Original Article

Journal of Cerebral Blood Flow & Metabolism (2009) 29, 1251–1261; doi:10.1038/jcbfm.2009.46; published online 29 April 2009

Therapeutic neutralization of the NLRP1 inflammasome reduces the innate immune response and improves histopathology after traumatic brain injury

Juan Pablo de Rivero Vaccari1,2, George Lotocki1,2, Ofelia F Alonso1,2, Helen M Bramlett1,2, W Dalton Dietrich1,2 and Robert W Keane2,3

  1. 1Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA
  2. 2Department of Neurological Surgery, The Miami Project to Cure Paralysis, University of Miami Miller School of Medicine, Miami, Florida, USA
  3. 3Department of Physiology and Biophysics, University of Miami Miller School of Medicine, Miami, Florida, USA

Correspondence: Dr RW Keane, Department of Physiology and Biophysics, University of Miami Miller School of Medicine, 1600 NW 10th Avenue, Miami, FL 33136, USA. E-mail: rkeane@miami.edu

Received 4 February 2009; Revised 6 April 2009; Accepted 7 April 2009; Published online 29 April 2009.

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Abstract

Traumatic brain injury elicits acute inflammation that in turn exacerbates primary brain damage. A crucial part of innate immunity in the immune privileged central nervous system involves production of proinflammatory cytokines mediated by inflammasome signaling. Here, we show that the nucleotide-binding, leucine-rich repeat pyrin domain containing protein 1 (NLRP1) inflammasome consisting of NLRP1, caspase-1, caspase-11, apoptosis-associated speck-like protein containing a caspase recruitment domain (ASC), the X-linked inhibitor of apoptosis protein, and pannexin 1 is expressed in neurons of the cerebral cortex. Moderate parasagittal fluid-percussion injury (FPI) induced processing of interleukin-1beta, activation of caspase-1, cleavage of X-linked inhibitor of apoptosis protein, and promoted assembly of the NLRP1 inflammasome complex. Anti-ASC neutralizing antibodies administered immediately after fluid-percussion injury to injured rats reduced caspase-1 activation, X-linked inhibitor of apoptosis protein cleavage, and processing of interleukin-1beta, resulting in a significant decrease in contusion volume. These studies show that the NLRP1 inflammasome constitutes an important component of the innate central nervous system inflammatory response after traumatic brain injury and may be a novel therapeutic target for reducing the damaging effects of posttraumatic brain inflammation.

Keywords:

inflammasome, caspase-1 cytokines, innate immunity, traumatic brain injury, interleukins

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