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Simultaneous Assessment of mTORC1, JAK/STAT, and NLRP3 Inflammasome Activation Pathways in Patients with Sarcoidosis
Raisa Kraaijvanger1, Carmen A Ambarus2, Jan Damen3
1Interstitial Lung Diseases Center of Excellence, Department of Pulmonology, St. Antonius Hospital, 3435 CM Nieuwegein, The Netherlands.
Abstract:
The unknown etiology of sarcoidosis, along with the variability in organ involvement and disease course, complicates the effective treatment of this disease. Based on recent studies, the cellular inflammatory pathways involved in granuloma formation are of interest regarding possible new treatment options, such as the mechanistic (formerly mammalian) target of rapamycin complex 1 (mTORC1) pathway, the Janus kinase/signal transducers and activators of transcription (JAK/STAT) pathway, and the nucleotide-binding domain, leucine-rich-containing family, pyrin domain-containing-3 (NLRP3) inflammasome pathway. The aim of this study was to explore the potential coexpression of these three inflammatory pathways in patients with sarcoidosis and see whether possible differences were related to disease outcome. The tissue of 60 patients with sarcoidosis was used to determine the activity of these three signaling pathways using immunohistochemistry. The activation of NLRP3 was present in 85% of all patients, and the activation of mTORC1 and JAK/STAT was present in 49% and 50% of patients, respectively. Furthermore, the presence of NLRP3 activation at diagnosis was associated with a chronic disease course of sarcoidosis. Our finding of different new conceptual inflammatory tissue phenotypes in sarcoidosis could possibly guide future treatment studies using the available inhibitors of either NLRP3, JAK-STAT, and mTORC1 inhibitors in a more personalized medicine approach.
Insights
Investigating inflammatory pathways in sarcoidosis reveals that NLRP3 inflammasome activation is common and linked to chronic disease. These findings may enable personalized treatments targeting specific inflammatory pathways.
Area of Science:
- Immunology
- Pathology
- Pharmacology
Background:
- Sarcoidosis etiology is unknown, complicating treatment due to varied organ involvement and disease progression.
- Cellular inflammatory pathways like mTORC1, JAK/STAT, and NLRP3 inflammasome are implicated in granuloma formation and are potential therapeutic targets.
Purpose of the Study:
- To investigate the coexpression of mTORC1, JAK/STAT, and NLRP3 inflammasome pathways in sarcoidosis patients.
- To determine if pathway coexpression correlates with disease outcomes.
Main Methods:
- Immunohistochemistry was used to assess the activity of NLRP3, mTORC1, and JAK/STAT pathways in tissue samples from 60 sarcoidosis patients.
- Correlation analysis was performed to link pathway activation with disease course.
Main Results:
- NLRP3 inflammasome activation was observed in 85% of patients.
- mTORC1 and JAK/STAT pathway activation were present in approximately 49% and 50% of patients, respectively.
- NLRP3 activation at diagnosis was associated with a chronic sarcoidosis disease course.
Conclusions:
- Distinct inflammatory tissue phenotypes in sarcoidosis were identified.
- These findings may inform personalized medicine approaches using existing inhibitors for NLRP3, JAK-STAT, and mTORC1 pathways.
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