Abstract
Pulmonary fibrosis is a devastating disorder distinguished by redundant inflammation and matrix accumulation in the lung interstitium. The early inflammatory cascade coupled with recurring tissue injury orchestrates a set of events marked by perturbed matrix hemostasis, deposition of matrix proteins, and remodeling in lung tissue. Numerous investigations have corroborated a direct correlation between the NLR family pyrin domain-containing 3 (NLRP3) activation and the development of pulmonary fibrosis. Dysregulated activation of NLRP3 within the pulmonary microenvironment exacerbates inflammation and may incite fibrogenic responses. Nevertheless, the precise mechanisms through which the NLRP3 inflammasome elicits pro-fibrogenic responses remain inadequately defined. Contemporary findings suggest that the pro-fibrotic consequences stemming from NLRP3 signaling primarily hinge on the action of interleukin-1β (IL-1β). IL-1β instigates IL-1 receptor signaling, potentiating the activity of transforming growth factor-beta (TGF-β). This signaling cascade, in turn, exerts influence over various transcription factors, including SNAIL, TWIST, and zinc finger E-box-binding homeobox 1 (ZEB 1/2), which collectively foster myofibroblast activation and consequent lung fibrosis. Here, we have connected the dots to illustrate how the NLRP3 inflammasome orchestrates a multitude of signaling events, including the activation of transcription factors that facilitate myofibroblast activation and subsequent lung remodeling. In addition, we have highlighted the prominent role played by various cells in the formation of myofibroblasts, the primary culprit in lung fibrosis. We also provided a concise overview of various compounds that hold the potential to impede NLRP3 inflammasome signaling, thus offering a promising avenue for the treatment of pulmonary fibrosis.
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References
Abdelhady R, Cavalu S, Saber S et al (2023) Mirtazapine, an atypical antidepressant, mitigates lung fibrosis by suppressing NLPR3 inflammasome and fibrosis-related mediators in endotracheal bleomycin rat model. Biomed Pharmacother 161:114553. https://doi.org/10.1016/j.biopha.2023.114553
Accolla RS, Ramia E, Tedeschi A, Forlani G (2019) CIITA-driven MHC class II expressing tumor cells as antigen presenting cell performers: toward the construction of an optimal anti-tumor vaccine. Front Immunol 10:1806. https://doi.org/10.3389/fimmu.2019.01806
Alyaseer AAA, de Lima MHS, Braga TT (2020) The role of NLRP3 inflammasome activation in the epithelial to mesenchymal transition process during the fibrosis. Front Immunol 11:883. https://doi.org/10.3389/fimmu.2020.00883
Artlett CM (2022) The mechanism and regulation of the NLRP3 inflammasome during fibrosis. Biomolecules 12(5):634. https://doi.org/10.3390/biom12050634
Bailly C (2019) Cepharanthine: an update of its mode of action, pharmacological properties and medical applications. Phytomedicine 62:152956. https://doi.org/10.1016/j.phymed.2019.152956
Bauernfeind FG, Horvath G, Stutz A et al (2009) Cutting edge: NF-kappaB activating pattern recognition and cytokine receptors license NLRP3 inflammasome activation by regulating NLRP3 expression. J Immunol 183(2):787–791. https://doi.org/10.4049/jimmunol.0901363
Burgy O, Bellaye PS, Causse S et al (2016) Pleural inhibition of the caspase-1/IL-1beta pathway diminishes profibrotic lung toxicity of bleomycin. Respir Res 17(1):162. https://doi.org/10.1186/s12931-016-0475-8
Campden RI, Zhang Y (2019) The role of lysosomal cysteine cathepsins in NLRP3 inflammasome activation. Arch Biochem Biophys 670:32–42. https://doi.org/10.1016/j.abb.2019.02.015
Charan HV, Dwivedi DK, Khan S, Jena G (2023) Mechanisms of NLRP3 inflammasome-mediated hepatic stellate cell activation: therapeutic potential for liver fibrosis. Genes Dis 10(2):480–494. https://doi.org/10.1016/j.gendis.2021.12.006
Chen H, Lao Z, Xu J et al (2020a) Antiviral activity of lycorine against Zika virus in vivo and in vitro. Virology 546:88–97. https://doi.org/10.1016/j.virol.2020.04.009
Chen Y, Shao Z, Jiang E et al (2020b) CCL21/CCR7 interaction promotes EMT and enhances the stemness of OSCC via a JAK2/STAT3 signaling pathway. J Cell Physiol 235(9):5995–6009. https://doi.org/10.1002/jcp.29525
Chen L, Cao SQ, Lin ZM, He SJ, Zuo JP (2021) NOD-like receptors in autoimmune diseases. Acta Pharmacol Sin 42(11):1742–1756. https://doi.org/10.1038/s41401-020-00603-2
Chen D, Tang H, Jiang H, Sun L, Zhao W, Qian F (2022) ACPA alleviates bleomycin-induced pulmonary fibrosis by inhibiting TGF-beta-Smad2/3 signaling-mediated lung fibroblast activation. Front Pharmacol 13:835979. https://doi.org/10.3389/fphar.2022.835979
Chen G, Li J, Liu H et al (2023) Cepharanthine ameliorates pulmonary fibrosis by inhibiting the NF-kappaB/NLRP3 pathway fibroblast-to-myofibroblast transition and inflammation. Molecules 28(2):753. https://doi.org/10.3390/molecules28020753
Chong SG, Sato S, Kolb M, Gauldie J (2019) Fibrocytes and fibroblasts—where are we now. Int J Biochem Cell Biol 116:105595. https://doi.org/10.1016/j.biocel.2019.105595
Chong WC, Shastri MD, Peterson GM et al (2021) The complex interplay between endoplasmic reticulum stress and the NLRP3 inflammasome: a potential therapeutic target for inflammatory disorders. Clin Transl Immunol 10(2):e1247. https://doi.org/10.1002/cti2.1247
Chua F, Dunsmore SE, Clingen PH et al (2007) Mice lacking neutrophil elastase are resistant to bleomycin-induced pulmonary fibrosis. Am J Clin Pathol 170(1):65–74. https://doi.org/10.2353/ajpath.2007.060352
Cicko S, Kohler TC, Ayata CK et al (2018) Extracellular ATP is a danger signal activating P2X7 receptor in a LPS mediated inflammation (ARDS/ALI). Oncotarget 9(55):30635–30648. https://doi.org/10.18632/oncotarget.25761
Colunga Biancatelli RML, Solopov PA, Catravas JD (2022) The inflammasome NLR family pyrin domain-containing protein 3 (NLRP3) as a novel therapeutic target for idiopathic pulmonary fibrosis. Am J Pathol 192(6):837–846. https://doi.org/10.1016/j.ajpath.2022.03.003
Costa A, Gupta R, Signorino G et al (2012) Activation of the NLRP3 inflammasome by group B streptococci. J Immunol 188(4):1953–1960. https://doi.org/10.4049/jimmunol.1102543
Couillin I, Vasseur V, Charron S et al (2009) IL-1R1/MyD88 signaling is critical for elastase-induced lung inflammation and emphysema. J Immunol 183(12):8195–8202. https://doi.org/10.4049/jimmunol.0803154
Cutroneo KR, White SL, Phan SH, Ehrlich HP (2007) Therapies for bleomycin induced lung fibrosis through regulation of TGF-beta1 induced collagen gene expression. J Cell Physiol 211(3):585–589. https://doi.org/10.1002/jcp.20972
Davoodi J, Ghahremani MH, Es-Haghi A, Mohammad-Gholi A, Mackenzie A (2010) Neuronal apoptosis inhibitory protein, NAIP, is an inhibitor of procaspase-9. Int J Biochem Cell Biol 42(6):958–964. https://doi.org/10.1016/j.biocel.2010.02.008
de Alba E (2019) Structure, interactions and self-assembly of ASC-dependent inflammasomes. Arch Biochem Biophys 670:15–31. https://doi.org/10.1016/j.abb.2019.05.023
De Craene B, van Roy F, Berx G (2005) Unraveling signalling cascades for the snail family of transcription factors. Cell Signal 17(5):535–547. https://doi.org/10.1016/j.cellsig.2004.10.011
Desai O, Winkler J, Minasyan M, Herzog EL (2018) The role of immune and inflammatory cells in idiopathic pulmonary fibrosis. Front Med (lausanne) 5:43. https://doi.org/10.3389/fmed.2018.00043
Doherty DF, Roets L, Krasnodembskaya AD (2023) The role of lung resident mesenchymal stromal cells in the pathogenesis and repair of chronic lung disease. Stem Cells. https://doi.org/10.1093/stmcls/sxad014
Downs I, Vijayan S, Sidiq T, Kobayashi KS (2016) CITA/NLRC5: a critical transcriptional regulator of MHC class I gene expression. BioFactors 42(4):349–357. https://doi.org/10.1002/biof.1285
Duncan JA, Bergstralh DT, Wang Y et al (2007) Cryopyrin/NALP3 binds ATP/dATP, is an ATPase, and requires ATP binding to mediate inflammatory signaling. Proc Natl Acad Sci U S A 104(19):8041–8046. https://doi.org/10.1073/pnas.0611496104
El Kasmi KC, Vue PM, Anderson AL et al (2018) Macrophage-derived IL-1beta/NF-kappaB signaling mediates parenteral nutrition-associated cholestasis. Nat Commun 9(1):1393. https://doi.org/10.1038/s41467-018-03764-1
Elkhoely A, Estfanous RS, Alrobaian M, Borg HM, Kabel AM (2023) Repositioning itraconazole for amelioration of bleomycin-induced pulmonary fibrosis: targeting HMGB1/TLR4 Axis, NLRP3 inflammasome/NF-kappaB signaling, and autophagy. Life Sci 313:121288. https://doi.org/10.1016/j.lfs.2022.121288
Fields JK, Gunther S, Sundberg EJ (2019) Structural basis of IL-1 family cytokine signaling. Front Immunol 10:1412. https://doi.org/10.3389/fimmu.2019.01412
Franchi L, Warner N, Viani K, Nunez G (2009) Function of Nod-like receptors in microbial recognition and host defense. Immunol Rev 227(1):106–128. https://doi.org/10.1111/j.1600-065X.2008.00734.x
Gaikwad AV, Eapen MS, McAlinden KD et al (2020) Endothelial to mesenchymal transition (EndMT) and vascular remodeling in pulmonary hypertension and idiopathic pulmonary fibrosis. Expert Rev Respir Med 14(10):1027–1043. https://doi.org/10.1080/17476348.2020.1795832
Gasse P, Mary C, Guenon I et al (2007) IL-1R1/MyD88 signaling and the inflammasome are essential in pulmonary inflammation and fibrosis in mice. J Clin Invest 117(12):3786–3799. https://doi.org/10.1172/JCI32285
Gasse P, Riteau N, Charron S et al (2009) Uric acid is a danger signal activating NALP3 inflammasome in lung injury inflammation and fibrosis. Am J Respir Crit Care Med 179(10):903–913. https://doi.org/10.1164/rccm.200808-1274OC
Gaul S, Leszczynska A, Alegre F et al (2021) Hepatocyte pyroptosis and release of inflammasome particles induce stellate cell activation and liver fibrosis. J Hepatol 74(1):156–167. https://doi.org/10.1016/j.jhep.2020.07.041
Gicquel T, Le Dare B, Boichot E, Lagente V (2017) Purinergic receptors: new targets for the treatment of gout and fibrosis. Fundam Clin Pharmacol 31(2):136–146. https://doi.org/10.1111/fcp.12256
Gomes RN, Manuel F, Nascimento DS (2021) The bright side of fibroblasts: molecular signature and regenerative cues in major organs. NPJ Regen Med 6(1):43. https://doi.org/10.1038/s41536-021-00153-z
Guo J, Gu N, Chen J et al (2013) Neutralization of interleukin-1 beta attenuates silica-induced lung inflammation and fibrosis in C57BL/6 mice. Arch Toxicol 87(11):1963–1973. https://doi.org/10.1007/s00204-013-1063-z
Gurung P, Anand PK, Malireddi RK et al (2014) FADD and caspase-8 mediate priming and activation of the canonical and noncanonical Nlrp3 inflammasomes. J Immunol 192(4):1835–1846. https://doi.org/10.4049/jimmunol.1302839
Hafner-Bratkovic I, Susjan P, Lainscek D et al (2018) NLRP3 lacking the leucine-rich repeat domain can be fully activated via the canonical inflammasome pathway. Nat Commun 9(1):5182. https://doi.org/10.1038/s41467-018-07573-4
Hari A, Zhang Y, Tu Z et al (2014) Activation of NLRP3 inflammasome by crystalline structures via cell surface contact. Sci Rep 4:7281. https://doi.org/10.1038/srep07281
He Y, Hara H, Nunez G (2016) Mechanism and regulation of NLRP3 inflammasome activation. Trends Biochem Sci 41(12):1012–1021. https://doi.org/10.1016/j.tibs.2016.09.002
Hinz B, Lagares D (2020) Evasion of apoptosis by myofibroblasts: a hallmark of fibrotic diseases. Nat Rev Rheumatol 16(1):11–31. https://doi.org/10.1038/s41584-019-0324-5
Hirooka Y, Nozaki Y (2021) Interleukin-18 in inflammatory kidney disease. Front Med (lausanne) 8:639103. https://doi.org/10.3389/fmed.2021.639103
Hoshino T, Okamoto M, Sakazaki Y, Kato S, Young HA, Aizawa H (2009) Role of proinflammatory cytokines IL-18 and IL-1beta in bleomycin-induced lung injury in humans and mice. Am J Respir Cell Mol Biol 41(6):661–670. https://doi.org/10.1165/rcmb.2008-0182OC
Hou Y, Zhen Y, Xue Q, Wang W (2021) Astragaloside IV attenuates TGF-beta-mediated epithelial-mesenchymal transition of pulmonary fibrosis via suppressing NLRP3 expression in vitro. Pharmazie 76(2):97–102. https://doi.org/10.1691/ph.2021.0933
Hsieh PC, Wu YK, Yang MC, Su WL, Kuo CY, Lan CC (2022) Deciphering the role of damage-associated molecular patterns and inflammatory responses in acute lung injury. Life Sci 305:120782. https://doi.org/10.1016/j.lfs.2022.120782
Hu H, Wang S, Shi D et al (2019) Lycorine exerts antitumor activity against osteosarcoma cells in vitro and in vivo xenograft model through the JAK2/STAT3 pathway. Onco Targets Ther 12:5377–5388. https://doi.org/10.2147/OTT.S202026
Huang Y, Xu W, Zhou R (2021) NLRP3 inflammasome activation and cell death. Cell Mol Immunol 18(9):2114–2127. https://doi.org/10.1038/s41423-021-00740-6
Hung C (2020) Origin of myofibroblasts in lung fibrosis. Current Tissue Microenviron Rep 1:155–162
Jayachandran A, Konigshoff M, Yu H et al (2009) SNAI transcription factors mediate epithelial-mesenchymal transition in lung fibrosis. Thorax 64(12):1053–1061. https://doi.org/10.1136/thx.2009.121798
Jha AK, Gairola S, Kundu S et al (2021) Toll-like receptor 4: an attractive therapeutic target for acute kidney injury. Life Sci 271:119155. https://doi.org/10.1016/j.lfs.2021.119155
Ji J, Hou J, Xia Y, Xiang Z, Han X (2021) NLRP3 inflammasome activation in alveolar epithelial cells promotes myofibroblast differentiation of lung-resident mesenchymal stem cells during pulmonary fibrogenesis. Biochim Biophys Acta Mol Basis Dis 1867:166077. https://doi.org/10.1016/j.bbadis.2021.166077
Joshi H, Almgren-Bell A, Anaya EP et al (2022) L-plastin enhances NLRP3 inflammasome assembly and bleomycin-induced lung fibrosis. Cell Rep 38(11):110507. https://doi.org/10.1016/j.celrep.2022.110507
Kaplanski G (2018) Interleukin-18: biological properties and role in disease pathogenesis. Immunol Rev 281(1):138–153. https://doi.org/10.1111/imr.12616
Kim JY, Jeon S, Yoo YJ et al (2019) The Hsp27-mediated IkBalpha-NFkappaB signaling axis promotes radiation-induced lung fibrosis. Clin Cancer Res 25(17):5364–5375. https://doi.org/10.1158/1078-0432.CCR-18-3900
Kim MY, Bang E, Hwangbo H et al (2023) Diallyl trisulfide inhibits monosodium urate-induced NLRP3 inflammasome activation via NOX3/4-dependent mitochondrial oxidative stress in RAW 264.7 and bone marrow-derived macrophages. Phytomedicine 112:154705. https://doi.org/10.1016/j.phymed.2023.154705
Kitasato Y, Hoshino T, Okamoto M et al (2004) Enhanced expression of interleukin-18 and its receptor in idiopathic pulmonary fibrosis. Am J Respir Cell Mol Biol 31(6):619–625. https://doi.org/10.1165/rcmb.2003-0306OC
Kobayashi KS, van den Elsen PJ (2012) NLRC5: a key regulator of MHC class I-dependent immune responses. Nat Rev Immunol 12(12):813–820. https://doi.org/10.1038/nri3339
Kovacs SB, Miao EA (2017) Gasdermins: effectors of pyroptosis. Trends Cell Biol 27(9):673–684. https://doi.org/10.1016/j.tcb.2017.05.005
Kyung SY, Kim DY, Yoon JY et al (2018) Sulforaphane attenuates pulmonary fibrosis by inhibiting the epithelial-mesenchymal transition. BMC Pharmacol Toxicol 19(1):13. https://doi.org/10.1186/s40360-018-0204-7
Lamkanfi M, Dixit VM (2014) Mechanisms and functions of inflammasomes. Cell 157(5):1013–1022. https://doi.org/10.1016/j.cell.2014.04.007
Lamouille S, Xu J, Derynck R (2014) Molecular mechanisms of epithelial-mesenchymal transition. Nat Rev Mol Cell Biol 15(3):178–196. https://doi.org/10.1038/nrm3758
Lappalainen U, Whitsett JA, Wert SE, Tichelaar JW, Bry K (2005) Interleukin-1beta causes pulmonary inflammation, emphysema, and airway remodeling in the adult murine lung. Am J Respir Cell Mol Biol 32(4):311–318. https://doi.org/10.1165/rcmb.2004-0309OC
Latz E, Xiao TS, Stutz A (2013) Activation and regulation of the inflammasomes. Nat Rev Immunol 13(6):397–411. https://doi.org/10.1038/nri3452
Lee MK, Pardoux C, Hall MC et al (2007) TGF-beta activates Erk MAP kinase signalling through direct phosphorylation of ShcA. EMBO J 26(17):3957–3967. https://doi.org/10.1038/sj.emboj.7601818
Leemans JC, Cassel SL, Sutterwala FS (2011) Sensing damage by the NLRP3 inflammasome. Immunol Rev 243(1):152–162. https://doi.org/10.1111/j.1600-065X.2011.01043.x
Lenti MV, Di Sabatino A (2019) Intestinal fibrosis. Mol Aspects Med 65:100–109. https://doi.org/10.1016/j.mam.2018.10.003
Li D, Wu M (2021) Pattern recognition receptors in health and diseases. Signal Transduct Target Ther 6(1):291. https://doi.org/10.1038/s41392-021-00687-0
Li LC, Xu L, Hu Y et al (2017) Astragaloside IV improves bleomycin-induced pulmonary fibrosis in rats by attenuating extracellular matrix deposition. Front Pharmacol 8:513. https://doi.org/10.3389/fphar.2017.00513
Li Y, Li H, Liu S et al (2018) Pirfenidone ameliorates lipopolysaccharide-induced pulmonary inflammation and fibrosis by blocking NLRP3 inflammasome activation. Mol Immunol 99:134–144. https://doi.org/10.1016/j.molimm.2018.05.003
Li J, Yang X, Yang P et al (2021a) Andrographolide alleviates bleomycin-induced NLRP3 inflammasome activation and epithelial-mesenchymal transition in lung epithelial cells by suppressing AKT/mTOR signaling pathway. Ann Transl Med 9(9):764. https://doi.org/10.21037/atm-20-7973
Li N, Wu K, Feng F, Wang L, Zhou X, Wang W (2021b) Astragaloside IV alleviates silica-induced pulmonary fibrosis via inactivation of the TGF-beta1/Smad2/3 signaling pathway. Int J Mol Med. https://doi.org/10.3892/ijmm.2021.4849
Liang Q, Cai W, Zhao Y et al (2020a) Lycorine ameliorates bleomycin-induced pulmonary fibrosis via inhibiting NLRP3 inflammasome activation and pyroptosis. Pharmacol Res 158:104884. https://doi.org/10.1016/j.phrs.2020.104884
Liang Y, Song P, Chen W et al (2020b) Inhibition of caspase-1 ameliorates ischemia-associated blood-brain barrier dysfunction and integrity by suppressing pyroptosis activation. Front Cell Neurosci 14:540669. https://doi.org/10.3389/fncel.2020.540669
Liu P, Lu Z, Liu L et al (2019) NOD-like receptor signaling in inflammation-associated cancers: from functions to targeted therapies. Phytomedicine 64:152925. https://doi.org/10.1016/j.phymed.2019.152925
Liu Y, Zhao C, Meng J et al (2022) Galectin-3 regulates microglial activation and promotes inflammation through TLR4/MyD88/NF-kB in experimental autoimmune uveitis. Clin Immunol 236:108939. https://doi.org/10.1016/j.clim.2022.108939
Lopez-Castejon G, Brough D (2011) Understanding the mechanism of IL-1beta secretion. Cytokine Growth Factor Rev 22(4):189–195. https://doi.org/10.1016/j.cytogfr.2011.10.001
Luo DD, Fielding C, Phillips A, Fraser D (2009) Interleukin-1 beta regulates proximal tubular cell transforming growth factor beta-1 signalling. Nephrol Dial Transplant 24(9):2655–2665. https://doi.org/10.1093/ndt/gfp208
Luo S, Gong J, Cao X, Liu S (2020) Ligustilide modulates oxidative stress, apoptosis, and immunity to avoid pathological damages in bleomycin induced pulmonary fibrosis rats via inactivating TLR4/MyD88/NF-KB P65. Ann Transl Med 8(15):931. https://doi.org/10.21037/atm-20-4233
Lv Q, Wang J, Xu C, Huang X, Ruan Z, Dai Y (2020) Pirfenidone alleviates pulmonary fibrosis in vitro and in vivo through regulating Wnt/GSK-3beta/beta-catenin and TGF-beta1/Smad2/3 signaling pathways. Mol Med 26(1):49. https://doi.org/10.1186/s10020-020-00173-3
Ma M, Li G, Qi M, Jiang W, Zhou R (2021) Inhibition of the inflammasome activity of NLRP3 attenuates HDM-induced allergic asthma. Front Immunol 12:718779. https://doi.org/10.3389/fimmu.2021.718779
Madala SK, Schmidt S, Davidson C, Ikegami M, Wert S, Hardie WD (2012) MEK-ERK pathway modulation ameliorates pulmonary fibrosis associated with epidermal growth factor receptor activation. Am J Respir Cell Mol Biol 46(3):380–388. https://doi.org/10.1165/rcmb.2011-0237OC
Mangan MSJ, Olhava EJ, Roush WR, Seidel HM, Glick GD, Latz E (2018) Targeting the NLRP3 inflammasome in inflammatory diseases. Nat Rev Drug Discov 17(8):588–606. https://doi.org/10.1038/nrd.2018.97
Mankan AK, Kubarenko A, Hornung V (2012) Immunology in clinic review series; focus on autoinflammatory diseases: inflammasomes: mechanisms of activation. Clin Exp Immunol 167(3):369–381. https://doi.org/10.1111/j.1365-2249.2011.04534.x
Markelic I, Hlapcic I, Ceri A et al (2022) Activation of NLRP3 inflammasome in stable chronic obstructive pulmonary disease. Sci Rep 12(1):7544. https://doi.org/10.1038/s41598-022-11164-1
Martinez FJ, Collard HR, Pardo A et al (2017) Idiopathic pulmonary fibrosis. Nat Rev Dis Primers 3:17074. https://doi.org/10.1038/nrdp.2017.74
Mei Q, Liu Z, Zuo H, Yang Z, Qu J (2021) Idiopathic pulmonary fibrosis: an update on pathogenesis. Front Pharmacol 12:797292. https://doi.org/10.3389/fphar.2021.797292
Meng XM, Nikolic-Paterson DJ, Lan HY (2016) TGF-beta: the master regulator of fibrosis. Nat Rev Nephrol 12(6):325–338. https://doi.org/10.1038/nrneph.2016.48
Montero P, Milara J, Roger I, Cortijo J (2021) Role of JAK/STAT in interstitial lung diseases; molecular and cellular mechanisms. Int J Mol Sci 22(12):6211. https://doi.org/10.3390/ijms22126211
Moore CB, Bergstralh DT, Duncan JA et al (2008) NLRX1 is a regulator of mitochondrial antiviral immunity. Nature 451(7178):573–577. https://doi.org/10.1038/nature06501
Mortaz E, Folkerts G, Nijkamp FP, Henricks PA (2010) ATP and the pathogenesis of COPD. Eur J Pharmacol 638(1–3):1–4. https://doi.org/10.1016/j.ejphar.2010.04.019
Moss BJ, Ryter SW, Rosas IO (2022) Pathogenic mechanisms underlying idiopathic pulmonary fibrosis. Annu Rev Pathol 17:515–546. https://doi.org/10.1146/annurev-pathol-042320-030240
Motta V, Soares F, Sun T, Philpott DJ (2015) NOD-like receptors: versatile cytosolic sentinels. Physiol Rev 95(1):149–178. https://doi.org/10.1152/physrev.00009.2014
Nakanishi Y, Horimasu Y, Yamaguchi K et al (2021) IL-18 binding protein can be a prognostic biomarker for idiopathic pulmonary fibrosis. PLoS ONE 16(6):e0252594. https://doi.org/10.1371/journal.pone.0252594
Neerincx A, Castro W, Guarda G, Kufer TA (2013) NLRC5, at the heart of antigen presentation. Front Immunol 4:397. https://doi.org/10.3389/fimmu.2013.00397
Ng A, Xavier RJ (2011) Leucine-rich repeat (LRR) proteins: integrators of pattern recognition and signaling in immunity. Autophagy 7(9):1082–1084. https://doi.org/10.4161/auto.7.9.16464
Ohto U (2022) Activation and regulation mechanisms of NOD-like receptors based on structural biology. Front Immunol 13:953530. https://doi.org/10.3389/fimmu.2022.953530
Ortiz-Zapater E, Signes-Costa J, Montero P, Roger I (2022) Lung fibrosis and fibrosis in the lungs: is it all about myofibroblasts? Biomedicines 10(6):1423. https://doi.org/10.3390/biomedicines10061423
Pakshir P, Hinz B (2018) The big five in fibrosis: Macrophages, myofibroblasts, matrix, mechanics, and miscommunication. Matrix Biol 68–69:81–93. https://doi.org/10.1016/j.matbio.2018.01.019
Peng L, Wen L, Shi QF et al (2020) Scutellarin ameliorates pulmonary fibrosis through inhibiting NF-kappaB/NLRP3-mediated epithelial-mesenchymal transition and inflammation. Cell Death Dis 11(11):978. https://doi.org/10.1038/s41419-020-03178-2
Peng D, Fu M, Wang M, Wei Y, Wei X (2022) Targeting TGF-beta signal transduction for fibrosis and cancer therapy. Mol Cancer 21(1):104. https://doi.org/10.1186/s12943-022-01569-x
Platnich JM, Muruve DA (2019) NOD-like receptors and inflammasomes: a review of their canonical and non-canonical signaling pathways. Arch Biochem Biophys 670:4–14. https://doi.org/10.1016/j.abb.2019.02.008
Proell M, Riedl SJ, Fritz JH, Rojas AM, Schwarzenbacher R (2008) The Nod-like receptor (NLR) family: a tale of similarities and differences. PLoS ONE 3(4):e2119. https://doi.org/10.1371/journal.pone.0002119
Ram C, Gairola S, Syed AM, Verma S, Mugale MN, Sahu BD (2022) Carvacrol preserves antioxidant status and attenuates kidney fibrosis via modulation of TGF-beta1/Smad signaling and inflammation. Food Funct 13(20):10587–10600. https://doi.org/10.1039/d2fo01384c
Ren LL, Li XJ, Duan TT et al (2023) Transforming growth factor-beta signaling: from tissue fibrosis to therapeutic opportunities. Chem Biol Interact 369:110289. https://doi.org/10.1016/j.cbi.2022.110289
Riteau N, Gasse P, Fauconnier L et al (2010) Extracellular ATP is a danger signal activating P2X7 receptor in lung inflammation and fibrosis. Am J Respir Crit Care Med 182(6):774–783. https://doi.org/10.1164/rccm.201003-0359OC
Rodriguez-Antonio I, Lopez-Sanchez GN, Uribe M, Chavez-Tapia NC, Nuno-Lambarri N (2021) Role of the inflammasome, gasdermin D, and pyroptosis in non-alcoholic fatty liver disease. J Gastroenterol Hepatol 36(10):2720–2727. https://doi.org/10.1111/jgh.15561
Sanna MG, da Silva CJ, Ducrey O et al (2002) IAP suppression of apoptosis involves distinct mechanisms: the TAK1/JNK1 signaling cascade and caspase inhibition. Mol Cell Biol 22(6):1754–1766. https://doi.org/10.1128/MCB.22.6.1754-1766.2002
Sayan M, Mossman BT (2016) The NLRP3 inflammasome in pathogenic particle and fibre-associated lung inflammation and diseases. Part Fibre Toxicol 13(1):51. https://doi.org/10.1186/s12989-016-0162-4
Schroder K, Tschopp J (2010) The inflammasomes. Cell 140(6):821–832. https://doi.org/10.1016/j.cell.2010.01.040
Schuster R, Rockel JS, Kapoor M, Hinz B (2021) The inflammatory speech of fibroblasts. Immunol Rev 302(1):126–146. https://doi.org/10.1111/imr.12971
Seok JK, Kang HC, Cho YY, Lee HS, Lee JY (2021) Therapeutic regulation of the NLRP3 inflammasome in chronic inflammatory diseases. Arch Pharm Res 44(1):16–35. https://doi.org/10.1007/s12272-021-01307-9
Shao BZ, Xu ZQ, Han BZ, Su DF, Liu C (2015) NLRP3 inflammasome and its inhibitors: a review. Front Pharmacol 6:262. https://doi.org/10.3389/fphar.2015.00262
Shi J, Gao W, Shao F (2017) Pyroptosis: gasdermin-mediated programmed necrotic cell death. Trends Biochem Sci 42(4):245–254. https://doi.org/10.1016/j.tibs.2016.10.004
Shi T, Denney L, An H, Ho LP, Zheng Y (2021) Alveolar and lung interstitial macrophages: definitions, functions, and roles in lung fibrosis. J Leukoc Biol 110(1):107–114. https://doi.org/10.1002/JLB.3RU0720-418R
Simpson JL, Phipps S, Baines KJ, Oreo KM, Gunawardhana L, Gibson PG (2014) Elevated expression of the NLRP3 inflammasome in neutrophilic asthma. Eur Respir J 43(4):1067–1076. https://doi.org/10.1183/09031936.00105013
Singh R, Kaundal RK, Zhao B, Bouchareb R, Lebeche D (2021) Resistin induces cardiac fibroblast-myofibroblast differentiation through JAK/STAT3 and JNK/c-Jun signaling. Pharmacol Res 167:105414. https://doi.org/10.1016/j.phrs.2020.105414
Sisson TH, Mendez M, Choi K et al (2010) Targeted injury of type II alveolar epithelial cells induces pulmonary fibrosis. Am J Respir Crit Care Med 181(3):254–263. https://doi.org/10.1164/rccm.200810-1615OC
Song C, He L, Zhang J et al (2016) Fluorofenidone attenuates pulmonary inflammation and fibrosis via inhibiting the activation of NALP3 inflammasome and IL-1beta/IL-1R1/MyD88/NF-kappaB pathway. J Cell Mol Med 20(11):2064–2077. https://doi.org/10.1111/jcmm.12898
Song Z, Gong Q, Guo J (2021) Pyroptosis: mechanisms and links with fibrosis. Cells 10(12):3509. https://doi.org/10.3390/cells10123509
Sorrentino A, Thakur N, Grimsby S et al (2008) The type I TGF-beta receptor engages TRAF6 to activate TAK1 in a receptor kinase-independent manner. Nat Cell Biol 10(10):1199–1207. https://doi.org/10.1038/ncb1780
Sugino K, Nakamura Y, Muramatsu Y, Hata Y, Shibuya K, Homma S (2016) Analysis of blood neutrophil elastase, glutathione levels and pathological findings in postoperative acute exacerbation of idiopathic pulmonary fibrosis associated with lung cancer: two case reports. Mol Clin Oncol 5(4):402–406. https://doi.org/10.3892/mco.2016.993
Swanson KV, Deng M, Ting JP (2019) The NLRP3 inflammasome: molecular activation and regulation to therapeutics. Nat Rev Immunol 19(8):477–489. https://doi.org/10.1038/s41577-019-0165-0
Takemasa A, Ishii Y, Fukuda T (2012) A neutrophil elastase inhibitor prevents bleomycin-induced pulmonary fibrosis in mice. Eur Respir J 40(6):1475–1482. https://doi.org/10.1183/09031936.00127011
Tanino A, Okura T, Nagao T et al (2016) Interleukin-18 deficiency protects against renal interstitial fibrosis in aldosterone/salt-treated mice. Clin Sci (lond) 130(19):1727–1739. https://doi.org/10.1042/CS20160183
Tao H, Zhao H, Mo A et al (2023) VX-765 attenuates silica-induced lung inflammatory injury and fibrosis by modulating alveolar macrophages pyroptosis in mice. Ecotoxicol Environ Saf 249:114359. https://doi.org/10.1016/j.ecoenv.2022.114359
Tezcan G, Martynova EV, Gilazieva ZE, McIntyre A, Rizvanov AA, Khaiboullina SF (2019) MicroRNA post-transcriptional regulation of the NLRP3 inflammasome in immunopathologies. Front Pharmacol 10:451. https://doi.org/10.3389/fphar.2019.00451
Thomay AA, Daley JM, Sabo E et al (2009) Disruption of interleukin-1 signaling improves the quality of wound healing. Am J Pathol 174(6):2129–2136. https://doi.org/10.2353/ajpath.2009.080765
Tian R, Zhu Y, Yao J et al (2017) NLRP3 participates in the regulation of EMT in bleomycin-induced pulmonary fibrosis. Exp Cell Res 357(2):328–334. https://doi.org/10.1016/j.yexcr.2017.05.028
Travassos LH, Carneiro LA, Girardin S, Philpott DJ (2010) Nod proteins link bacterial sensing and autophagy. Autophagy 6(3):409–411. https://doi.org/10.4161/auto.6.3.11305
van der Velden JL, Ye Y, Nolin JD et al (2016) JNK inhibition reduces lung remodeling and pulmonary fibrotic systemic markers. Clin Transl Med 5(1):36. https://doi.org/10.1186/s40169-016-0117-2
Vander Ark A, Cao J, Li X (2018) TGF-beta receptors: in and beyond TGF-beta signaling. Cell Signal 52:112–120. https://doi.org/10.1016/j.cellsig.2018.09.002
Velloso FJ, Trombetta-Lima M, Anschau V, Sogayar MC, Correa RG (2019) NOD-like receptors: major players (and targets) in the interface between innate immunity and cancer. Biosci Rep. https://doi.org/10.1042/BSR20181709
Vierhout M, Ayoub A, Naiel S et al (2021) Monocyte and macrophage derived myofibroblasts: is it fate? A review of the current evidence. Wound Repair Regen 29(4):548–562. https://doi.org/10.1111/wrr.12946
Wanas H, El Shereef Z, Rashed L, Aboulhoda BE (2022) Ticagrelor ameliorates bleomycin-induced pulmonary fibrosis in rats by the inhibition of TGF-beta1/Smad3 and PI3K/AKT/mTOR pathways. Curr Mol Pharmacol 15(1):227–238. https://doi.org/10.2174/1874467214666210204212533
Wang Y, Hasegawa M, Imamura R et al (2004) PYNOD, a novel Apaf-1/CED4-like protein is an inhibitor of ASC and caspase-1. Int Immunol 16(6):777–786. https://doi.org/10.1093/intimm/dxh081
Wang Y, Xu CF, Liu YJ et al (2017) Salidroside attenuates ventilation induced lung injury via SIRT1-dependent inhibition of NLRP3 inflammasome. Cell Physiol Biochem 42(1):34–43. https://doi.org/10.1159/000477112
Wang J, Wang H, Fang F et al (2021a) Danggui buxue tang ameliorates bleomycin-induced pulmonary fibrosis by suppressing the TLR4/NLRP3 signaling pathway in rats. Evid Based Complement Altern Med 2021:8030143. https://doi.org/10.1155/2021/8030143
Wang J, Yao J, Liu Y, Huang L (2021b) Targeting the gasdermin D as a strategy for ischemic stroke therapy. Biochem Pharmacol 188:114585. https://doi.org/10.1016/j.bcp.2021.114585
Wang Y, Li S, Zhao J et al (2021c) Snail-mediated partial epithelial mesenchymal transition augments the differentiation of local lung myofibroblast. Chemosphere 267:128870. https://doi.org/10.1016/j.chemosphere.2020.128870
Warheit-Niemi HI, Hult EM, Moore BB (2019) A pathologic two-way street: how innate immunity impacts lung fibrosis and fibrosis impacts lung immunity. Clin Transl Immunol 8(6):e1065. https://doi.org/10.1002/cti2.1065
Wei Y, Liu C, Li L (2023) Geniposide improves bleomycin-induced pulmonary fibrosis by inhibiting NLRP3 inflammasome activation and modulating metabolism. J Funct Foods 104:105503
Weng CM, Li Q, Chen KJ et al (2020) Bleomycin induces epithelial-to-mesenchymal transition via bFGF/PI3K/ESRP1 signaling in pulmonary fibrosis. Biosci Rep. https://doi.org/10.1042/BSR20190756
Wright JA, Bryant CE (2016) The killer protein Gasdermin D. Cell Death Differ 23(12):1897–1898. https://doi.org/10.1038/cdd.2016.100
Wu Y, Zhou BP (2010) Snail: more than EMT. Cell Adhes Migr 4(2):199–203. https://doi.org/10.4161/cam.4.2.10943
Wu Y, Huang D, Wang X et al (2021) Suppression of NLRP3 inflammasome by Platycodin D via the TLR4/MyD88/NF-kappaB pathway contributes to attenuation of lipopolysaccharide induced acute lung injury in rats. Int Immunopharmacol 96:107621. https://doi.org/10.1016/j.intimp.2021.107621
Xia Z, Zhang C, Guo C et al (2022) Nanoformulation of a carbon monoxide releasing molecule protects against cyclosporin A-induced nephrotoxicity and renal fibrosis via the suppression of the NLRP3 inflammasome mediated TGF-beta/Smad pathway. Acta Biomater 144:42–53. https://doi.org/10.1016/j.actbio.2022.03.024
Xiong Y, Cui X, Zhou Y et al (2021) Dehydrocostus lactone inhibits BLM-induced pulmonary fibrosis and inflammation in mice via the JNK and p38 MAPK-mediated NF-kappaB signaling pathways. Int Immunopharmacol 98:107780. https://doi.org/10.1016/j.intimp.2021.107780
Yamaguchi M, Hirai S, Tanaka Y et al (2020) Pericyte-myofibroblast transition in the human lung. Biochem Biophys Res Commun 528(2):269–275. https://doi.org/10.1016/j.bbrc.2020.05.091
Yan Z, Ao X, Liang X et al (2022) Transcriptional inhibition of miR-486-3p by BCL6 upregulates Snail and induces epithelial-mesenchymal transition during radiation-induced pulmonary fibrosis. Respir Res 23(1):104. https://doi.org/10.1186/s12931-022-02024-7
Yang H, Hua C, Yang X et al (2020) Pterostilbene prevents LPS-induced early pulmonary fibrosis by suppressing oxidative stress, inflammation and apoptosis in vivo. Food Funct 11(5):4471–4484. https://doi.org/10.1039/c9fo02521a
Ye Z, Hu Y (2021) TGF-beta1: gentlemanly orchestrator in idiopathic pulmonary fibrosis (Review). Int J Mol Med. https://doi.org/10.3892/ijmm.2021.4965
Yoshida K, Kuwano K, Hagimoto N et al (2002) MAP kinase activation and apoptosis in lung tissues from patients with idiopathic pulmonary fibrosis. J Pathol 198(3):388–396. https://doi.org/10.1002/path.1208
Zhang C, Zhu X, Hua Y et al (2019a) YY1 mediates TGF-beta1-induced EMT and pro-fibrogenesis in alveolar epithelial cells. Respir Res 20(1):249. https://doi.org/10.1186/s12931-019-1223-7
Zhang LM, Zhang Y, Fei C et al (2019b) Neutralization of IL-18 by IL-18 binding protein ameliorates bleomycin-induced pulmonary fibrosis via inhibition of epithelial-mesenchymal transition. Biochem Biophys Res Commun 508(2):660–666. https://doi.org/10.1016/j.bbrc.2018.11.129
Zhang X, Huang H, Zhang G, Li D, Wang H, Jiang W (2019c) Raltegravir attenuates experimental pulmonary fibrosis in vitro and in vivo. Front Pharmacol 10:903. https://doi.org/10.3389/fphar.2019.00903
Zhang K, Fan C, Cai D et al (2020a) Contribution of TGF-beta-mediated NLRP3-HMGB1 activation to tubulointerstitial fibrosis in rat with angiotensin II-induced chronic kidney disease. Front Cell Dev Biol 8:1. https://doi.org/10.3389/fcell.2020.00001
Zhang X, Bai XC, Chen ZJ (2020b) Structures and mechanisms in the cGAS-STING innate immunity pathway. Immunity 53(1):43–53. https://doi.org/10.1016/j.immuni.2020.05.013
Zhang WJ, Chen SJ, Zhou SC, Wu SZ, Wang H (2021) Inflammasomes and Fibrosis. Front Immunol 12:643149. https://doi.org/10.3389/fimmu.2021.643149
Zhang WJ, Li KY, Lan Y, Zeng HY, Chen SQ, Wang H (2023) NLRP3 inflammasome: a key contributor to the inflammation formation. Food Chem Toxicol 174:113683. https://doi.org/10.1016/j.fct.2023.113683
Zheng R, Tao L, Jian H et al (2018) NLRP3 inflammasome activation and lung fibrosis caused by airborne fine particulate matter. Ecotoxicol Environ Saf 163:612–619. https://doi.org/10.1016/j.ecoenv.2018.07.076
Zheng D, Liwinski T, Elinav E (2020) Inflammasome activation and regulation: toward a better understanding of complex mechanisms. Cell Discov 6:36. https://doi.org/10.1038/s41421-020-0167-x
Zhong Y, Kinio A, Saleh M (2013) Functions of NOD-like receptors in human diseases. Front Immunol 4:333. https://doi.org/10.3389/fimmu.2013.00333
Zhou YX, Zhang RQ, Rahman K, Cao ZX, Zhang H, Peng C (2019) Diverse pharmacological activities and potential medicinal benefits of geniposide. Evid Based Complement Alternat Med 2019:4925682. https://doi.org/10.1155/2019/4925682
Zhou L, Li P, Zhang M et al (2020) Carbon black nanoparticles induce pulmonary fibrosis through NLRP3 inflammasome pathway modulated by miR-96 targeted FOXO3a. Chemosphere 241:125075. https://doi.org/10.1016/j.chemosphere.2019.125075
Zhu Z, Hou Q, Li M, Fu X (2020) Molecular mechanism of myofibroblast formation and strategies for clinical drugs treatments in hypertrophic scars. J Cell Physiol 235(5):4109–4119. https://doi.org/10.1002/jcp.29302
Zhu W, Tan C, Zhang J (2022) Alveolar epithelial type 2 cell dysfunction in idiopathic pulmonary fibrosis. Lung 200(5):539–547. https://doi.org/10.1007/s00408-022-00571-w
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This work was supported by the Department of Pharmaceuticals, Ministry of Chemicals and Fertilizers, Government of India, and National Institute of Pharmaceutical Education and Research (NIPER) Raebareli, Uttar Pradesh, India.
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Gairola, S., Sinha, A. & Kaundal, R.K. Linking NLRP3 inflammasome and pulmonary fibrosis: mechanistic insights and promising therapeutic avenues. Inflammopharmacol 32, 287–305 (2024). https://doi.org/10.1007/s10787-023-01389-5
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DOI: https://doi.org/10.1007/s10787-023-01389-5