Abstract
Caspase-1-mediated IL-1β production is generally controlled by two pathways. Toll-like receptors (TLRs) recognize pathogen-derived products and induce NF-κB-dependent pro-IL-1β transcription; NOD-like receptors (NLRs) assemble caspase-1-activating inflammasome complexes that sense bacterial products/danger signals. Through a targeted chemical screen, we identify bromoxone, a marine natural product, as a specific and potent inhibitor of the caspase-1 pathway. Bromoxone is effective over diverse inflammatory stimuli including TLR ligands plus ATP/nigericin, cytosolic DNA, flagellin and Bacillus anthracis lethal toxin. Bromoxone also efficiently suppresses caspase-1 activation triggered by several types of bacterial infection. Bromoxone acts upstream or at the level of the inflammasome in a transcription-independent manner. Bromoxone also inhibits pro-IL-1β expression by targeting components upstream of IKK in the TLR-NF-κB pathway. The unique dual activities of bromoxone are shared by the known TAK1 inhibitor that specifically blocks Nalp3 inflammasome activation. Hinted from the mechanistic and pharmacological properties of bromoxone, we further discover that several known NF-κB inhibitors that act upstream of IKK, but not those targeting IKK or IKK downstream, are potent blockers of different NLRs-mediated caspase-1 activation. Our study uncovers a possible non-transcriptional molecular link between the NLR (Nalp3)-mediated inflammasome pathway and TLR-NF-κB signaling, and suggests a potential strategy to develop new anti-inflammatory drugs.
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Introduction
The innate immunity system recognizes a wide range of pathogen-derived products, collectively called pathogen-associated molecular patterns (PAMPs), thereby initiating inflammatory responses by secreting cytokines and chemokines. One of the most important inflammatory cytokines secreted by macrophages is IL-1β, and excessive IL-1β production is associated with immune disorders such as Muckle-Wells syndrome, familial cold urticaria, and chronic infantile neurological cutaneous and articular syndrome 1, 2. IL-1β is first synthesized as an inactive precursor pro-IL-1β 3. Pro-IL-1β is transcriptionally upregulated upon sensing of PAMPs by Toll-like receptors (TLRs), a class of membrane-associated pattern-recognition receptors 4, 5, 6. For example, bacterial lipopolysaccharide (LPS) and flagellin are recognized by TLR4 and TLR5, respectively, whereas single-stranded viral RNA is the natural ligand of TLR7/TLR8.
Pro-IL-1β transcription is controlled by the NF-κB pathway downstream of TLRs. NF-κB is critical for many innate immunity and death/survival-related cellular processes 7, 8. Engagement of TLRs by PAMPs triggers the sequential activation of the TAK1 and IKK kinase complexes. Activated IKK complex in turn phosphorylates IκB family of NF-κB inhibitors. Phosphorylated IκB proteins are then ubiquitinated and degraded in the proteasome, which releases the NF-κB dimer into the nucleus to turn on gene expression. The NF-κB pathway has been heavily explored as a promising drug target, and many chemical inhibitors of NF-κB activation have been discovered or developed (www.nf-kb.org).
Pro-IL-1β, as well as IL-18, is processed into the mature form by caspase-1 9, 10. Active caspapse-1 consisting of two heterodimers of p20 and p10 subunits is generated from the p45 precursor through autocatalytic cleavage 11. Inflammatory stimuli induce autoprocessing and activation of caspase-1 through large cytoplasmic complexes called inflammasomes 2. Assembly of the inflammasome is mediated by another family of pattern-recognition receptors known as NOD-like receptors (NLRs) 12, 13. The inflammasome not only senses microbial products, but also recognizes danger signals such as extracellular ATP and monosodium urate microcrystals that could be generated upon tissue injury or other pathological dysfunctions. The best-studied NLR protein Nalp3 (also called NLRP3 or cryopyrin) functions together with the adaptor ASC to mediate caspase-1 activation in response to diverse stimuli including TLR ligands plus extracellular ATP 14, 15, lysosomal damage triggered by insoluble materials such as silica, asbestos, amyloid-β, urate crystals and aluminum 16, 17, 18, 19, 20, 21, and viral nucleic acid 22. It has been recently suggested that the TLR signaling licenses the Nalp3 inflammasome activation through NF-κB-dependent transcriptional upregulation of Nalp3 17, 21, 22, 23, 24, 25, 26, 27, 28. The IPAF (also known as NLRC4) inflammasome perceives cytosolic flagellin and induces caspase-1 activation in ASC-independent manner 27, 29. The Nalp1b inflammasome in mouse macrophages responds to the metalloprotease activity of Bacillus anthracis lethal toxin (LT) 30. The non-NLR protein AIM2 serves as a receptor for cytosolic dsDNA and activates caspase-1 through ASC 25, 28, 31, 32, 33, 34.
Bacterial infection of macrophages also triggers caspase-1 activation. Salmonella, Legionella and Pseudomonas aeruginosa all can stimulate the IPAF inflammasome activation 27, 35, 36, 37, 38, 39, 40, 41, 42. Legionella-induced caspase-1 activation involves an additional NLR protein NAIP5 (also called Birc1e) 29, 39, 43. Depending on the multiplicity of infection, Shigella flexneri activates the IPAF or Nalp3 inflammasome 44, 45. Present understandings about inflammasome-mediated caspase-1 activation are largely derived from genetic studies in mice, and signaling events downstream of different inflammatory stimuli to inflammasome assembly/activation are poorly understood.
In this study, we employ small molecules-based chemical approaches to probe the caspase-1 pathway. We identify bromoxone, a potent marine natural product inhibitor of caspase-1 activation and inflammatory cell death triggered by diverse stimuli in human and mouse macrophages. Our investigation of pharmacological properties of bromoxone reveals a possible non-transcriptional control of Nalp3 inflammasome activation by the TLR-NF-κB axis, which requires the TAK1 kinase in the case of TLR-stimulated Nalp3 activation. Similarly to bromoxone that efficiently suppresses inflammation induced by multiple types of bacterial infection, several known NF-κB inhibitors acting upstream of IKK are further identified as potent inhibitors of the inflammasome pathway. Our study suggests a potential strategy to develop new anticaspase-1 activation agents using the existing pool of NF-κB inhibitors.
Results
Identification of bromoxone as a potent caspase-1 pathway inhibitor
Inspired by the universal role of phosphorylation in signal transduction, we started our chemical screen by testing effects of a panel of 24 frequently used kinase inhibitors (Supplementary information, Table S1) on Nalp3-mediated caspase-1 activation triggered by LPS plus ATP (LPS/ATP) in THP-1 cells. We also included several other interesting compounds in the screen including a widely used necrosis inhibitor necrostatin-1, a mitochondrial division inhibitor Mdivi-1, an immunosuppressant cyclosporin A that targets mitochondrial cyclophilin as well as an unknown-function marine natural product known as bromoxone (bromoxone refers to bromoxone 1 illustrated in Figure 1A hereafter) 46, 47, 48. None of the kinase inhibitors except for AKT inhibitor IV (compound 4 in Figure 1B) prevented LPS/ATP-induced caspase-1 activation in THP-1 cells (Figure 1B; Supplementary information, Figure S1). However, this inhibitor caused massive cell death within 1 h of drug administration (data not shown), and another AKT inhibitor Triciribine failed to suppress caspase-1 activation (compound 5 in Figure 1B). Unexpectedly, we found that bromoxone could efficiently block caspase-1 activation at the concentration of about 1 μM (Figure 1B and 1C). Bromoxone did not block staurosporine-induced apoptosis and caspase-3 activation (Figure 1D), and had little effects on the viability of THP-1 cells (Figure 1E; Supplementary information, Figure S2), even at a higher concentration of 2.5 μM. The specific activity of bromoxone on inflammasome activation was verified by a microscopy-based assay using a cell-permeable caspase-1 fluorescent substrate (Figure 1F).
Bromoxone blocks inflammatory cell death and formation of the ASC pyroptosome without inhibiting reactive oxygen species (ROS) production
LPS/ATP-stimulated Nalp3 inflammasome activation triggers a necrotic cell death response 13. Using the Trypan blue staining assay reporting cell membrane integrity, we found that bromoxone completely blocked LPS/ATP-triggered cell death (Figure 2A). Consistently, release of two classical indicators of necrotic cell death, lactate dehydrogenase (LDH) and HMGB1, was also reduced to the control level by bromoxone treatment (Figure 2B and 2C). Thus, bromoxone could inhibit LPS/ATP-stimulated cell death in addition to blocking caspase-1 activation.
LPS/ATP-triggered inflammasome activation features formation of the so-called pyroptosome structure, a large supramolecular assembly of ASC that is believed to mediate caspase-1 activation 10, 49, 50. Immunostaining of the endogenous ASC in THP-1 cells showed that the LPS/ATP-triggered ASC pyroptosome formation was completely abolished by bromoxone (Figure 2D). The absence of the pyroptosome staining is not because of bromoxone inhibition of cell death because we have another unreported compound that can block cell death, but not formation of the ASC pyroptosome structure (data not shown). Thus, bromoxone inhibition of LPS/ATP-triggered Nalp3 inflammasome activation likely occurs upstream of ASC. ROS production is associated with caspase-1 activation and has been suggested to be upstream of LPS/ATP-triggered Nalp3 inflammasome assembly. However, bromoxone did not inhibit ATP-induced ROS production in THP-1 (Figure 2E) and J774 cells (Supplementary information, Figure S3).
Activities of several bromoxone analogues
To gain insights into the structure-activity relationship (SAR) of bromoxone, we synthesized several related analogues including bromoxone acetate 2, ent-bromoxone 3, bromoxone isomer 4 and ent-bromoxone isomer 5 (Figure 3A) based on our previously reported protocols 51, 52. Structural validation and NMR spectra of these derivatives are described in Supplementary information, Data S1. Similarly to bromoxone, none of these derivatives showed detectable toxic effects on THP-1 cells (Supplementary information, Figure S2B and S2C). In contrast to ent-bromoxone 3, bromoxone isomer 4 and ent-bromoxone isomer 5 (Figure 3B), bromoxone acetate 2 (Ac-bromoxone) largely lost the activity of inhibiting LPS/ATP-stimulated caspase-1 processing (Figure 3C) and cell death (data not shown) at the same dose used for bromoxone. The SAR was confirmed by measuring the IC50 of bromoxone (∼0.17 μM) and its derivatives using the IL-1β ELISA assay (Figure 3D). These data suggest that the free hydroxyl moiety in bromoxone is critical for its anti-inflammatory function of inhibiting macrophage caspase-1 activation and the stereochemistry appears not to be important.
We also determined whether bromoxone pretreatment alone was sufficient to inhibit caspase-1 processing. THP-1 cells pretreated with bromoxone for 1.5 h were washed for three times with serum-free medium. Under this condition, further addition of LPS/ATP failed to induce caspase-1 activation (Figure 3E). This indicates that bromoxone likely functions in a chemically irreversible manner.
Bromoxone is a broad-spectrum inhibitor for different inflammasome-mediated caspase-1 activation
The Nalp3 inflammasome responds to multiple TLR ligands. Bromoxone, but not Ac-bromoxone, could similarly block caspase-1 activation triggered by the TLR1/2 agonist Pam3CSK4 or TLR7 agonist R848 and ATP (Figure 4A and 4B). Bromoxone efficiently suppressed caspase-1 autoprocessing induced by LPS plus nigericin, a toxin triggering cytosolic potassium efflux (Figure 4C). Crystal or particle uptake such as in the case of aluminum adjuvant (alum) treatment is another signal that induces Nalp3 inflammasome activation through lysosomal disruption 20. Again, bromoxone, but not Ac-bromoxone, was effective in blocking caspase-1 activation induced by a lysosome-damaging dipeptide Leu-Leu-OMe (Figure 4D). We further examined the effects of bromoxone on high-concentration PMA-differentiated THP-1 cells that do not require TLR engagement. Consistently, bromoxone blocked IL-1β maturation in response to various stimuli including ATP, nigericin, alum and Leu-Leu-OMe (Figure 4E). These results establish that bromoxone is a general inhibitor of the Nalp3 inflammasome pathway independent of TLR ligand priming.
Moreover, bromoxone blocked caspase-1 processing triggered by transfection of purified flagellin (Figure 4F). Lethal toxin treatment of J774 mouse macrophages or bone marrow macrophages (BMMs) that harbor a functional Nalp1b allele induced prominent caspase-1 activation, and this activation was sensitive to bromoxone treatment (Figure 4G). Bromoxone was also effective over the AIM2 inflammasome-mediated caspase-1 activation triggered by transfection of plasmid DNA or the synthetic poly (dA:dT) (Figure 4H). Ac-bromoxone was inactive in all three assays described above (Figure 4F-4H). Thus, bromoxone is broad-spectrum and blocks caspase-1 activation mediated by diverse NLR proteins, which is different from the type 2 diabetes drug glyburide that is specific for the Nalp3 inflammasome 53. These data together also implicate the existence of a common signaling component/mechanism shared by stimuli of different NLRs.
Bromoxone is not a direct caspase-1 inhibitor and does not affect other cellular processes
Several lines of evidence suggest that bromoxone is unlikely to be a direct caspase-1 inhibitor. Bromoxone treatment completely abolished the ASC pyroptosome formation that is considered to be upstream of caspase-1 activation (Figure 2D). Spontaneous caspase-1 activation in THP-1 cell extracts, though sensitive to the caspase-1-specific inhibitor FMK-YVAD, was resistant to bromoxone (Figure 5A). Cleavage of pro-IL-1β by caspase-1 activated in THP-1 cell extracts was not affected by the presence of bromoxone (Figure 5B). Bromoxone had no effects on auto-activation of caspase-1 that resulted from over-production in 293T cells (Figure 5C). Finally, bromoxone failed to block caspase-1 activation mediated by Nalp3 and AIM2 inflammasome partially reconstituted in 293T cells (Figure 5D). Thus, we conclude that bromoxone is not a direct caspase-1 inhibitor.
Moreover, bromoxone caused no DNA damages and had no visible effects on actin cytoskeleton structure and normal morphologies of several intracellular organelles including mitochondria, endoplasmic reticulum and Golgi apparatus (Supplementary information, Figure S4).
Bromoxone inhibits the NF-κB pathway activation upstream of IKK
IL-1β maturation and secretion is a key event downstream of inflammasome-mediated caspase-1 activation. As expected, production of mature IL-1β (p17) upon LPS/ATP stimulation was largely diminished by bromoxone (Figure 6A). Interestingly, level of the precursor pro-IL-1β (p31) in the cell culture supernatant was also dramatically decreased (Figure 6A). Consistently, bromoxone markedly blocked intracellular pro-IL-1β expression stimulated by TLR ligands including LPS, Pam3CSK4 and R848 in the absence of ATP (Figure 6B). The NF-κB pathway signals TLR activation to pro-IL-1β transcription 54, and a known IKK inhibitor BMS345541 totally abolished pro-IL-1β expression induced by any of the three PAMPs (Figure 6B). These data suggest that bromoxone is an inhibitor of the NF-κB signaling downstream of TLR stimulation. We also examined the effects of bromoxone on anisomycin- and PMA-stimulated phosphorylation of c-Jun N-terminal kinases (JNK) and extracellular signal-regulated kinases (Erk1/2), respectively, and found that bromoxone did not inhibit mitogen-activated protein kinase (MAPK) pathways (Supplementary information, Figure S5A and S5B).
The ubiquitin-proteasome system is critical for activation of the NF-κB signaling. However, bromoxone did not exhibit any inhibitory activity on the ubiquitin-proteasome pathway (Supplementary information, Figure S5C and S5D). We then checked several critical signaling steps in the NF-κB pathway. LPS treatment of THP-1 cells induced a striking p65 nuclear translocation, which was completely inhibited by bromoxone (Figure 6C). Degradation of IκBα upstream of p65 nuclear translocation was also inhibited by bromoxone in LPS-stimulated THP-1 cells (Figure 6D) as well as in TNFα-treated 293T (Figure 6E). Bromoxone did not affect the activity of IKKβ kinase to phosphorylate IκBα (Figure 6E). These data suggest that bromoxone likely targets components upstream of the IKK complex to block the NF-κB signaling.
Notably, similarly to that observed with inhibiting inflammasome-mediated caspase-1 activation, acetylation of the hydroxyl group in bromoxone eliminated its activity in blocking PAMPs-induced pro-IL-1β upregulation (Figure 6B) and NF-κB activation (p65 nuclear translocation and IκBα degradation) (Figure 6C-6E).
Bromoxone blocks Nalp3 inflammasome activation independently of its inhibition of NF-κB-dependent transcription
In mouse BMM cells, activation of the Nalp3 inflammasome requires TLR engagement (Figure 7A) and TLR-NF-κB-mediated transcription 23, 55. IL-1β maturation induced by ATP, nigericin, alum, or Leu-Leu-OMe in high-concentration PMA- differentiated THP-1 cells, which does not involve TLR stimulation, was still sensitive to bromoxone treatment (Figure 4E). This indicates that bromoxone inhibition of inflammasome activation is not due to the block of NF-κB-dependent transcription. To further test this idea, we first treated mouse macrophages with LPS for 3 h and drugs were added for 15 min prior to the 30-min pulse of ATP. Following this drug administration scheme, both the protein synthesis inhibitor CHX and bromoxone had little effects on LPS-stimulated and NF-κB-dependent TNFα and Nalp3 expression (Figure 7B). However, only bromoxone, but not CHX, was still able to block caspase-1 activation efficiently (Figure 7B).
Further supporting the above hypothesis is bromoxone inhibition of Nalp3 inflammasome activation in the THP-1 cell system (Figure 1B). Different from that in mouse BMM cells, LPS stimuli does not upregulate Nalp3 expression and LPS-induced ASC pyroptosome formation is not affected by CHX block of translation in THP-1-derived macrophage cells 49, 56. Thus, THP-1 cells appear to express high-level Nalp3 constitutively and can bypass the requirement of NF-κB-stimulated Nalp3 expression, a scenario similar to UV irradiation-induced Nalp3/Asc inflammasome activation in keratinocytes 57. Consistent with this idea, CHX at 160 μM showed little inhibitions on LPS/ATP-triggered caspase-1 activation although it blocked NF-κB-dependent pro-IL-1β expression at much lower concentrations (Figure 7C). However, LPS priming is still required for ATP-triggered caspase-1 activation in THP-1 cells, and a specific TLR4 inhibitor (Supplementary information, Figure S6) efficiently blocked this activation (Figure 7D) 58, 59. Thus, the effectiveness of bromoxone in THP-1 cells supports the idea that it blocks Nalp3 inflammasome activation in a manner independent of its inhibition of NF-κB-dependent transcription.
TAK1, but not the downstream NF-κB signaling, controls Nalp3 inflammasome activation in a transcription-independent manner
The fact that bromoxone blocks IKK-upstream NF-κB signaling as well as Nalp3 inflammasome activation in a transcription-independent manner prompted us to examine a panel of established NF-κB inhibitors (Figure 7G) using the THP-1 system. CAPE and JSH-23 block nuclear translocation of the NF-κB dimer; MG132 suppresses IκBα degradation; BMS345541 and wedelolactone are two well-established IKK inhibitors 60, 61 and 5Z-7-oxozeaenol is a TAK1-specific inhibitor. As expected, all the inhibitors blocked NF-κB-dependent pro-IL-1β expression (Figure 7E). Significantly, inhibitors that target IKK or its downstream (CAPE, JSH-23, MG-132, BMS345541 and wedelolactone) had little effects on LPS/ATP-induced caspase-1 activation (Figure 7E), confirming that THP-1 cells do not require NF-κB-dependent transcription for Nalp3 inflammasome activation. In contrast, the TAK1 inhibitor 5Z-7-oxozeaenol exhibited an efficient inhibitory activity on LPS/ATP-stimulated caspase-1 activation (Figure 7E). Consistently, knockdown of TAK1 by TAK1-specific siRNA in THP-1 cells attenuated LPS/ATP-triggered caspase-1 activation (Figure 7F). These data suggest that TAK1, but not downstream NF-κB pathway components, is essential for TLR4-sensitized Nalp3 inflammasome activation in THP-1 cells.
We further investigated the role of TAK1 in inflammasome activation induced by other stimuli. As shown in Figure 8A, 5Z-7-oxozeaenol efficiently blocked caspase-1 activation triggered by LPS plus nigericin, alum or Leu-Leu-OMe. 5Z-7-oxozeaenol was also effective in inhibiting caspase-1 activation induced by ATP plus other TLR ligands including Pam3CSK4 and R848 (Figure 8B) as well as TNFR ligand TNFα (data not shown). Different from bromoxone, 5Z-7-oxozeaenol showed little inhibitions on TLR-independent caspase-1 activation such as that mediated by DNA transfection, anthrax lethal toxin and bacterial flagellin stimuli (Figure 8C). Thus, 5Z-7-oxozeaenol appears to be a specific inhibitor for the Nalp3 inflammasome pathway. All the 5Z-7-oxozeaenol-sensitive inflammasome stimuli require TAK1 to activate downstream NF-κB signaling. Similarly to bromoxone, inhibition of Nalp3 inflammasome by 5Z-7-oxozeaenol was independent of NF-κB-dependent transcription as shown by using the “post-LPS” drug administration scheme (Figure 8D). Thus, we have identified two inhibitors, bromoxone and the TAK1-specific 5Z-7-oxozeaenol, both of which are IKK-upstream NF-κB pathway blockers and efficiently inhibit Nalp3 inflammasome activation in a transcription-independent manner.
We were curious about whether bromoxone could directly target TAK1. Addition of purified TAK1/TAB1 complex induces IKK-dependent phosphorylation of IκBα in cell-free extracts 62, but this was not inhibited by bromoxone (Supplementary information, Figure S7A). Bromoxone did not affect the TAK1/TAB1/TAB2 complex formation in a co-immunoprecipitation assay (Supplementary information, Figure S7B). These suggest that TAK1 is unlikely to be the direct target of bromoxone and confirm that bromoxone acts upstream of IKK.
Block of bacterial infection-triggered inflammasome activation by bromoxone and potential pharmacological implications
Given that bromoxone is a potent and broad-spectrum inhibitor of the inflammasome/caspase-1 pathway, we examined whether it is effective in inhibiting bacterial infection-induced caspase-1 activation. Legionella pneumophila infection of lung macrophages causes Legionnaire's disease with pneumonia symptoms 63, 64. Infection of mouse BMM cells with wild-type L. pneumophila (lp02), but not the type IV secretion-deficient mutant (lp03), induced evident caspase-1 activation 38, 43. Similarly, diarrhea-causing enteric bacteria EPEC and S. flexneri infection also induce caspase-1 activation in a manner dependent of their type III secretion systems. Bromoxone, but not Ac-bromoxone, efficiently suppressed caspase-1 activation induced by L. pneumophila, EPEC and Shigella infection (Figure 9A-9C). Bromoxone did not affect the viability of the three pathogens along the infection course (Supplementary information, Figure S8). These results demonstrate the potent anti-inflammatory activity of bromoxone in protecting macrophages from pathogen infection-triggered caspase-1 activation.
Both bromoxone and 5Z-7-oxozeaenol, the two inflammasome pathway inhibitors we identified, target the TLR-NF-κB signaling upstream of the IKK complex. This promoted us to explore the possibility of identifying more inflammasome pathway inhibitors from the existing pool of NF-κB blockers. BAY-11-7082 inhibits the cytokine-inducible IκBα phosphorylation without affecting the IKK kinase activity 65; sanguinarine completely blocks IκBα phosphorylation and degradation induced by TNF and IL-1, but not that by H2O2 and ceramide 66. As expected, both drugs did not inhibit the kinase activity of IKKβ (Figure 9D). Notably, BAY-11-7082 and sanguinarine shared the activity of bromoxone in inhibiting caspas-1 activation and pro-IL-1β expression in LPS/ATP-treated THP-1 cells at the concentration previously used to block the NF-κB pathway (Figure 9E). The two drugs also blocked or attenuated LPS/ATP-induced cell death responses (Figure 9F). Interestingly, BAY-11-7082 and sanguinarine blocked DNA transfection- and flagellin-induced caspase-1 activation, and BAY-11-7082 could also block lethal toxin-triggered caspase-1 activation (Figure 9G). Thus, these results serve as a proof of principle for the feasibility of pharmacological dissection of the inflammasome signaling and development of new anti-inflammatory drugs using the existing pool of NF-κB pathway inhibitors.
Discussion
Inflammasome activation triggered by TLR ligands was originally thought to be independent of TLR and its downstream NF-κB signaling. The concept has been revised by two recent studies proposing that the TLR-NF-κB pathway licenses Nalp3 inflammasome assembly by transcriptionally upregulating Nalp3 expression 23, 55. Here, we provide three lines of evidence that raise a possible new hypothesis that the TLR-NF-κB axis also directly signals inflammasome activation in addition to the regulation through gene transcription. First, we showed that bromoxone could block LPS/ATP-stimulated caspase-1 activation without disturbing the NF-κB-responsive gene expression in mouse BMM cells. Second, the LPS-TLR4-NF-κB signaling is essential for Nalp3 activation in THP-1 cells that have bypassed the requirement of NF-κB-dependent transcription. Third, among a collection of the TLR-NF-κB pathway inhibitors, only those acting upstream of the IKK complex were found to suppress LPS/ATP-stimulated caspase-1 activation. The above hypothesis is further extended by our identification of TAK1 as a new signaling component specifically mediating TLR-induced non-transcriptional activation of the Nalp3 inflammasome. As for the role of TAK1 in Nalp3 activation, one possible idea is that TAK1, in response to TLR4 activation, may directly phosphorylate Nalp3 or another critical component in the Nalp3 complex such as the newly identified TXNIP protein 67.
The mode of the possible non-transcriptional regulation by the TLR-NF-κB axis is likely unique to Nalp3 inflammasome activation. Activation of the Nalp1b inflammasome by anthrax lethal toxin does not require any TLR and NF-κB-dependent gene transcription. Neither TLR5 (the flagellin sensor) nor TLR9 (the DNA sensor) plays a role in the IPAF and AIM2 inflammasome activation, respectively. The TAK1 inhibitor 5Z-7-oxozeaenol could not inhibit either lethal toxin- or flagellin- induced caspase-1 activation.
Bromoxone is a new chemical inhibitor of the inflammasome caspase-1 pathway. ASC is the only known component required for multiple NLRs to mediate caspase-1 activation 2. However, bromoxone could block ASC-independent and IPAF-mediated caspase-1 activation; the Nalp3-ASC and AIM2-ASC-caspase-1 pathways reconstituted in 293T cells escaped from inhibition by bromoxone; and ASC does not play a role in the NF-κB signaling branch that is sensitive to bromoxone. These lines of evidence rule out the possibility of ASC as the target of bromoxone. We speculate that bromoxone may target a yet-to-be-identified “common” signaling step that is shared among NLR-mediated inflammatory responses and serves as a converging point downstream of different inflammatory stimuli. This would be reminiscent of signaling events downstream of different TLRs that share signaling components such as the Myd88/TRIF family of adaptors. Alternatively, bromoxone may target an unknown signal that is parallel to the ligand-NLR-caspase-1 pathway and serves as a “gatekeeper” for inflammasome-mediated caspase-1 activation. Our ongoing efforts of identifying the direct target(s) of bromoxone by affinity purification will most likely provide new components in the inflammasome pathway.
Anti-inflammation drugs are popularly used to treat conditions such as sepsis or some autoimmune diseases. For sepsis that usually involves or is exaggerated by extensive microbial infection, drugs capable of decreasing the systemic inflammation are often prescribed as a supplement to antibiotics treatment and surgical drainage/replacement of infected fluid. Several autoimmune diseases are caused by or associated with mutations in NLR genes. For example, mutations in Nalp3 are associated with Muckle-Wells syndrome, familial cold urticaria, and chronic infantile neurological cutaneous and articular syndrome 1, 2. These diseases are caused by the upregulated inflammatory response characterized by excessive IL-1β secretion. Here, we identify bromoxone, as well as TAK-242, 5Z-7-oxozeaenol, sanguinarine and BAY-11-7082, all of which can simultaneously suppress both NF-κB-dependent gene transcription and inflammasome activation. In addition, bromoxone efficiently blocked caspase-1 activation triggered by multiple types of bacterial infection; intraperitoneally injected bromoxone alleviated the loss of body weight for mice overloaded with LPS (data not shown). It is also worth mentioning that TAK-242 was under development for treating severe sepsis (Takeda Pharmaceutical Company Limited). Therefore, blocking caspase-1 activation by targeting the NF-κB signaling pathway upstream of IKK might represent a potentially better strategy to develop new anti-inflammatory or antisepsis drugs. For Nalp3 gain-of-function autoimmune diseases, the present therapeutic strategy is mainly to inhibit the function of IL-1β, such as using the IL-1βR antagonist anakinra (“Kineret” by Amgen Inc.). However, excessive IL-1β only partially contributes to the pathogenesis of these diseases, and disease symptoms observed in the mouse model (Nalp3 mutants knockin) are fully rescued by additional ASC knockout 68, 69. These results suggest that drugs targeting caspase-1 activation like bromoxone-type of inflammasome pathway inhibitors might be more effective in treating such autoimmune disorders. Finally, our studies also suggest a possible new strategy to develop anti-caspase-1 activation drugs using the existing large pool of NF-κB inhibitors.
Materials and Methods
Ethics statement
All animal experiments were conducted following the “Ministry of Health” national guidelines for housing and care of laboratory animals and performed in accordance with institutional regulations after review and approval by the Institutional Animal Care and Use Committee at National Institute of Biological Sciences.
Plasmids, antibodies and reagents
Pro-caspase-1, pro-IL-1β, hNalp3 and ASC plasmids were kindly provided by Dr Xiaodong Wang (University of Texas Southwestern Medical Center, USA). AIM2 construct was a gift from Dr Katherine A Fitzgerald (University of Massachusetts Medical School, USA). cDNAs for IKKβ, TAK1 and TAB1 have been recently described 62.
Antibodies for caspase-1, IκBα, Erk and p65 were obtained from Santa Cruz Biotechnology. JNK, phospho-JNK, phospho-IκBα, phospho-Erk, γH2A.X and caspase-3 antibodies were purchased from Cell Signaling Technology. The rabbit polyclonal Nalp3 antibody was raised against Nalp3 pyrin domain (amino acids 1-94). The specificity of the antibody was validated using the Nalp3-/- mice. Other antibodies used in this study include: TAK1 (provided by Philip Cohen, University of Dundee), ASC (Alexis), KDEL (Stressgen), actin (Sigma), GM130 (BD), IL-1β (3ZD; Biological Resources Branch, National Cancer Institute, Frederick, MD, USA).
PAMPs and other stimuli used in this study were LPS (Sigma), Pam3CSK4 (InvivoGen), R848 (InvivoGen), ATP (Sigma), Leu-Leu-OMe (Chem-Impex International), poly (dA:dT) (Sigma), Salmonella flagellin (InvivoGen), Profect P1 (Targeting Systems) and Nigericin (Calbiochem). All chemical inhibitors used for initial screen are listed in Supplementary information, Table S1 except for BAY-11-7082 (Biomol), sanguinarine (Hitsanns), BMS345541 (Sigma), MG132 (Sigma), MG115 (Calbiochem), 5Z-7-oxozeaenol (Calbiochem), JSH-23 (Tocris), CAPE (Tocris), TAK-242 (InvivoGen) and wedelolactone (Sigma). Cell culture products were from Invitrogen and all other chemicals were Sigma-Aldrich products unless noted.
Synthesis of bromoxone and its analogues
The synthesis of bromoxone and its analogues was based on previously reported protocols 51, 52, and the experimental details and structural validation data are included in Supplementary information, Data S1.
siRNA transfection in THP-1 cells
The SMARTpool siRNA targeting human TAK1 was purchased from Dharmacon. The scramble siRNA (5′-AAG GCC AGA CGC GAA UUA UdT dT-3′) was used as a control. Lipofectamine RNAiMax (Invitrogen) was used for siRNA transfection. Briefly, 3 × 105 THP-1 cells were differentiated by 50 nM PMA overnight (12-well form). 1 μl of 20 μM siRNA was then transfected by 2 μl of lipofectamine RNAiMax for each well (The final siRNA concentration is 40 nM). At 60 h after transfection, the knockdown efficiency and caspase-1 activation were monitored by western blot. Amaxa nucleofector transfection protocol essentially follows the manufacturer's instruction. At 48 h after transfection, THP-1 cells were differentiated by 50 nM PMA for additional 12 h prior to the time of indicated assays.
Cell culture and immunofluorescence microscopy
293T and HeLa cells obtained from ATCC were grown in Dulbecco's modified Eagle's medium containing 10% fetal bovine serum and 2 mM L-glutamine at 37 °C in a 5% CO2 incubator. THP-1 cells also obtained from ATCC were grown in RPMI 1640 containing 10% fetal bovine serum and 2 mM l-glutamine at 37 °C. Normally, 50 nM PMA was used to differentiate THP-1 cells for 24-36 h. Vigofect (Vigorous) was used for plasmid transfection in 293T cells. BMMs derived from C57BL/6, TLR-deficient C57BL/10ScNJ (The Jackson Laboratory) and 129 mice were prepared as previously described 30. Immortalized macrophage line derived from C57BL/6 mice was kindly provided by Dr Katherine A Fitzgerald.
Following the treatment, cells were fixed by 4% paraformaldehyde (Electron microscopy sciences) and permeabilized by 0.5% Triton X-100. After blocking with 1% BSA for 1 h, cells were stained with indicated antibodies for 1-2 h. After three washes with PBS, cells were stained with Alexa Fluor 488/546-conjugated secondary antibodies (Invitrogen) for another hour. DAPI (Invitrogen), Rhodamine-Phalloidin (Invitrogen), Mitotracker (Invitrogen), caspase-1 substrate FAM-YVAD-FMK (ImmunoChemistry Technologies) were used to stain nuclei, filamentous actin, mitochondria, and active caspase-1, respectively, following the manufacturer's instruction. Images were recorded on a Nikon fluorescence microscope.
Caspase-1 activation and cell death stimulated by PAMPs or bacterial infection
For PAMPs stimulation in the presence of ATP, PMA-differentiated THP-1 cells were stimulated with LPS (5 μg/ml), Pam3CSK4 (2 μg/ml), or R848 (2 μg/ml) for 3-4 h and then pulsed with 5 mM ATP for 30 min in serum-free medium. Procedures for LPS/nigericin stimulation, flagellin transfection, dsDNA transfection and anthrax lethal toxin induced caspase-1 activation in THP-1 cells or BMMs were the same as previously described 14, 27, 28, 30. For pathogen-triggered caspase-1 activation, BMMs were infected for 8 h by S. flexneri 2457T expressing an adhesion factor (Afa E), L. pneumophila strains (Lp02 or type IV secretion-deficient Lp03), or EPEC E2348/69 strains (WT or type III secretion-deficient cfm-14 mutant) at the MOI of 50, 10, 20, respectively. For Shigella and EPEC infections, gentamicin (200 μg/ml) was added to cultures 2 h after infection. To examine caspase-1 activation, we collected supernatants of the above cell cultures and subjected them to TCA precipitation followed by anticaspase-1 immunoblotting. To measure cell death, we stained cells with Trypan blue in PBS for 2 min at room temperature, and then observed under a microscope. Alternatively, the supernatant was collected for the LDH assay (Promega) by following the manufacturer's protocol or analyzed by anti-HMGB1 immunoblotting. Each drug was added to cells upon exposure to the inflammatory stimuli. The concentration of each compound used was as follows unless noted: bromoxone (2.5 μM), Ac-bromoxone (2.5 μM), MG132 (50 μM), MG115 (50 μM), BMS345541 (50 μM), wedelolactone (40 μM), BAY-11-7082 (30 μM), sanguinarine (5 μM), TAK-242, (20 μM), JSH-23 (50 μM), CAPE (50 μM), 5Z-7-oxozeaenol (1 μM) and etoposide (40 μM).
Caspase-1 activation in cell extracts and reconstituted caspase-1 activation in 293T cells
In vitro caspase-1 activation in cell extracts was essentially similar as previously described 10. Briefly, THP-1 cells were harvested and swelled in 3-4 volumes of ice-cold hypotonic buffer (20 mM HEPES-KOH (pH 7.5), 10 mM KCl, 1.5 mM MgCl2, 1 mM EDTA, 1 mM EGTA, 0.1 mM PMSF and the Roche protease inhibitor cocktail). The cellular membrane was then disrupted by 25 times of passage through a 22-gauge needle. Cell lysates were sequentially centrifuged at 3 000 r.p.m. for 5 min and 13 000 r.p.m. for 15 min. Supernatants were incubated at 30 °C, and caspase-1 activation was measured by western blot.
AIM2-ASC-caspase-1 activation reconstituted in 293T cells was performed as described 25. In brief, 100 ng procaspase-1, 3 μg pro-IL-1β, 100 ng ASC and 2 μg AIM2 expression plasmid were transfected into 293T cells (six-well plate format). The Nalp3-ASC-caspase-1 reconstitution experiment was performed similarly except that 2 μg Nalp3 expression plasmid was used. Cells were harvested 26 h after transfection and lysed by RIPA buffer. The lysates were blotted using the IL-1β antibody.
NF-κB pathway assays and ROS measurements
PMA-differentiated THP-1 cells were stimulated with LPS (5 μg/ml), Pam3CSK4 (2 μg/ml) or R848 (2 μg/ml) for 3 h. Cells were lysed and analyzed by IL-1β immunoblotting. To examine IκBα degradation and p65 translocation, we stimulated cells with LPS (5 μg/ml) for 0.5 and 1 h, respectively. Cell extract-based NF-κB reconstitution have been recently described 62, and 200-500 ng of TAK1/TAB1 complex immunopurified from 293T cells was added into cell extracts (20 μl) to stimulate IκBα phosphorylation. In vitro phosphorylation of recombinant GST-IκBα by immunopurified Flag-IKKβ was carried out as recently described 62.
ROS production was measured by using the ROS-specific fluorescent probe 2′7′-dichlorofluorescin diacetate (H2DCFDA; Sigma). Briefly, cells were loaded with 10 μM H2DCFDA for 10 min, washed twice with PBS and then exposed to ATP for 30 min or other drug treatments as indicated. The live cells were subjected to FACS analysis for ROS production.
Cell viability and IL-1β ELISA assays
PMA-differentiated THP-1 cells were seeded into 96-well plates. After indicated stimulations or drug treatments, the culture media were collected for measuring the IL-1β level using the IL-1β ELISA kit (Neobioscience Technology Company). To determine cell viability, we directly lysed the cells and then subjected them to CellTiter-Glo Luminescent Cell Viability Assay (Promega) to measure the level of ATP present in live cells. Both assays were performed essentially by following the manufacturer's instructions.
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Acknowledgements
We are grateful to Dr Nicholas S Duesbery (Van Andel Institute, USA) for providing purified anthrax lethal toxin and protective antigen; Dr Katherine A Fitzgerald (University of Massachusetts Medical School, USA) for AIM2 constructs and the immortalized macrophage cell line; Dr Vishva Dixit (Genentech Inc., USA) for providing Nalp3 KO mice; Drs Xiaodong Wang and Lai Wang (University of Texas Southwestern Medical Center, USA) for procaspase-1, pro-IL-1β and ASC plasmids; Dr Brendan Kenny (University of Newcastle, UK) for EPEC E2348/69 wild-type and cfm-14 mutant strains; Dr Zhao-qing Luo (Purdue University, USA) for Legionella Lp02 and Lp03 strains. We also thank Dr Jiang Zhou (Peking University, China) for high-resolution mass spectrum analysis and Dr Xiaodong Wang for encouragements on this study. We also thank members of Shao Lab for helpful discussions and technical assistance.
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Supplementary information
Supplementary information, Figure S1
Inhibitor screen of LPS/ATP-triggered caspase-1 activation in THP-1 cells. (PDF 489 kb)
Supplementary information, Figure S2
Effects of bromoxone on cell viability. (PDF 512 kb)
Supplementary information, Figure S3
Effects of bromoxone on ATP-triggered ROS production in J774 cells. (PDF 138 kb)
Supplementary information, Figure S4
Bromoxone does not trigger DNA damage and alter basic cell biological processes. (PDF 546 kb)
Supplementary information, Figure S5
Effects of bromoxone on the MAP kinase and ubiquitin-proteasome signaling. (PDF 657 kb)
Supplementary information, Figure S6
Specificity of TAK-242 on different TLR ligands-stimulated caspase-1 activation. (PDF 362 kb)
Supplementary information, Figure S7
Effects of bromoxone on TAK1 kinase activity and TAK1/TAB1/TAB2 association. (PDF 273 kb)
Supplementary information, Figure S8
Effects of bromoxone on the viability of bacterial pathogens. (PDF 128 kb)
Supplementary information, Data S1
Structural Validation of Bromoxone Analogs (PDF 293 kb)
Supplementary information, Table S1
Inhibitors used in the chemical screen of LPS/ATP-induced caspase-1 activation in THP-1 Cells. (PDF 106 kb)
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Gong, YN., Wang, X., Wang, J. et al. Chemical probing reveals insights into the signaling mechanism of inflammasome activation. Cell Res 20, 1289–1305 (2010). https://doi.org/10.1038/cr.2010.135
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DOI: https://doi.org/10.1038/cr.2010.135
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