Protein Protein Interactions: The Inflammasome Mark D. Wewers, M.D. Davis Heart and Lung Research Institute Outline of Presentation • • • • Innate vs. Adaptive Immunity Focus on TLR and NLRs Pyrogens (endogenous and exogenous) Intracellular sensors/inflammasomes – Example of intracellular pathogen – Example of population differences in pathogen responses (caspase-12) Time Line for Innate vs. Adaptive Immunity Cooper MD and Alder MN. Cell 124:815, 2006. INFECTION Fever/Inflammation IL-1/TNF • ARDS • Multiple Organ Failure Shock and Poor Tissue Perfusion May Lead to Distal Gangrene Black Death 25% of population died Hippocrates 5th century B.C. Illness due to natural causes Guns Germs and Steel Hypothesis Jared Diamond Lewis Thomas: The Lives of a Cell 1974 “Our arsenals for fighting off bacteria are so powerful and involve so many different defense mechanisms that we are more in danger from them than from the invaders. We live in the midst of explosive devices, we are mined…. When we sense lipopolysaccharide, we are likely to turn on every defense at our disposal…” Meningococcemia core polysaccharide bacterial membrane lipid A “O” antigen Components of lipopolysaccharide How can our defense repertoire cover the enormous diversity in pathogen challenges? • Innate host response: – Static defense system – Focus on immutable components of pathogens (e.g., cell wall component) • Acquired host response: – Creative ability to change with pathogen – Depends upon the acquisition of recombinase gene (RAG) Innate Pathogen Sensors LRR LRR TLR TIR NLR NB Extracellular sensors Intracellular sensors Family of TLR’s and Ligands Beutler et al. TLRs and their ligands Akira et al. Nature Reviews (Immunology):4:499, 2004. The Signaling Pathway of Toll-like Receptors Medzhitov R. NEJM 343:338,2000. Exogenous pyrogen induces endogenous pyrogen. exogenous endogenous Both Endogenous and Exogenous Pyrogens converge at NFkB Innate versus Adaptive Immunity Characteristics Figure 2-10 Bridge to Adaptive Immunity Medzhitov R. NEJM 343:338,2000. News from the Genome Project that has expanded our understanding of the innate host response repertoire. Plant Immunity: Pathogen sensing without Tolls Dangl JL, Jones JDG. Nature 411:826, 2001. Guard Hypothesis NB-LRR protein dissociates due to pathogen NB-LRR protein binds target complex due to pathogen binding to complex Dangl, J. et al. NATURE | VOL 411 | 14 JUNE 2001 Exogenous pyrogen induces endogenous pyrogen. Caspase-1 (ICE) CARD p45 N QACRG p20 p10 C p20 p10 p20 p10 p20 p10 Active ICE Caspase Recruitment Domains: CARDs CATERPILLER: A Large Family of Mammalian Genes Containing CARD, Pyrin, Nucleotide-binding, and Leucine-Rich Repeat Domains CARD/PYD NBD Harton JA et al. J. Immunol. 169:4088, 2002. LRR Inflammasome Concept NALP1 pyrin NBD LRR CARD CARD 10kD ASC 20kD caspase-5 20kD 10kD caspase-1 Domain structure of CATERPILLERs Martinon, F et al. Mol.Cell 10:417-426, 2002. Toll like receptors and the Signalosome TLR signalosome IKK complex b a * IkBa g NFkB 100’s of genes including IL-1b and TNF proteasome gene expression NFkB Toll-like receptors Cell Death and Differentiation (2006) 13, 816–825 Sea Urchin’s Pathogen Sensors Rast,J.P. et al. Science 314:952, 2006. pyrin CARD ASC pyrin NBD CARD LRR NALP1 CARD NBD LRR IPAF CARD NBD CARD CARD NBD LRR NOD1 LRR NOD2 pyrin NALP3 NBD LRR TLR inflammasome NOD-2 ASC CARD domain pyrin domain CASPASE-1 Caspase-5 proIL-1b IL-1b Martinon, F et al. Mol.Cell 10:417-426, 2002. Multiprotein Complex Assembly requires ASC • ASC (apoptosis associated speck forming complex) ASC ASC Critical to IL-1b Processing ASC Sarkar A et al. J.Immunol. 176:4979, 2006. Need for Intracellular Pathogen Sensors • Phagosome escape Francisella as Model of Inflammasome Activation A B F. novicida F. n. heatkilled C E. coli D F. n. + cytochalasin D Gavrilin MA, PNAS 103:141, 2006. Phagosome Escape Induces Inflammasome Assembly -1 -1 -1 F.novicida proIL-1b -1 -1 -1 -1 -1 phagosome -1 -1 -1 -1 -1 IL-1b F. novicida induces both mRNA and processing and release of IL-1b B. IL-1b in media 4000 100 3000 80 ng/ml 2000 1000 60 31 kDa 40 20 live killed endotoxin live D. IL-8 mRNA E. IL-8 in media 6000 500 killed E.coli F.nov LVS E.coli F.nov LVS E.coli F.nov 17 kDa LVS E.coli F.nov LVS E.coli F.nov LVS E.coli F.nov LVS 0 Unstimulated 0 C. IL-1 Mo L Unstimulated RCN A. IL-1b mRNA endotoxin F. Pro 300 MA, PNAS 103:141, 2006. Gavrilin ng/ml RCN 4000 200 1b Ratio 400 70 60 50 40 30 Toll like receptors and the Signalosome TLR signalosome IKK complex b a * g IkBa NFkB 100’s of genes proIL-1b proteasome including IL-1b and TNF gene expression NFkB 1 TLR inflammasome ASC 2 CARD domain pyrin domain CASPASE-1 Caspase-5 proIL-1b IL-1b Molecular Cell 25, 713–724, March 9, 2007 Inflammasome structure What about Septic Shock? Figure 2-45 part 1 of 3 Caspase 1 and Sepsis TLR NOD-2 ASC CASPASE-1 Caspase-5 proIL-1b IL-1b Caspase-1: Role in Sepsis Survival and Spleen Apoptosis Sarkar A et al. AJRCCM 2006 Caspase 12 and Sepsis Caspase-12 TLR NOD-2 ASC CASPASE-1 Caspase-5 proIL-1b IL-1b Caspase-12 Comes in Two Forms Saleh M. Nature 429:75, 2004. Caspase-12L (active) versus Caspase-12S (inactive) Allelic Distribution The American Journal of Human Genetics Volume 78 April 2006 Caspase-12L Linked to Sepsis Source Total (n) Genotype Frequency (%) Allele Frequency (%) Sepsis 38 T/T 60.5 Control 148 81.1 T/C 29 C/C 10.5 T 75 C 25 17.6 1.3 89.9 10.1 Saleh M. Nature 429:75, 2004. NLRP3, NLRP1 and Caspase-1 and 12 NLRP1 Caspase-1, 12 NLRP3 Summary • Innate immune responses are critical to our host defense against pathogens. • Innate mechanisms are probably more critical than previously recognized. • Protein/protein interactions that are modified by pathogens (or their products) are central to pathogen sensing and signaling.