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Published on: December 21, 2019
NLRP1 polymorphisms in patients with asbestos-associated mesothelioma
Martina Girardelli1, Iva Maestri, Rosa R Rinaldi
1Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", University of Trieste, Trieste, Italy. comar@burlo.trieste.it.
Background:
An increasing incidence of malignant mesothelioma (MM) cases in patients with low levels of asbestos exposure suggests the interference of alternative cofactors. SV40 infection was detected, as co-morbidity factor, only in 22% of asbestos-MM patients from a North-Eastern Italy area. An additional mechanism of injury related to asbestos exposure in MM development has been recently associated to inflammatory responses, principally driven by interleukin (IL)-1 beta (ß) activated within the inflammasome complex.NLRP3 inflammosome has been described as the intracellular sensor for asbestos able to induce inflammasome activation and IL-1ß secretion while NLRP1 is expressed in lung epithelial cells and alveolar macrophages and contributes to the immune response and to survival/apoptosis balance. This study proposes to evaluate the impact of known NLRP3 and NLRP1 polymorphisms in the individual susceptibility to asbestos-induced mesothelioma in subjects from a hyperendemic area for MM.
Methods:
134 Italian patients with diagnosis of mesothelioma due (MMAE, n=69) or not (MMAF, n=65) to asbestos, 256 healthy Italian blood donors and 101 Italian healthy subjects exposed to asbestos (HCAE) were genotyped for NLRP1 (rs2670660 and rs12150220) and NLRP3 (rs35829419 and rs10754558) polymorphisms.
Results:
While NLRP3 SNPs were not associated to mesothelioma, the NLRP1 rs12150220 allele T was significantly more frequent in MMAE (0.55) than in HCAE (0.41) (p=0.011; OR=1.79) suggesting a predisponent effect of this allele on the development of mesothelioma. This effect was amplified when the NLRP1 rs2670660 allele was combined with the NLRP1 rs12150220 allele (p=0.004; OR=0.52).
Conclusion:
Although NLRP3 SNPs was not involved in mesothelioma predisposition, these data proposed NLRP1 as a novel factor possibly involved in the development of mesothelioma.
Insights
Genetic variations in NLRP1 influence susceptibility to asbestos-induced malignant mesothelioma (MM). Specific NLRP1 polymorphisms, particularly rs12150220, were associated with an increased risk of developing MM in individuals exposed to asbestos.
Area of Science:
- Genetics
- Immunology
- Environmental Health
Background:
- Malignant mesothelioma (MM) incidence rises with low asbestos exposure, suggesting cofactors.
- Inflammatory responses mediated by inflammasomes, particularly IL-1ß, are implicated in asbestos-induced MM.
- NLRP3 and NLRP1 inflammasomes are key in sensing asbestos and regulating immune responses.
Purpose of the Study:
- To investigate the role of NLRP1 and NLRP3 polymorphisms in susceptibility to asbestos-induced mesothelioma.
- To evaluate genetic predisposition in individuals from a high-incidence area for MM.
Main Methods:
- Genotyping of 134 Italian mesothelioma patients (asbestos-related and non-related) and 357 controls (healthy donors and asbestos-exposed individuals).
- Analysis of specific single nucleotide polymorphisms (SNPs) in NLRP1 (rs2670660, rs12150220) and NLRP3 (rs35829419, rs10754558).
Main Results:
- NLRP3 polymorphisms showed no association with mesothelioma.
- The NLRP1 rs12150220 allele T was significantly more prevalent in asbestos-exposed mesothelioma patients, indicating a predisposition.
- Combined NLRP1 rs2670660 and rs12150220 alleles amplified the predisposition effect.
Conclusions:
- NLRP3 SNPs are not implicated in mesothelioma predisposition.
- NLRP1 polymorphisms represent a novel genetic factor potentially involved in the development of asbestos-induced mesothelioma.
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