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Updated: Jun 8, 2026

Skeletal Phenotype Analysis of a Conditional Stat3 Deletion Mouse Model
Published on: July 3, 2020
Protein kinase A regulates caspase-1 via Ets-1 in bone stromal cell-derived lesions: a link between cyclic AMP and
Madson Q Almeida1, Kit Man Tsang, Chris Cheadle
1PDEGEN, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892, USA.
Abstract:
Patients with genetic defects of the cyclic (c) adenosine-monophosphate (AMP)-signaling pathway and those with neonatal-onset multisystem inflammatory disease (NOMID) develop tumor-like lesions of the long bones. The molecular basis of this similarity is unknown. NOMID is caused by inappropriate caspase-1 activity, which in turn activates the inflammasome. The present study demonstrates that NOMID bone lesions are derived from the same osteoblast progenitor cells that form fibroblastoid tumors in mice and humans with defects that lead to increased cAMP-dependent protein kinase A (PKA) signaling. NOMID tumor cells showed high PKA activity, and an increase in their cAMP signaling led to PKA-specific activation of caspase-1. Increased PKA led to inflammation-independent activation of caspase-1 via over-expression of the proto-oncogene (and early osteoblast factor) Ets-1. In NOMID tumor cells, as in cells with defective PKA regulation, increased prostaglandin E2 (PGE2) led to increased cAMP levels and activation of Wnt signaling, like in other states of inappropriate PKA activity. Caspase-1 and PGE2 inhibition led to a decrease in cell proliferation of both NOMID and cells with abnormal PKA. These data reveal a previously unsuspected link between abnormal cAMP signaling and defective regulation of the inflammasome and suggest that caspase-1 and PGE2 inhibition may be therapeutic targets in bone lesions associated with defects of these two pathways.
Insights
Genetic defects in cyclic adenosine monophosphate (cAMP) signaling and neonatal-onset multisystem inflammatory disease (NOMID) both cause bone lesions. This study reveals a link between abnormal cAMP signaling and inflammasome activation, suggesting new therapeutic targets.
Area of Science:
- Molecular biology
- Cellular signaling
- Inflammasome biology
Background:
- Patients with genetic defects in cyclic adenosine monophosphate (cAMP) signaling and neonatal-onset multisystem inflammatory disease (NOMID) exhibit similar tumor-like bone lesions.
- The underlying molecular mechanisms connecting these conditions remain unclear.
- NOMID pathogenesis involves dysregulated caspase-1 activity and inflammasome activation.
Purpose of the Study:
- To elucidate the molecular basis for the shared bone pathology in NOMID and cAMP-signaling pathway defects.
- To investigate the role of protein kinase A (PKA) and caspase-1 in the development of these bone lesions.
- To identify potential therapeutic targets for these conditions.
Main Methods:
- Comparative analysis of osteoblast progenitor cells from NOMID patients and individuals with aberrant cAMP/PKA signaling.
- Assessment of caspase-1 activity, PKA levels, prostaglandin E2 (PGE2) production, and Wnt signaling.
- Inhibition studies targeting caspase-1 and PGE2 to evaluate effects on cell proliferation.
Main Results:
- NOMID bone lesions originate from osteoblast progenitor cells similar to those forming tumors in mice and humans with elevated cAMP-dependent protein kinase A (PKA) signaling.
- NOMID tumor cells exhibit high PKA activity, which drives caspase-1 activation, partly via Ets-1.
- Increased PKA activity and prostaglandin E2 (PGE2) contribute to elevated cAMP levels and Wnt signaling activation in both conditions.
- Inhibition of caspase-1 and PGE2 reduced cell proliferation in both NOMID and PKA-dysregulated cells.
Conclusions:
- A novel link exists between aberrant cAMP signaling and dysregulated inflammasome activity.
- Caspase-1 and PGE2 represent potential therapeutic targets for bone lesions associated with defects in these pathways.
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