[PDF][PDF] Cell survival and cytokine release after inflammasome activation is regulated by the Toll-IL-1R protein SARM

M Carty, J Kearney, KA Shanahan, E Hams… - Immunity, 2019 - cell.com
M Carty, J Kearney, KA Shanahan, E Hams, R Sugisawa, D Connolly, CG Doran…
Immunity, 2019cell.com
Assembly of inflammasomes after infection or injury leads to the release of interleukin-1β (IL-
1β) and to pyroptosis. After inflammasome activation, cells either pyroptose or enter a
hyperactivated state defined by IL-1β secretion without cell death, but what controls these
different outcomes is unknown. Here, we show that removal of the Toll-IL-1R protein SARM
from macrophages uncouples inflammasome-dependent cytokine release and pyroptosis,
whereby cells displayed increased IL-1β production but reduced pyroptosis …
Summary
Assembly of inflammasomes after infection or injury leads to the release of interleukin-1β (IL-1β) and to pyroptosis. After inflammasome activation, cells either pyroptose or enter a hyperactivated state defined by IL-1β secretion without cell death, but what controls these different outcomes is unknown. Here, we show that removal of the Toll-IL-1R protein SARM from macrophages uncouples inflammasome-dependent cytokine release and pyroptosis, whereby cells displayed increased IL-1β production but reduced pyroptosis. Correspondingly, increasing SARM in cells caused less IL-1β release and more pyroptosis. SARM suppressed IL-1β by directly restraining the NLRP3 inflammasome and, hence, caspase-1 activation. Consistent with a role for SARM in pyroptosis, Sarm1−/− mice were protected from lipopolysaccharide (LPS)-stimulated sepsis. Pyroptosis-inducing, but not hyperactivating, NLRP3 stimulants caused SARM-dependent mitochondrial depolarization. Thus, SARM-dependent mitochondrial depolarization distinguishes NLRP3 activators that cause pyroptosis from those that do not, and SARM modulation represents a cell-intrinsic mechanism to regulate cell fate after inflammasome activation.
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