Severe COVID‐19 patients show a dysregulation of the NLRP3 inflammasome in circulating neutrophils

VNC Leal, MMS Andrade, FME Teixeira… - Scandinavian …, 2023 - Wiley Online Library
VNC Leal, MMS Andrade, FME Teixeira, RAG Cambui, MEGV Roa, LG Marra, SM Yamada
Scandinavian journal of immunology, 2023Wiley Online Library
Abstract SARS‐CoV‐2 triggers inflammasome‐dependent release of pro‐inflammatory
cytokine IL‐1β and pyroptosis, therefore, contributes to the huge inflammatory response
observed in severe COVID‐19 patients. Less is known about the engagement of
inflammasome in neutrophils, main players in tissue injury and severe infection. We studied
the activation of the inflammasome in neutrophils from severe COVID‐19 patients and
assessed its consequence in term of cells contribution to disease pathogenesis. We …
Abstract
SARS‐CoV‐2 triggers inflammasome‐dependent release of pro‐inflammatory cytokine IL‐1β and pyroptosis, therefore, contributes to the huge inflammatory response observed in severe COVID‐19 patients. Less is known about the engagement of inflammasome in neutrophils, main players in tissue injury and severe infection. We studied the activation of the inflammasome in neutrophils from severe COVID‐19 patients and assessed its consequence in term of cells contribution to disease pathogenesis. We demonstrated that NLRP3 inflammasome is dramatically activated in neutrophils from severe COVID‐19 patients and that the specific inhibition of NLRP3 reverts neutrophils' activation. Next, the stimulation of severe patients' neutrophils with common NLRP3 stimuli was not able to further activate the inflammasome, possibly due to exhaustion or increased percentage of circulating immature neutrophils. Collectively, our results demonstrate that the NLRP3 inflammasome is hyperactivated in severe COVID‐19 neutrophils and its exhaustion may be responsible for the increased susceptibility to subsequent (and possibly lethal) infections. Our findings thus include a novel piece in the complex puzzle of COVID‐19 pathogenesis.
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