agonists cannot bind to NLRP3 directly. Thus, the mechanisms through which PAMPs and DAMPs activate the NLRP3 inflammasome remain ambiguous. These mechanisms have thus far proved to be elusive (<xref ref-type="bibr" rid="b34-ijmm-34-01-0341">34</xref>,<xref ref-type="bibr" rid="b35-ijmm-34-01-0341">35</xref>). However, current opinion suggests that 3 models, including K<sup>&#x0002B;</sup> efflux, lysosomal destabilization and ROS production, can activate the signaling pathway that results in NLRP3 inflammasome activation (<xref rid="f6-ijmm-34-01-0341" ref-type="fig">Fig. 6</xref>) (<xref ref-type="bibr" rid="b36-ijmm-34-01-0341">36</xref>). Extracellular ATP connects with the ATP-gated cation channel P2X7R when cells are under attack by various insults, and then the connection of ligand and receptor can cause membrane pore formation to trigger K<sup>&#x0002B;</sup> efflux. Thus, suppressing K<sup>&#x0002B;</sup> efflux can inhibit the expression of the NLRP3 inflammasome. In the present study, 150 mM K<sup>&#x0002B;</sup> (much more than the physiological concentration of K<sup>&#x0002B;</sup> inside the cell) was used to suppress K<sup>&#x0002B;</sup> efflux. Our findings revealed that the expression of NLRP3 (P&lt;0.05) and caspase-1 (P&lt;0.01) were suppressed by the increased concentration of extracellular K<sup>&#x0002B;</sup> (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Fig. 1</xref>). It has been known that transfecting osteoblasts with siRNA can knock down NLRP3 expression (<xref ref-type="bibr" rid="b37-ijmm-34-01-0341">37</xref>). Accordingly, the present study found that the mRNA and protein levels of NLRP3 and caspase-1 decreased following the transfection of NLRP3 siRNA into RAW264.7 cells (<xref rid="f3-ijmm-34-01-0341" ref-type="fig">Figs. 3</xref> and <xref rid="f4-ijmm-34-01-0341" ref-type="fig">4</xref>). NLRP3 can undergo self-oligomerization in the processing of PAMP or DAMP recognition, and then recruits ASC, which is the crucial adaptor protein by PYD-PYD domain interaction (<xref rid="f6-ijmm-34-01-0341" ref-type="fig">Fig. 6</xref>) (<xref ref-type="bibr" rid="b38-ijmm-34-01-0341">38</xref>,<xref ref-type="bibr" rid="b39-ijmm-34-01-0341">39</xref>). ASC subsequently bridges to caspase-1 through CARD-CARD interaction (<xref rid="f6-ijmm-34-01-0341" ref-type="fig">Fig. 6</xref>) (<xref ref-type="bibr" rid="b40-ijmm-34-01-0341">40</xref>,<xref ref-type="bibr" rid="b41-ijmm-34-01-0341">41</xref>). Prior to NLRP3 inflammasome activation, ASC is located in the nucleus of cells completely in order to prevent caspase-1 activation and the subsequent processing and generation of cytokines, such as IL-1&#x003B2; and IL-18 (<xref ref-type="bibr" rid="b42-ijmm-34-01-0341">42</xref>). Once NLRP3 molecular platforms are activated by PAMPs and DAPMs, ASC is redistributed from the nucleus to the cytosol, where it aggregates with NLRP3 and caspase-1 and then transforms into perinuclear structures to achieve the assembly of the NLRP3 inflammasome (<xref ref-type="bibr" rid="b43-ijmm-34-01-0341">43</xref>). Available evidence suggests that the redistribution of ASC may function as a checkpoint to prevent spontaneous and harmful inflammasome activation (<xref ref-type="bibr" rid="b42-ijmm-34-01-0341">42</xref>). Furthermore, the quantity of the protein expression of ASC and NLRP3 is not in parallel (<xref ref-type="bibr" rid="b42-ijmm-34-01-0341">42</xref>). In agreement with this viewpoint, our study indicated that a high concontration of extracellular &#x0005B;K<sup>&#x0002B;</sup>&#x0005D;/NLRP3 siRNA downregulated the expression of NLRP3 and caspase-1 induced by LPS and/or ATP, but had little effect on ASC (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Figs. 1</xref>, <xref rid="f3-ijmm-34-01-0341" ref-type="fig">3</xref> and <xref rid="f4-ijmm-34-01-0341" ref-type="fig">4</xref>). Nevertheless, the precise mechanisms that regulate inflammasomes at the level of ASC require further clarification.</p>
<p>Caspase-1 is the first identified caspase, which is generally presented in the cytosol of phagocytic cells as pro-caspase-1 in the form of inactive zymogen (<xref ref-type="bibr" rid="b44-ijmm-34-01-0341">44</xref>). Following stimulation with various microbial or various endogenous signals, pro-caspase-1 is self-cleavaged by proteolytic cleavage from zymogen into the enzymatically active heterodimer, composed of two 10 and 20 kDa subunits (<xref ref-type="bibr" rid="b45-ijmm-34-01-0341">45</xref>). Active caspase-1 is essential for the cleavage of pro-IL-1&#x003B2; and pro-IL-18 into their biologically active mature forms. Mature IL-1&#x003B2; is involved in many immune reactions, including the recruitment of inflammatory cells to the site of infection, whereas IL-18 plays an essential role in the production of interferon-&#x003B3; (IFN-&#x003B3;) and enhancement of the cytolytic activity of natural killer (NK) cells (<xref ref-type="bibr" rid="b46-ijmm-34-01-0341">46</xref>). When the expression of caspase-1 is upregulated or downregulated, the secretion of IL-1&#x003B2; and IL-18 will increase or decrease correspondingly. Our data indicated that LPS and ATP stimulation induced the activation of caspase-1 (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Figs. 1</xref> and <xref rid="f4-ijmm-34-01-0341" ref-type="fig">4</xref>), and the robust release of IL-1&#x003B2; and IL-18 (<xref rid="f2-ijmm-34-01-0341" ref-type="fig">Figs. 2</xref> and <xref rid="f5-ijmm-34-01-0341" ref-type="fig">5</xref>). However, the decreased levels of caspase-1 (<xref rid="f1-ijmm-34-01-0341" ref-type="fig">Figs. 1</xref> and <xref rid="f4-ijmm-34-01-0341" ref-type="fig">4</xref>) accompanied with the reduction of IL-1&#x003B2; and IL-18 (<xref rid="f2-ijmm-34-01-0341" ref-type="fig">Figs. 2</xref> and <xref rid="f5-ijmm-34-01-0341" ref-type="fig">5</xref>) were detected in both the extracellular high K<sup>&#x0002B;</sup> milieu- and NLRP3 siRNA-treated groups. IL-33 belongs to the IL-1 subfamily (<xref ref-type="bibr" rid="b12-ijmm-34-01-0341">12</xref>), is closely related to IL-1&#x003B2; and IL-18 as there is a caspase-1 site in the structure of the IL-33 precursor (<xref ref-type="bibr" rid="b47-ijmm-34-01-0341">47</xref>). The construction of IL-33 is closer to IL-18 than IL-1&#x003B2;. However, evidence suggests that the caspase-1 cleavage site is similar to the consensus sequence for caspase-3 and that the intracellular IL-33 precursor is also a substrate for caspase-3 (<xref ref-type="bibr" rid="b48-ijmm-34-01-0341">48</xref>). Neutrophil proteinase 3 (PR3) can process the precursor IL-33 into an active mature form as IL-33, but increasing PR3 incubation time downregulates the biological activity of IL-33 (<xref ref-type="bibr" rid="b49-ijmm-34-01-0341">49</xref>). In addition, neutrophil elastase and cathepsin G can cleave the IL-33 precursor, which results in the maturation of precursor IL-33 (<xref ref-type="bibr" rid="b50-ijmm-34-01-0341">50</xref>). Thus, extracellular IL-33 is secreted as a precursor and can be processed by a diversity of enzymes apart from caspase-1. Given the complexity of IL-33 maturity processing, our data indicated that the expression of IL-33 (P&gt;0.05) did not decrease with the downregulation of caspase-1 by the addition of a high concentration of K<sup>&#x0002B;</sup> into the cell culture medium or by using siRNA to knock down the NLRP3 gene (<xref rid="f2-ijmm-34-01-0341" ref-type="fig">Figs. 2</xref> and <xref rid="f5-ijmm-34-01-0341" ref-type="fig">5</xref>). This may elucidate the underlying mechanisms of the processing of precursor IL-33 for a variety of hydrolytic enzymes participating in this process.</p>
<p>Autoimmune disease pathogenesis is related to cytokines, such as IL-1&#x003B2; and IL-18 and anakinra has been used to block IL-1&#x003B2; activity to treat rheumatoid arthritis (RA) (<xref ref-type="bibr" rid="b51-ijmm-34-01-0341">51</xref>). However, the single use of anakinra is less effective as other anti-cytokine therapies are more effective (<xref ref-type="bibr" rid="b51-ijmm-34-01-0341">51</xref>). Thus, it is possible that the inhibition of the NLRP3 inflammasome could provide a therapeutic target than specific IL-1 blockade, whereby blocking the NLRP3 inflammasome could block IL-1&#x003B2; and IL-18 activity simultaneously, both of which play critical roles in the progression of RA. Nevertheless, further studies are required to confirm this hypothesis.</p>
<p>Collectively, in the present study, LPS/ATP was utilized to induce the activation of the NLRP3 inflammasome. A high concentration of extracellular K<sup>&#x0002B;</sup> and the knockdown of NLRP3 using siRNA can block the secretion of IL-1&#x003B2; and IL-18 in RAW264.7 cells.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Our study was supported by grants from the Anhui Science and Technology Tackling Fund (no. 1206c0805026), and the National Science Foundation of China (nos. 81072685 and 81273526).</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-ijmm-34-01-0341"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Martinon</surname><given-names>F</given-names></name><name><surname>Mayor</surname><given-names>A</given-names></name><name><surname>Tschopp</surname><given-names>J</given-names></name></person-group><article-title>The inflammasomes: guardians of the body</article-title><source>Annu Rev Immunol</source><volume>27</volume><fpage>229</fpage><lpage>265</lpage><year>2009</year></element-citation></ref>
<ref id="b2-ijmm-34-01-0341"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Franchi</surname><given-names>L</given-names></name><name><surname>Eigenbrod</surname><given-names>T</given-names></name><name><surname>N&#x000FA;&#x000F1;ez</surname><given-names>G</given-names></name></person-group><article-title>Cutting edge: TNF-alpha mediates sensitization to ATP and silica via the NLRP3 inflammasome in the absence of microbial stimulation</article-title><source>J Immunol</source><volume>183</volume><fpage>792</fpage><lpage>796</lpage><year>2009</year></element-citation></ref>
<ref id="b3-ijmm-34-01-0341"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jin</surname><given-names>C</given-names></name><name><surname>Flavell</surname><given-names>RA</given-names></name></person-group><article-title>Molecular mechanism of NLRP3 inflammasome activation</article-title><source>J Clin Immunol</source><volume>30</volume><fpage>628</fpage><lpage>631</lpage><year>2010</year></element-citation></ref>
<ref id="b4-ijmm-34-01-0341"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Conforti-Andreoni</surname><given-names>C</given-names></name><name><surname>Ricciardi-Castagnoli</surname><given-names>P</given-names></name><name><surname>Mortellaro</surname><given-names>A</given-names></name></person-group><article-title>The inflammasomes in health and disease: from genetics to molecular mechanisms of autoinflammation and beyond</article-title><source>Cell Mol Immunol</source><volume>8</volume><fpage>135</fpage><lpage>145</lpage><year>2011</year></element-citation></ref>
<ref id="b5-ijmm-34-01-0341"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schroder</surname><given-names>K</given-names></name><name><surname>Tschopp</surname><given-names>J</given-names></name></person-group><article-title>The inflammasomes</article-title><source>Cell</source><volume>140</volume><fpage>821</fpage><lpage>832</lpage><year>2010</year></element-citation></ref>
<ref id="b6-ijmm-34-01-0341"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>M</given-names></name><name><surname>Wang</surname><given-names>H</given-names></name><name><surname>Chen</surname><given-names>W</given-names></name><name><surname>Meng</surname><given-names>G</given-names></name></person-group><article-title>Regulation of adaptive immunity by the NLRP3 inflammasome</article-title><source>Int Immunopharmacol</source><volume>11</volume><fpage>549</fpage><lpage>554</lpage><year>2011</year></element-citation></ref>
<ref id="b7-ijmm-34-01-0341"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Leemans</surname><given-names>JC</given-names></name><name><surname>Cassel</surname><given-names>SL</given-names></name><name><surname>Sutterwala</surname><given-names>FS</given-names></name></person-group><article-title>Sensing damage by the NLRP3 inflammasome</article-title><source>Immunol Rev</source><volume>243</volume><fpage>152</fpage><lpage>162</lpage><year>2011</year></element-citation></ref>
<ref id="b8-ijmm-34-01-0341"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Davis</surname><given-names>BK</given-names></name><name><surname>Wen</surname><given-names>H</given-names></name><name><surname>Ting</surname><given-names>JP</given-names></name></person-group><article-title>The inflammasome NLRs in immunity, inflammation, and associated diseases</article-title><source>Annu Rev Immunol</source><volume>29</volume><fpage>707</fpage><lpage>735</lpage><year>2011</year></element-citation></ref>
<ref id="b9-ijmm-34-01-0341"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cassel</surname><given-names>SL</given-names></name><name><surname>Joly</surname><given-names>S</given-names></name><name><surname>Sutterwala</surname><given-names>FS</given-names></name></person-group><article-title>The NLRP3 inflammasome: a sensor of immune danger signals</article-title><source>Semin Immunol</source><volume>21</volume><fpage>194</fpage><lpage>198</lpage><year>2009</year></element-citation></ref>
<ref id="b10-ijmm-34-01-0341"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hsu</surname><given-names>HY</given-names></name><name><surname>Wen</surname><given-names>MH</given-names></name></person-group><article-title>Lipopolysaccharide-mediated reactive oxygen species and signal transduction in the regulation of interleukin-1 gene expression</article-title><source>J Biol Chem</source><volume>277</volume><fpage>22131</fpage><lpage>22139</lpage><year>2002</year></element-citation></ref>
<ref id="b11-ijmm-34-01-0341"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mariathasan</surname><given-names>S</given-names></name><name><surname>Weiss</surname><given-names>DS</given-names></name><name><surname>Newton</surname><given-names>K</given-names></name><name><surname>McBride</surname><given-names>J</given-names></name><name><surname>O&#x02019;Rourke</surname><given-names>K</given-names></name><name><surname>Roose-Girma</surname><given-names>M</given-names></name><name><surname>Lee</surname><given-names>WP</given-names></name><name><surname>Weinrauch</surname><given-names>Y</given-names></name><name><surname>Monack</surname><given-names>DM</given-names></name><name><surname>Dixit</surname><given-names>VM</given-names></name></person-group><article-title>Cryopyrin activates the inflammasome in response to toxins and ATP</article-title><source>Nature</source><volume>440</volume><fpage>228</fpage><lpage>232</lpage><year>2006</year></element-citation></ref>
<ref id="b12-ijmm-34-01-0341"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>van de Veerdonk</surname><given-names>FL</given-names></name><name><surname>Netea</surname><given-names>MG</given-names></name></person-group><article-title>New insights in the immunobiology of IL-1 family members</article-title><source>Front Immunol</source><volume>4</volume><fpage>167</fpage><year>2013</year></element-citation></ref>
<ref id="b13-ijmm-34-01-0341"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Qi</surname><given-names>J</given-names></name><name><surname>Ye</surname><given-names>X</given-names></name><name><surname>Ren</surname><given-names>G</given-names></name><name><surname>Kan</surname><given-names>F</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Guo</surname><given-names>M</given-names></name><name><surname>Zhang</surname><given-names>Z</given-names></name><name><surname>Li</surname><given-names>D</given-names></name></person-group><article-title>Pharmacological efficacy of anti-IL-1&#x003B2; scFv, Fab and full-length antibodies in treatment of rheumatoid arthritis</article-title><source>Mol Immunol</source><volume>57</volume><fpage>59</fpage><lpage>65</lpage><year>2014</year></element-citation></ref>
<ref id="b14-ijmm-34-01-0341"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Voronov</surname><given-names>E</given-names></name><name><surname>Dayan</surname><given-names>M</given-names></name><name><surname>Zinger</surname><given-names>H</given-names></name><name><surname>Gayvoronsky</surname><given-names>L</given-names></name><name><surname>Lin</surname><given-names>JP</given-names></name><name><surname>Iwakura</surname><given-names>Y</given-names></name><name><surname>Apte</surname><given-names>RN</given-names></name><name><surname>Mozes</surname><given-names>E</given-names></name></person-group><article-title>IL-1 beta-deficient mice are resistant to induction of experimental SLE</article-title><source>Eur Cytokine Netw</source><volume>17</volume><fpage>109</fpage><lpage>116</lpage><year>2006</year></element-citation></ref>
<ref id="b15-ijmm-34-01-0341"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Girardin</surname><given-names>SE</given-names></name></person-group><article-title>Knocking in the NLRP3 inflammasome</article-title><source>Immunity</source><volume>30</volume><fpage>761</fpage><lpage>763</lpage><year>2009</year></element-citation></ref>
<ref id="b16-ijmm-34-01-0341"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Latz</surname><given-names>E</given-names></name></person-group><article-title>The inflammasomes: mechanisms of activation and function</article-title><source>Curr Opin Immunol</source><volume>22</volume><fpage>28</fpage><lpage>33</lpage><year>2010</year></element-citation></ref>
<ref id="b17-ijmm-34-01-0341"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Budai</surname><given-names>MM</given-names></name><name><surname>Varga</surname><given-names>A</given-names></name><name><surname>Milesz</surname><given-names>S</given-names></name><name><surname>Tozser</surname><given-names>J</given-names></name><name><surname>Benko</surname><given-names>S</given-names></name></person-group><article-title>Aloe vera downregulates LPS-induced inflammatory cytokine production and expression of NLRP3 inflammasome in human macrophages</article-title><source>Mol Immunol</source><volume>56</volume><fpage>471</fpage><lpage>479</lpage><year>2013</year></element-citation></ref>
<ref id="b18-ijmm-34-01-0341"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hussen</surname><given-names>J</given-names></name><name><surname>D&#x000FC;vel</surname><given-names>A</given-names></name><name><surname>Koy</surname><given-names>M</given-names></name><name><surname>Schuberth</surname><given-names>HJ</given-names></name></person-group><article-title>Inflammasome activation in bovine monocytes by extracellular ATP does not require the purinergic receptor P2X7</article-title><source>Dev Comp Immunol</source><volume>38</volume><fpage>312</fpage><lpage>320</lpage><year>2012</year></element-citation></ref>
<ref id="b19-ijmm-34-01-0341"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>P&#x000E9;trilli</surname><given-names>V</given-names></name><name><surname>Papin</surname><given-names>S</given-names></name><name><surname>Dostert</surname><given-names>C</given-names></name><name><surname>Mayor</surname><given-names>A</given-names></name><name><surname>Martinon</surname><given-names>F</given-names></name><name><surname>Tschopp</surname><given-names>J</given-names></name></person-group><article-title>Activation of the NALP3 inflammasome is triggered by low intracellular potassium concentration</article-title><source>Cell Death Differ</source><volume>14</volume><fpage>1583</fpage><lpage>1589</lpage><year>2007</year></element-citation></ref>
<ref id="b20-ijmm-34-01-0341"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kawai</surname><given-names>T</given-names></name><name><surname>Akira</surname><given-names>S</given-names></name></person-group><article-title>Innate immune recognition of viral infection</article-title><source>Nat Immunol</source><volume>7</volume><fpage>131</fpage><lpage>137</lpage><year>2006</year></element-citation></ref>
<ref id="b21-ijmm-34-01-0341"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bose</surname><given-names>S</given-names></name><name><surname>Banerjee</surname><given-names>AK</given-names></name></person-group><article-title>Innate immune response against nonsegmented negative strand RNA viruses</article-title><source>J Interferon Cytokine Res</source><volume>23</volume><fpage>401</fpage><lpage>412</lpage><year>2003</year></element-citation></ref>
<ref id="b22-ijmm-34-01-0341"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>O&#x02019;Neill</surname><given-names>LA</given-names></name><name><surname>Bowie</surname><given-names>AG</given-names></name></person-group><article-title>Sensing and signaling in antiviral innate immunity</article-title><source>Curr Biol</source><volume>20</volume><fpage>R328</fpage><lpage>R333</lpage><year>2010</year></element-citation></ref>
<ref id="b23-ijmm-34-01-0341"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rathinam</surname><given-names>VA</given-names></name><name><surname>Fitzgerald</surname><given-names>KA</given-names></name></person-group><article-title>Inflammasomes and anti-viral immunity</article-title><source>J Clin Immunol</source><volume>30</volume><fpage>632</fpage><lpage>637</lpage><year>2010</year></element-citation></ref>
<ref id="b24-ijmm-34-01-0341"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ciraci</surname><given-names>C</given-names></name><name><surname>Janczy</surname><given-names>JR</given-names></name><name><surname>Sutterwala</surname><given-names>FS</given-names></name><name><surname>Cassel</surname><given-names>SL</given-names></name></person-group><article-title>Control of innate and adaptive immunity by the inflammasome</article-title><source>Microbes Infect</source><volume>14</volume><fpage>1263</fpage><lpage>1270</lpage><year>2012</year></element-citation></ref>
<ref id="b25-ijmm-34-01-0341"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mankan</surname><given-names>AK</given-names></name><name><surname>Dau</surname><given-names>T</given-names></name><name><surname>Jenne</surname><given-names>D</given-names></name><name><surname>Hornung</surname><given-names>V</given-names></name></person-group><article-title>The NLRP3/ASC/Caspase-1 axis regulates IL-1beta processing in neutrophils</article-title><source>Eur J Immunol</source><volume>42</volume><fpage>710</fpage><lpage>715</lpage><year>2012</year></element-citation></ref>
<ref id="b26-ijmm-34-01-0341"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yamasaki</surname><given-names>K</given-names></name><name><surname>Muto</surname><given-names>J</given-names></name><name><surname>Taylor</surname><given-names>KR</given-names></name><name><surname>Cogen</surname><given-names>AL</given-names></name><name><surname>Audish</surname><given-names>D</given-names></name><name><surname>Bertin</surname><given-names>J</given-names></name><name><surname>Grant</surname><given-names>EP</given-names></name><name><surname>Coyle</surname><given-names>AJ</given-names></name><name><surname>Misaghi</surname><given-names>A</given-names></name><name><surname>Hoffman</surname><given-names>HM</given-names></name><name><surname>Gallo</surname><given-names>RL</given-names></name></person-group><article-title>NLRP3/cryopyrin is necessary for interleukin-1beta (IL-1beta) release in response to hyaluronan, an endogenous trigger of inflammation in response to injury</article-title><source>J Biol Chem</source><volume>284</volume><fpage>12762</fpage><lpage>12771</lpage><year>2009</year></element-citation></ref>
<ref id="b27-ijmm-34-01-0341"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Halle</surname><given-names>A</given-names></name><name><surname>Hornung</surname><given-names>V</given-names></name><name><surname>Petzold</surname><given-names>GC</given-names></name><name><surname>Stewart</surname><given-names>CR</given-names></name><name><surname>Monks</surname><given-names>BG</given-names></name><name><surname>Reinheckel</surname><given-names>T</given-names></name><name><surname>Fitzgerald</surname><given-names>KA</given-names></name><name><surname>Latz</surname><given-names>E</given-names></name><name><surname>Moore</surname><given-names>KJ</given-names></name><name><surname>Golenbock</surname><given-names>DT</given-names></name></person-group><article-title>The NALP3 inflammasome is involved in the innate immune response to amyloid-beta</article-title><source>Nat Immunol</source><volume>9</volume><fpage>857</fpage><lpage>865</lpage><year>2008</year></element-citation></ref>
<ref id="b28-ijmm-34-01-0341"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>R</given-names></name><name><surname>Tardivel</surname><given-names>A</given-names></name><name><surname>Thorens</surname><given-names>B</given-names></name><name><surname>Choi</surname><given-names>I</given-names></name><name><surname>Tschopp</surname><given-names>J</given-names></name></person-group><article-title>Thioredoxin-interacting protein links oxidative stress to inflammasome activation</article-title><source>Nat Immunol</source><volume>11</volume><fpage>136</fpage><lpage>140</lpage><year>2010</year></element-citation></ref>
<ref id="b29-ijmm-34-01-0341"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dostert</surname><given-names>C</given-names></name><name><surname>P&#x000E9;trilli</surname><given-names>V</given-names></name><name><surname>Van Bruggen</surname><given-names>R</given-names></name><name><surname>Steele</surname><given-names>C</given-names></name><name><surname>Mossman</surname><given-names>BT</given-names></name><name><surname>Tschopp</surname><given-names>J</given-names></name></person-group><article-title>Innate immune activation through Nalp3 inflammasome sensing of asbestos and silica</article-title><source>Science</source><volume>320</volume><fpage>674</fpage><lpage>677</lpage><year>2008</year></element-citation></ref>
<ref id="b30-ijmm-34-01-0341"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hornung</surname><given-names>V</given-names></name><name><surname>Bauernfeind</surname><given-names>F</given-names></name><name><surname>Halle</surname><given-names>A</given-names></name><name><surname>Samstad</surname><given-names>EO</given-names></name><name><surname>Kono</surname><given-names>H</given-names></name><name><surname>Rock</surname><given-names>KL</given-names></name><name><surname>Fitzgerald</surname><given-names>KA</given-names></name><name><surname>Latz</surname><given-names>E</given-names></name></person-group><article-title>Silica crystals and aluminum salts activate the NALP3 inflammasome through phagosomal destabilization</article-title><source>Nat Immunol</source><volume>9</volume><fpage>847</fpage><lpage>856</lpage><year>2008</year></element-citation></ref>
<ref id="b31-ijmm-34-01-0341"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cassel</surname><given-names>SL</given-names></name><name><surname>Eisenbarth</surname><given-names>SC</given-names></name><name><surname>Iyer</surname><given-names>SS</given-names></name><name><surname>Sadler</surname><given-names>JJ</given-names></name><name><surname>Colegio</surname><given-names>OR</given-names></name><name><surname>Tephly</surname><given-names>LA</given-names></name><name><surname>Carter</surname><given-names>AB</given-names></name><name><surname>Rothman</surname><given-names>PB</given-names></name><name><surname>Flavell</surname><given-names>RA</given-names></name><name><surname>Sutterwala</surname><given-names>FS</given-names></name></person-group><article-title>The Nalp3 inflammasome is essential for the development of silicosis</article-title><source>Proc Natl Acad Sci USA</source><volume>105</volume><fpage>9035</fpage><lpage>9040</lpage><year>2008</year></element-citation></ref>
<ref id="b32-ijmm-34-01-0341"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Eisenbarth</surname><given-names>SC</given-names></name><name><surname>Colegio</surname><given-names>OR</given-names></name><name><surname>O&#x02019;Connor</surname><given-names>W</given-names></name><name><surname>Sutterwala</surname><given-names>FS</given-names></name><name><surname>Flavell</surname><given-names>RA</given-names></name></person-group><article-title>Crucial role for the Nalp3 inflammasome in the immunostimulatory properties of aluminium adjuvants</article-title><source>Nature</source><volume>453</volume><fpage>1122</fpage><lpage>1126</lpage><year>2008</year></element-citation></ref>
<ref id="b33-ijmm-34-01-0341"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Feldmeyer</surname><given-names>L</given-names></name><name><surname>Keller</surname><given-names>M</given-names></name><name><surname>Niklaus</surname><given-names>G</given-names></name><name><surname>Hohl</surname><given-names>D</given-names></name><name><surname>Werner</surname><given-names>S</given-names></name><name><surname>Beer</surname><given-names>HD</given-names></name></person-group><article-title>The inflammasome mediates UVB-induced activation and secretion of interleukin-1beta by keratinocytes</article-title><source>Curr Biol</source><volume>17</volume><fpage>1140</fpage><lpage>1145</lpage><year>2007</year></element-citation></ref>
<ref id="b34-ijmm-34-01-0341"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bryant</surname><given-names>C</given-names></name><name><surname>Fitzgerald</surname><given-names>KA</given-names></name></person-group><article-title>Molecular mechanisms involved in inflammasome activation</article-title><source>Trends Cell Biol</source><volume>19</volume><fpage>455</fpage><lpage>464</lpage><year>2009</year></element-citation></ref>
<ref id="b35-ijmm-34-01-0341"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McGettrick</surname><given-names>AF</given-names></name><name><surname>O&#x02019;Neill</surname><given-names>LA</given-names></name></person-group><article-title>NLRP3 and IL-1beta in macrophages as critical regulators of metabolic diseases</article-title><source>Diabetes Obes Metab</source><volume>15</volume><issue>Suppl 3</issue><fpage>19</fpage><lpage>25</lpage><year>2013</year></element-citation></ref>
<ref id="b36-ijmm-34-01-0341"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lamkanfi</surname><given-names>M</given-names></name><name><surname>Dixit</surname><given-names>VM</given-names></name></person-group><article-title>Inflammasomes: guardians of cytosolic sanctity</article-title><source>Immunol Rev</source><volume>227</volume><fpage>95</fpage><lpage>105</lpage><year>2009</year></element-citation></ref>
<ref id="b37-ijmm-34-01-0341"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McCall</surname><given-names>SH</given-names></name><name><surname>Sahraei</surname><given-names>M</given-names></name><name><surname>Young</surname><given-names>AB</given-names></name><name><surname>Worley</surname><given-names>CS</given-names></name><name><surname>Duncan</surname><given-names>JA</given-names></name><name><surname>Ting</surname><given-names>JP</given-names></name><name><surname>Marriott</surname><given-names>I</given-names></name></person-group><article-title>Osteoblasts express NLRP3, a nucleotide-binding domain and leucine-rich repeat region containing receptor implicated in bacterially induced cell death</article-title><source>J Bone Miner Res</source><volume>23</volume><fpage>30</fpage><lpage>40</lpage><year>2008</year></element-citation></ref>
<ref id="b38-ijmm-34-01-0341"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Duncan</surname><given-names>JA</given-names></name><name><surname>Bergstralh</surname><given-names>DT</given-names></name><name><surname>Wang</surname><given-names>Y</given-names></name><name><surname>Willingham</surname><given-names>SB</given-names></name><name><surname>Ye</surname><given-names>Z</given-names></name><name><surname>Zimmermann</surname><given-names>AG</given-names></name><name><surname>Ting</surname><given-names>JP</given-names></name></person-group><article-title>Cryopyrin/NALP3 binds ATP/dATP, is an ATPase, and requires ATP binding to mediate inflammatory signaling</article-title><source>Proc Natl Acad Sci USA</source><volume>104</volume><fpage>8041</fpage><lpage>8046</lpage><year>2007</year></element-citation></ref>
<ref id="b39-ijmm-34-01-0341"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Faustin</surname><given-names>B</given-names></name><name><surname>Lartigue</surname><given-names>L</given-names></name><name><surname>Bruey</surname><given-names>JM</given-names></name><name><surname>Luciano</surname><given-names>F</given-names></name><name><surname>Sergienko</surname><given-names>E</given-names></name><name><surname>Bailly-Maitre</surname><given-names>B</given-names></name><name><surname>Volkmann</surname><given-names>N</given-names></name><name><surname>Hanein</surname><given-names>D</given-names></name><name><surname>Rouiller</surname><given-names>I</given-names></name><name><surname>Reed</surname><given-names>JC</given-names></name></person-group><article-title>Reconstituted NALP1 inflammasome reveals two-step mechanism of caspase-1 activation</article-title><source>Mol Cell</source><volume>25</volume><fpage>713</fpage><lpage>724</lpage><year>2007</year></element-citation></ref>
<ref id="b40-ijmm-34-01-0341"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Srinivasula</surname><given-names>SM</given-names></name><name><surname>Poyet</surname><given-names>JL</given-names></name><name><surname>Razmara</surname><given-names>M</given-names></name><name><surname>Datta</surname><given-names>P</given-names></name><name><surname>Zhang</surname><given-names>Z</given-names></name><name><surname>Alnemri</surname><given-names>ES</given-names></name></person-group><article-title>The PYRIN-CARD protein ASC is an activating adaptor for caspase-1</article-title><source>J Biol Chem</source><volume>277</volume><fpage>21119</fpage><lpage>21122</lpage><year>2002</year></element-citation></ref>
<ref id="b41-ijmm-34-01-0341"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stehlik</surname><given-names>C</given-names></name><name><surname>Lee</surname><given-names>SH</given-names></name><name><surname>Dorfleutner</surname><given-names>A</given-names></name><name><surname>Stassinopoulos</surname><given-names>A</given-names></name><name><surname>Sagara</surname><given-names>J</given-names></name><name><surname>Reed</surname><given-names>JC</given-names></name></person-group><article-title>Apoptosis-associated speck-like protein containing a caspase recruitment domain is a regulator of procaspase-1 activation</article-title><source>J Immunol</source><volume>171</volume><fpage>6154</fpage><lpage>6163</lpage><year>2003</year></element-citation></ref>
<ref id="b42-ijmm-34-01-0341"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bryan</surname><given-names>NB</given-names></name><name><surname>Dorfleutner</surname><given-names>A</given-names></name><name><surname>Kramer</surname><given-names>SJ</given-names></name><name><surname>Yun</surname><given-names>C</given-names></name><name><surname>Rojanasakul</surname><given-names>Y</given-names></name><name><surname>Stehlik</surname><given-names>C</given-names></name></person-group><article-title>Differential splicing of the apoptosis-associated speck like protein containing a caspase recruitment domain (ASC) regulates inflammasomes</article-title><source>J Inflamm (Lond)</source><volume>7</volume><fpage>23</fpage><year>2010</year></element-citation></ref>
<ref id="b43-ijmm-34-01-0341"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bryan</surname><given-names>NB</given-names></name><name><surname>Dorfleutner</surname><given-names>A</given-names></name><name><surname>Rojanasakul</surname><given-names>Y</given-names></name><name><surname>Stehlik</surname><given-names>C</given-names></name></person-group><article-title>Activation of inflammasomes requires intracellular redistribution of the apoptotic speck-like protein containing a caspase recruitment domain</article-title><source>J Immunol</source><volume>182</volume><fpage>3173</fpage><lpage>3182</lpage><year>2009</year></element-citation></ref>
<ref id="b44-ijmm-34-01-0341"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Franchi</surname><given-names>L1</given-names></name><name><surname>Eigenbrod</surname><given-names>T</given-names></name><name><surname>Mu&#x000F1;oz-Planillo</surname><given-names>R</given-names></name><name><surname>Nu&#x000F1;ez</surname><given-names>G</given-names></name></person-group><article-title>The inflammasome: a caspase-1-activation platform that regulates immune responses and disease pathogenesis</article-title><source>Nat Immunol</source><volume>10</volume><fpage>241</fpage><lpage>247</lpage><year>2009</year></element-citation></ref>
<ref id="b45-ijmm-34-01-0341"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Martinon</surname><given-names>F</given-names></name><name><surname>Tschopp</surname><given-names>J</given-names></name></person-group><article-title>Inflammatory caspases: linking an intracellular innate immune system to autoinflammatory diseases</article-title><source>Cell</source><volume>117</volume><fpage>561</fpage><lpage>574</lpage><year>2004</year></element-citation></ref>
<ref id="b46-ijmm-34-01-0341"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Arend</surname><given-names>WP</given-names></name><name><surname>Palmer</surname><given-names>G</given-names></name><name><surname>Gabay</surname><given-names>C</given-names></name></person-group><article-title>IL-1, IL-18, and IL-33 families of cytokines</article-title><source>Immunol Rev</source><volume>223</volume><fpage>20</fpage><lpage>38</lpage><year>2008</year></element-citation></ref>
<ref id="b47-ijmm-34-01-0341"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schmitz</surname><given-names>J</given-names></name><name><surname>Owyang</surname><given-names>A</given-names></name><name><surname>Oldham</surname><given-names>E</given-names></name><name><surname>Song</surname><given-names>Y</given-names></name><name><surname>Murphy</surname><given-names>E</given-names></name><name><surname>McClanahan</surname><given-names>TK</given-names></name><name><surname>Zurawski</surname><given-names>G</given-names></name><name><surname>Moshrefi</surname><given-names>M</given-names></name><name><surname>Qin</surname><given-names>J</given-names></name><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Gorman</surname><given-names>DM</given-names></name><name><surname>Bazan</surname><given-names>JF</given-names></name><name><surname>Kastelein</surname><given-names>RA</given-names></name></person-group><article-title>IL-33, an interleukin-1-like cytokine that signals via the IL-1 receptor-related protein ST2 and induces T helper type 2-associated cytokines</article-title><source>Immunity</source><volume>23</volume><fpage>479</fpage><lpage>490</lpage><year>2005</year></element-citation></ref>
<ref id="b48-ijmm-34-01-0341"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cayrol</surname><given-names>C</given-names></name><name><surname>Girard</surname><given-names>JP</given-names></name></person-group><article-title>The IL-1-like cytokine IL-33 is inactivated after maturation by caspase-1</article-title><source>Proc Natl Acad Sci USA</source><volume>106</volume><fpage>9021</fpage><lpage>9026</lpage><year>2009</year></element-citation></ref>
<ref id="b49-ijmm-34-01-0341"><label>49</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bae</surname><given-names>S</given-names></name><name><surname>Kang</surname><given-names>T</given-names></name><name><surname>Hong</surname><given-names>J</given-names></name><name><surname>Lee</surname><given-names>S</given-names></name><name><surname>Choi</surname><given-names>J</given-names></name><name><surname>Jhun</surname><given-names>H</given-names></name><name><surname>Kwak</surname><given-names>A</given-names></name><name><surname>Hong</surname><given-names>K</given-names></name><name><surname>Kim</surname><given-names>E</given-names></name><name><surname>Jo</surname><given-names>S</given-names></name><name><surname>Kim</surname><given-names>S</given-names></name></person-group><article-title>Contradictory functions (activation/termination) of neutrophil proteinase 3 enzyme (PR3) in interleukin-33 biological activity</article-title><source>J Biol Chem</source><volume>287</volume><fpage>8205</fpage><lpage>8213</lpage><year>2012</year></element-citation></ref>
<ref id="b50-ijmm-34-01-0341"><label>50</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lefrancais</surname><given-names>E</given-names></name><name><surname>Roga</surname><given-names>S</given-names></name><name><surname>Gautier</surname><given-names>V</given-names></name><name><surname>Gonzalez-de-Peredo</surname><given-names>A</given-names></name><name><surname>Monsarrat</surname><given-names>B</given-names></name><name><surname>Girard</surname><given-names>JP</given-names></name><name><surname>Cayrol</surname><given-names>C</given-names></name></person-group><article-title>IL-33 is processed into mature bioactive forms by neutrophil elastase and cathepsin G</article-title><source>Proc Natl Acad Sci USA</source><volume>109</volume><fpage>1673</fpage><lpage>1678</lpage><year>2012</year></element-citation></ref>
<ref id="b51-ijmm-34-01-0341"><label>51</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shaw</surname><given-names>PJ</given-names></name><name><surname>McDermott</surname><given-names>MF</given-names></name><name><surname>Kanneganti</surname><given-names>TD</given-names></name></person-group><article-title>Inflammasomes and autoimmunity</article-title><source>Trends Mol Med</source><volume>17</volume><fpage>57</fpage><lpage>64</lpage><year>2011</year></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-ijmm-34-01-0341" position="float">
<label>Figure 1</label>
<caption>
<p>Treatment of RAW264.7 cells with adenosine triphosphate (ATP) and lipopolysaccharide (LPS) with or without a high concentration of extracellular potassium (K<sup>&#x0002B;</sup>) induced the expression of respective components of the NOD-like receptor family, pyrin domain-containing 3 (NLRP3) inflammasome (western blot analysis). RAW264.7 cells were stimulated with LPS (200 ng/ml) for 6 h, and 2 mM ATP for additional 30 min (LPS &#x0002B; ATP) or ATP alone. Potassium chloride (150 mM) was additionally added to the cell culture for 30 min (to produce a high extracellular potassium ion environment) prior to LPS and/or ATP stimulation in the last 4 subgroups. (A) Western blot analysis of NLRP3, ASC, caspase-1 and &#x003B2;-actin expression in the different groups; (B) Denstitometric ratio analyses (NLRP3, ASC, caspase-1/&#x003B2;-actin) using ImageJ software. <sup>&#x0002A;</sup>Compared to control (<sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01); <sup>&#x00023;</sup>compared to LPS alone (<sup>&#x00023;</sup>P&lt;0.05 and <sup>&#x00023;&#x00023;</sup>P&lt;0.01); <sup>&#x025B3;</sup>compared to ATP alone (<sup>&#x025B3;</sup>P&lt;0.05 and <sup>&#x025B3;&#x025B3;</sup>P&lt;0.01); <sup>&#x022C6;</sup>compared to LPS &#x0002B; ATP group (<sup>&#x022C6;</sup>P&lt;0.05 and <sup>&#x022C6;&#x022C6;</sup>P&lt;0.01). Data represent the means &#x000B1; standard deviation (SD), n&#x0003D;4.</p></caption>
<graphic xlink:href="IJMM-34-01-0341-g00.gif"/></fig>
<fig id="f2-ijmm-34-01-0341" position="float">
<label>Figure 2</label>
<caption>
<p>Treatment of RAW264.7 cells with adenosine triphosphate (ATP) and lipopolysaccharide (LPS) with or without a high concentration of extracellular potassium (K<sup>&#x0002B;</sup>) induced the secretion of cytokines, including interleukin (IL)-1&#x003B2;, IL-18 and IL-33, as shown by enzyme-linked immunosorbent assay (ELISA). RAW264.7 cells were stimulated with LPS (200 ng/ml) for 6 h, and 2 mM ATP for an additional 30 min (LPS &#x0002B; ATP) or ATP alone. Potassium chloride (150 mM) was additionally added to the cell culture for 30 min (to produce a high extracellular potassium ion environment) prior to LPS and/or ATP stimulation in the last 4 subgroups. Following treatment, the supernatants were examined. (A&#x02013;C) Expression of IL-1&#x003B2;, IL-18 and IL-33 in the supernatants of different groups, as shown by ELISA. <sup>&#x0002A;</sup>Compared to control (<sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01); <sup>&#x00023;</sup>compared to LPS alone (<sup>&#x00023;&#x00023;</sup>P&lt;0.01); <sup>&#x025B3;</sup>compared to ATP alone (<sup>&#x025B3;&#x025B3;</sup>P&lt;0.01); <sup>&#x022C6;</sup>compared to LPS &#x0002B; ATP group (<sup>&#x022C6;&#x022C6;</sup>P&lt;0.01). Data represent the means &#x000B1; standard deviation (SD), n&#x0003D;4.</p></caption>
<graphic xlink:href="IJMM-34-01-0341-g01.gif"/></fig>
<fig id="f3-ijmm-34-01-0341" position="float">
<label>Figure 3</label>
<caption>
<p>mRNA expression of NOD-like receptor family, pyrin domain-containing 3 (NLRP3), ASC, and caspase-1 in RAW264.7 cells treated with lipopolysaccharide (LPS) (200 ng/ml), adenosine triphosphate (ATP) (2 mM) with or without NLRP3 small interfering (siRNA), as shown by qRT-PCR. <sup>&#x0002A;</sup>Compared to the control (<sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01); <sup>&#x00023;</sup>compared to LPS alone (<sup>&#x00023;</sup>P&lt;0.05 and <sup>&#x00023;&#x00023;</sup>P&lt;0.01); <sup>&#x025B3;</sup>compared to ATP alone (<sup>&#x025B3;</sup>P&lt;0.05 and <sup>&#x025B3;&#x025B3;</sup>P&lt;0.01); <sup>&#x022C6;</sup>compared to LPS &#x0002B; ATP group (<sup>&#x022C6;</sup>P&lt;0.05 and <sup>&#x022C6;&#x022C6;</sup>P&lt;0.01) Data represent the means &#x000B1; standard deviation (SD), n&#x0003D;4.</p></caption>
<graphic xlink:href="IJMM-34-01-0341-g02.gif"/></fig>
<fig id="f4-ijmm-34-01-0341" position="float">
<label>Figure 4</label>
<caption>
<p>Treatment of RAW264.7 cells with adenosine triphosphate (ATP) and lipopolysaccharide (LPS) with or without NOD-like receptor family, pyrin domain-containing 3 (NLRP3) small interfering (siRNA) induced the expression of respective components of NLRP3 inflammasome, as shown by western blot analysis. RAW264.7 cells were stimulated with LPS (200 ng/ml) for 6 h and 2 mM ATP for an additional 30 min (LPS &#x0002B; ATP) or ATP alone. We transfected RAW264.7 cells with NLRP3 siRNA prior to stimulation with LPS and/or ATP in the last 3 subgroups. (A) Western blot analysis of NLRP3, ASC, caspase-1 and &#x003B2;-actin in the different groups; (B) Denstitometric ratio analyses (NLRP3, ASC, caspase-1/&#x003B2;-actin) using ImageJ software. <sup>&#x0002A;</sup>Compared to control (<sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01); <sup>&#x00023;</sup>compared to LPS alone (<sup>&#x00023;</sup>P&lt;0.05); <sup>&#x025B3;</sup>compared to ATP alone (<sup>&#x025B3;</sup>P&lt;0.05); <sup>&#x022C6;</sup>compared to LPS &#x0002B; ATP group (<sup>&#x022C6;</sup>P&lt;0.05 and <sup>&#x022C6;&#x022C6;</sup>P&lt;0.01) Data represent the means &#x000B1; standard deviation (SD), n&#x0003D;4.</p></caption>
<graphic xlink:href="IJMM-34-01-0341-g03.gif"/></fig>
<fig id="f5-ijmm-34-01-0341" position="float">
<label>Figure 5</label>
<caption>
<p>Cytokine expression, including interleukin-1&#x003B2; (IL-1&#x003B2;), IL-18 and IL-33 in RAW264.7 cells treated with adenosine triphosphate (ATP) and lipopolysaccharide (LPS) with or without NOD-like receptor family, pyrin domain-containing 3 (NLRP3) small interfering (siRNA), as shown by ELISA. RAW264.7 cells were stimulated with LPS (200 ng/ml) for 6 h, and 2 mM ATP for an additional 30 min (LPS &#x0002B; ATP) or ATP alone. We transfected the RAW264.7 cells with NLRP3 siRNA prior to stimulation with LPS and/or ATP in the last 3 subgroups. Following treatment, the supernatants were examined. (A&#x02013;C) Expression of IL-1&#x003B2;, IL-18 and IL-33 in supernatants of the different groups. <sup>&#x0002A;</sup>Compared to control (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01); <sup>&#x00023;</sup>compared to LPS alone (<sup>&#x00023;</sup>P&lt;0.05 and <sup>&#x00023;&#x00023;</sup>P&lt;0.01); <sup>&#x025B3;</sup>compared to ATP alone (<sup>&#x025B3;</sup>P&lt;0.05 and <sup>&#x025B3;&#x025B3;</sup>P&lt;0.01); <sup>&#x022C6;</sup>compared to LPS &#x0002B; ATP group (<sup>&#x022C6;&#x022C6;</sup>P&lt;0.01). Data represent the means &#x000B1; standard deviation (SD), n&#x0003D;4.</p></caption>
<graphic xlink:href="IJMM-34-01-0341-g04.gif"/></fig>
<fig id="f6-ijmm-34-01-0341" position="float">
<label>Figure 6</label>
<caption>
<p>Suggested model of the activation of NOD-like receptor family, pyrin domain-containing 3 (NLRP3) inflammasome including 3 models: potassium (K<sup>&#x0002B;</sup>) efflux, reactive oxygen species (ROS) generation and lysosomal destabilization.</p></caption>
<graphic xlink:href="IJMM-34-01-0341-g05.gif"/></fig>
<table-wrap id="tI-ijmm-34-01-0341" position="float">
<label>Table I</label>
<caption>
<p>Primers used for qRT-PCR.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Gene</th>
<th align="center" valign="bottom">Forward primer</th>
<th align="center" valign="bottom">Reverse primer</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">NLRP3</td>
<td align="left" valign="top">5&#x02032;-CCTGACCCAAACCCACCAGT-3&#x02032;</td>
<td align="left" valign="top">5&#x02032;-TTCTTTCGGATGAGGCTGCTTA-3&#x02032;</td></tr>
<tr>
<td align="left" valign="top">ASC</td>
<td align="left" valign="top">5&#x02032;-TGAGCAGCTGCAAACGACTA-3&#x02032;</td>
<td align="left" valign="top">5&#x02032;-ACACTGCCATGCAAAGCATC-3&#x02032;</td></tr>
<tr>
<td align="left" valign="top">Caspase-1</td>
<td align="left" valign="top">5&#x02032;-ATGAATCACCAACACCAG-3&#x02032;</td>
<td align="left" valign="top">5&#x02032;-CTTGACGCATCCTAATCC-3&#x02032;</td></tr>
<tr>
<td align="left" valign="top">&#x003B2;-actin</td>
<td align="left" valign="top">5&#x02032;-CCCATCTATGAGGGTTACGC-3&#x02032;</td>
<td align="left" valign="top">5&#x02032;-TTTAATGTCACGCACGATTTC-3&#x02032;</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijmm-34-01-0341">
<p>NLRP3, NOD-like receptor family, pyrin domain-containing 3; ASC, apoptosis-associated speck-like protein containing a caspase recruitment domain (CARD).</p></fn></table-wrap-foot></table-wrap></floats-group></article>
