Aluminium adjuvants, typically referred to as 'alum', are the most commonly used adjuvants in human and animal vaccines worldwide, yet the mechanism underlying the stimulation of the immune system by alum remains unknown. Toll-like receptors are critical in sensing infections and are therefore common targets of various adjuvants used in immunological studies. Although alum is known to induce the production of proinflammatory cytokines in vitro, it has been repeatedly demonstrated that alum does not require intact Toll-like receptor signalling to activate the immune system 1,2 . Here we show that aluminium adjuvants activate an intracellular innate immune response system called the Nalp3 (also known as cryopyrin, CIAS1 or NLRP3) inflammasome. Production of the pro-inflammatory cytokines interleukin-1β and interleukin-18 by macrophages in response to alum in vitro required intact inflammasome signalling. Furthermore, in vivo, mice deficient in Nalp3, ASC (apoptosis-associated speck-like protein containing a caspase recruitment domain) or caspase-1 failed to mount a significant antibody response to an antigen administered with aluminium adjuvants, whereas the response to complete Freund's adjuvant remained intact. We identify the Nalp3 inflammasome as a crucial element in the adjuvant effect of aluminium adjuvants; in addition, we show that the innate inflammasome pathway can direct a humoral adaptive immune response. This is likely to affect how we design effective, but safe, adjuvants in the future.Reprints and permissions information is available at www.nature.com/reprints.Correspondence and requests for materials should be addressed to R.A.F. (richard.flavell@yale.edu). Supplementary Information is linked to the online version of the paper at www.nature.com/nature. [12][13][14][15] . We formed the hypothesis that the particulate nature of alum might be recognized by NLRs, much like crystalline MSU. To test whether alum activates the Nalp3 inflammasome, we used primary peritoneal macrophages from mice deficient in critical signalling components of the Nalp3 inflammasome. Because inflammasome activation requires two signals for the production of mature IL-1β, we first primed macrophages with lipopolysaccharide (LPS) and then exposed them to aluminium adjuvants. Consistent with previous reports [13][14][15] , aluminium adjuvants induced the production of IL-1β and IL-18 from wild-type (C57BL/6; WT) primary murine macrophages ( Fig. 1a, d), bone-marrow-derived macrophages ( Supplementary Fig. 1a) and bone-marrowderived dendritic cells ( Supplementary Fig. 1b) in vitro. IL-1β secretion was dependent on the dose of alum (Fig. 1b) and peaked between 8 and 10 h of stimulation with alum in WT macrophages, but continued out to 48 h ( Fig. 2c and data not shown).
HHS Public AccessIn contrast, macrophages from animals deficient in Nalp3, ASC or caspase-1 failed to produce IL-1β or IL-18 on stimulation with multiple types of aluminium adjuvant (Fig. 1c, d, Supplementary Fig. 1b and data not shown). Another member ...