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Updated: May 22, 2026

Visualization of Inflammatory Caspases Induced Proximity in Human Monocyte-Derived Macrophages
Published on: April 6, 2022
A perspective on mammalian caspases as positive and negative regulators of inflammation
Seamus J Martin1, Conor M Henry, Sean P Cullen
1Molecular Cell Biology Laboratory, Department of Genetics, The Smurfit Institute, Trinity College, Dublin 2, Ireland. martinsj@tcd.ie
Abstract:
Members of the caspase family of cysteine proteases coordinate the morphological and biochemical events that typify apoptosis. However, neutralization of caspase activity in mammals fails to block death in response to most proapoptotic stimuli. This is because many cell death triggers provoke mitochondrial dysfunction upstream of caspase activation as a consequence of BAX/BAK channel opening. Although genetic or pharmacological inactivation of caspases fails to block cell death in most instances, it does convert the phenotype from apoptosis to necrosis. This has important implications for how the immune system responds to such cells, as necrotic cells provoke inflammation whereas apoptotic cells typically do not. Here, we propose an alternative perspective on apoptosis-associated caspase function by suggesting that these proteases are activated, not to kill, but to extinguish the proinflammatory properties of dying cells. This perspective unifies the mammalian caspase family as either positive or negative regulators of inflammation.
Insights
Caspases, or cysteine proteases, may not directly cause cell death but instead prevent inflammation from dying cells. This shifts understanding of caspase function in regulating immune responses.
Area of Science:
- Cellular biology
- Immunology
- Biochemistry
Background:
- Caspase proteases are key to apoptosis, but their inhibition doesn't prevent cell death.
- Mitochondrial dysfunction and BAX/BAK channel opening often precede caspase activation.
- Blocking caspases switches cell death from apoptosis to inflammation-provoking necrosis.
Purpose of the Study:
- To propose an alternative function for caspases in regulating inflammation.
- To reframe the role of caspases in cell death and immune response.
Main Methods:
- Review of existing literature on caspases, apoptosis, and necrosis.
- Analysis of the implications of caspase inactivation on cell death phenotypes.
- Conceptual synthesis of caspase function in relation to inflammation.
Main Results:
- Caspase activity is not essential for initiating cell death in most cases.
- Caspase inactivation converts apoptosis to necrosis, triggering inflammation.
- Dying cells' proinflammatory properties are actively extinguished by caspases.
Conclusions:
- Caspases may function primarily to suppress inflammation in dying cells.
- This perspective unifies caspases as regulators of the immune response.
- Understanding caspase function is crucial for modulating inflammation in disease.
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