Increased NLRP3-dependent interleukin 1β secretion in patients with familial Mediterranean fever: correlation with

Alessia Omenetti1, Sonia Carta, Laura Delfino

  • 1Pediatrics II Unit, G Gaslini IRCCS and University of Genoa, , Genoa, Italy.

Abstract

Insights

Familial Mediterranean Fever (FMF) patients show increased interleukin-1β secretion, linked to MEFV mutations and NLRP3 inflammasome activation. FMF monocytes resist oxidative stress, preserving anti-inflammatory responses.

Area of Science:

  • Immunology
  • Genetics
  • Molecular Biology

Background:

  • Familial Mediterranean Fever (FMF) is a genetic autoinflammatory disorder characterized by recurrent inflammatory episodes.
  • The MEFV gene mutations are responsible for FMF, leading to dysregulation of inflammatory pathways.
  • Interleukin-1β (IL-1β) is a key pro-inflammatory cytokine implicated in FMF pathogenesis.

Purpose of the Study:

  • To investigate IL-1β secretion in FMF patients.
  • To determine the correlation between MEFV mutation type and IL-1β secretion.
  • To elucidate the role of NLRP3 inflammasome in IL-1β production in FMF.

Main Methods:

  • Monocytes from FMF patients, healthy carriers, and healthy donors were analyzed.
  • Lipopolysaccharide (LPS) was used to stimulate monocytes.
  • Reactive oxygen species (ROS) production, antioxidant responses, IL-1β, and IL-1 receptor antagonist (IL-1Ra) secretion were measured.
  • NLRP3 gene silencing was performed to assess its role.

Main Results:

  • LPS-stimulated FMF monocytes exhibited enhanced IL-1β secretion, correlating with MEFV mutation load and penetrance.
  • NLRP3 silencing significantly reduced IL-1β secretion, confirming its involvement.
  • FMF monocytes showed increased ROS production but maintained antioxidant responses, unlike in cryopyrin-associated periodic fever syndromes (CAPS).
  • MEFV-mutated monocytes preserved IL-1Ra production despite activation.

Conclusions:

  • MEFV-mutated monocytes demonstrate heightened IL-1β secretion, dependent on NLRP3 and correlated with mutation severity and ROS levels.
  • FMF monocytes possess a unique ability to withstand oxidative stress and maintain IL-1Ra production, contributing to inflammation control.
  • The increased IL-1β secretion in FMF is NLRP3-dependent, contrasting with some animal models.