Monosodium urate crystals induce lytic macrophage death partially dependent on both pyroptosis and necroptosis

Zhijun Geng1, Di Wu1, Yajing Hou1

  • 1State Key Laboratory of Pharmaceutical Biotechnology, MOE Key Laboratory of Model Animals for Disease Study, Jiangsu Key Laboratory of Molecular Medicine, Model Animal Research Center, National Resource Center for Mutant Mice of China, Nanjing Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, 210061, China.

Abstract

Insights

Monosodium urate (MSU) crystals induce macrophage lytic death through a complex program involving both canonical pyroptosis and necroptosis, not solely one pathway. This finding offers new insights into gout pathogenesis.

Area of Science:

  • Immunology
  • Cell Biology
  • Pathogenesis of Gout

Background:

  • Macrophage lytic death is crucial for gout initiation.
  • Monosodium urate (MSU) crystals activate the NLRP3 inflammasome and canonical pyroptosis.
  • The precise cell death mechanisms mediating MSU crystal-induced macrophage death are not fully understood.

Purpose of the Study:

  • To define the specific cell death pathways involved in MSU crystal-induced macrophage death.
  • To investigate the roles of canonical pyroptosis and necroptosis in this process.
  • To explore the contribution of other cell death modalities like GSDME-dependent pyroptosis, ferroptosis, and ROS.

Main Methods:

  • Assessed canonical inflammasome activation (ASC speck, caspase-1, GSDMD, IL-1β) in macrophages.
  • Utilized genetically deficient macrophages (GSDMD⁻/⁻, NLRP3⁻/⁻, caspase-1⁻/⁻) and pharmacological inhibitors.
  • Evaluated lytic death, in vivo inflammation, and other cell death pathways (caspase-3/GSDME pyroptosis, necroptosis, ferroptosis, ROS).

Main Results:

  • MSU crystals robustly activated canonical inflammasome signaling.
  • Genetic ablation of GSDMD, NLRP3, or caspase-1 did not prevent MSU crystal-induced macrophage lytic death.
  • Necroptosis contributed to cell death when canonical pyroptosis was blocked, and combined inhibition of caspases and necroptosis partially reduced lytic death, but ferroptosis or ROS inhibition did not further enhance protection.

Conclusions:

  • MSU crystal-induced macrophage lytic death is a complex program, not solely dependent on canonical pyroptosis or necroptosis.
  • This process involves synergistic canonical pyroptosis and necroptosis.
  • Findings reveal a novel mechanism of MSU-mediated cytotoxicity, advancing understanding of gout pathogenesis.

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