Cathepsin B/NLRP3/GSDMD axis-mediated macrophage pyroptosis induces inflammation and fibrosis in systemic sclerosis

Chaofan Liu1, Jiaxuan Tang1, Shiying Liu1

  • 1Department of Dermatology, Zhongshan Hospital, Fudan University, Shanghai, China.

Abstract

Insights

Pyroptosis, a programmed cell death, drives fibrosis in systemic sclerosis (SSc). Inhibiting this process in macrophages alleviates SSc symptoms and collagen deposition in a mouse model.

Area of Science:

  • Immunology
  • Cell Biology
  • Pathology

Background:

  • Pyroptosis is a programmed cell death pathway linked to inflammatory and fibrotic diseases.
  • Macrophages are key in initiating early immune responses in systemic sclerosis (SSc).

Purpose of the Study:

  • To investigate the role of macrophage pyroptosis in the development of SSc fibrosis.
  • To assess the therapeutic potential of pyroptosis inhibitors in SSc.

Main Methods:

  • Assessed pyroptosis and inflammatory markers in SSc patient serum and skin.
  • Established an SSc mouse model using bleomycin (BLM) and treated with pyroptosis inhibitors (MCC950, Disulfiram, NSA).
  • Induced pyroptosis in macrophage cell lines (THP-1, BMDMs) and co-cultured with SSc fibroblasts to evaluate collagen production.

Main Results:

  • SSc patients and mice exhibited elevated pyroptosis markers (NLRP3, cleaved-CASP1, GSDMD, IL-18).
  • Pyroptosis inhibitors reduced dermal thickness and collagen deposition in SSc mice.
  • Inhibition of pyroptosis in macrophages decreased pro-fibrotic signaling in SSc fibroblasts.

Conclusions:

  • Increased pyroptosis is evident in SSc patients and a BLM-induced mouse model.
  • Macrophage pyroptosis promotes SSc fibrosis via the Cathepsin B/NLRP3/GSDMD pathway.
  • Targeting pyroptosis offers a potential therapeutic strategy for SSc.