Caspase-8 mediates inflammation and disease in rodent malaria

Larissa M N Pereira1,2,3, Patrícia A Assis3, Natalia M de Araújo1,2

  • 1Instituto Rene Rachou, FIOCRUZ-MG, Belo Horizonte, MG, 30190-002, Brazil.

Nature Communications
|September 15, 2020
PubMed

Insights

Caspase-8 is key to malaria-induced inflammation and shock. Blocking caspase-8 with inflammasome components like gasdermin-D (GSDM-D) protects against severe malaria, revealing new therapeutic targets.

Area of Science:

  • Immunology
  • Pathology
  • Molecular Biology

Background:

  • Inflammasome activation pathways (canonical and non-canonical) have shown limited impact on malaria pathogenesis.
  • Understanding the molecular mechanisms driving severe malaria, including systemic inflammation and organ damage, is crucial.

Purpose of the Study:

  • To investigate the role of caspase-8 in malaria pathogenesis, particularly in Plasmodium chabaudi and Plasmodium berghei infection models.
  • To elucidate the interplay between caspase-8 and inflammasome components (caspases-1/11, gasdermin-D) in malaria-induced mortality and cytokine production.
  • To explore the potential role of inflammatory caspases in human malaria.

Main Methods:

  • Utilized mouse models of malaria, including Plasmodium chabaudi infection and Plasmodium berghei-induced experimental cerebral malaria (ECM).
  • Generated and analyzed mice with combined deficiencies in caspase-8/1/11 or caspase-8/gasdermin-D (GSDM-D).
  • Measured levels of tumor necrosis factor-alpha (TNFα) and interleukin-1 beta (IL-1β) in infected mice.
  • Examined caspase activity in monocytes from malaria patients.

Main Results:

  • Caspase-8 was identified as a central mediator of systemic inflammation and septic shock in Plasmodium-infected mice.
  • Mice lacking both caspase-8 and caspases-1/11, or caspase-8 and GSDM-D, were resistant to lethal malaria and produced less TNFα and IL-1β.
  • These findings highlight a complementary yet independent role for caspase-8 and the inflammasome pathway (caspases-1/11/GSDM-D) in malaria pathogenesis.
  • Active caspases-1, -4, and -8 were detected in monocytes from malaria patients, suggesting their involvement in human disease.

Conclusions:

  • Caspase-8 plays a critical role in mediating lethal inflammation and shock during malaria.
  • Targeting caspase-8, potentially in conjunction with inflammasome inhibitors like GSDM-D, offers a promising strategy for treating severe malaria.
  • Inflammatory caspases are implicated in the pathogenesis of both experimental and human malaria.

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