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Lessons from the inflammasome: a molecular sentry linking Candida and Crohn's disease
Linda M Rehaume1, Thierry Jouault, Mathias Chamaillard
1University of British Columbia, Centre for Microbial Disease & Immunity Research, 2259 Lower Mall, Vancouver, BC, Canada V6T 1Z4.
Abstract:
Candida albicans is a diploid fungus that colonizes the gastrointestinal tract asymptomatically in a large proportion of the human population, but can cause life-threatening conditions in immunocompromised patients. Recent immunological investigations have revealed the Nod-like receptor pyrin domain-containing protein 3 (NLRP3) to be a cytosolic surveillance mechanism against germinating Candida. These observations point to the idea of a molecular link between Candida and a spectrum of auto-inflammatory diseases. When excessive activation of NLRP3 occurs, it can confer resistance against disseminating Candida infection but might also cause NLRP3-associated periodic syndromes. Alternatively, we propose a pathophysiological model whereby a defective NLRP3-coupled inflammasome can result in enhanced mucosal colonization of granuloma-provoking microorganisms, including C. albicans, precipitating the formation of Crohn's disease-associated inflammatory lesions.
Insights
The Nod-like receptor pyrin domain-containing protein 3 (NLRP3) inflammasome acts as a defense against Candida albicans. Dysfunctional NLRP3 may contribute to Crohn's disease by promoting fungal colonization.
Area of Science:
- Immunology
- Microbiology
- Gastroenterology
Background:
- Candida albicans is a common commensal fungus that can cause severe infections in immunocompromised individuals.
- The Nod-like receptor pyrin domain-containing protein 3 (NLRP3) inflammasome is a key component of the innate immune system involved in detecting microbial threats.
- Emerging evidence suggests a link between NLRP3 inflammasome activity and autoinflammatory conditions.
Purpose of the Study:
- To explore the role of the NLRP3 inflammasome in host defense against Candida albicans.
- To investigate the potential contribution of NLRP3 inflammasome dysfunction to the pathogenesis of Crohn's disease.
Main Methods:
- Review of recent immunological investigations and proposed pathophysiological models.
- Analysis of the dual role of NLRP3 activation in Candida infection and autoinflammatory syndromes.
Main Results:
- NLRP3 acts as a cytosolic surveillance mechanism against germinating Candida.
- Excessive NLRP3 activation can protect against disseminated Candida but may lead to autoinflammatory syndromes.
- Defective NLRP3 inflammasome function may promote mucosal colonization by C. albicans, potentially contributing to Crohn's disease.
Conclusions:
- The NLRP3 inflammasome plays a critical role in managing Candida albicans colonization and infection.
- NLRP3 inflammasome dysregulation presents a potential molecular link between Candida and autoinflammatory diseases, including Crohn's disease.
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