2023
DOI: 10.1093/qjmed/hcad011
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NLRP3, the inflammasome and COVID-19 infection

Abstract: Severe coronavirus disease 2019 (COVID-19) is characterized by respiratory failure, shock, or multiorgan dysfunction, often accompanied by systemic hyperinflammation and dysregulated cytokine release. These features are linked to the intense and rapid stimulation of the innate immune response. The NLRP3 inflammasome is a central player in inflammatory macrophage activation which via caspase-1 activation leads to the release of the mature forms of the pro-inflammatory cytokines IL-1β and IL-18, and via cleavage… Show more

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Cited by 13 publications
(7 citation statements)
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“…76,77 NLRP3 inflammasome, which was the key regulator to activate body macrophage reaction, played an important role in COVID-19 and the potential clinical treatment targeting it is being studied. 78 Moreover, OA development was associated with macrophage polarization and macrophage was transformed from resting to activating. In this process, macrophage M1 that promotes inflammation would increase while the number of anti-inflammation macrophage M2 would reduce.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…76,77 NLRP3 inflammasome, which was the key regulator to activate body macrophage reaction, played an important role in COVID-19 and the potential clinical treatment targeting it is being studied. 78 Moreover, OA development was associated with macrophage polarization and macrophage was transformed from resting to activating. In this process, macrophage M1 that promotes inflammation would increase while the number of anti-inflammation macrophage M2 would reduce.…”
Section: Discussionmentioning
confidence: 99%
“…It was widely reported that macrophage infiltration occurred in patients' airways and would lead to lung injury 76,77 . NLRP3 inflammasome, which was the key regulator to activate body macrophage reaction, played an important role in COVID‐19 and the potential clinical treatment targeting it is being studied 78 . Moreover, OA development was associated with macrophage polarization and macrophage was transformed from resting to activating.…”
Section: Discussionmentioning
confidence: 99%
“…Because recent airway administration of TLR agonists resulted in elevated lung levels of IL-1β and IL-18, we next investigated whether inflammasome-related pathways contribute to innate control of viral replication in SCV2 infection. Indeed, both inflammasome activation and pyroptotic cell death have been implicated in SCV2 pathogenesis [89][90][91][92] . Similar to observations made in an AAV-hACE2 mouse model of SCV2 infection 93 that the inflammatory changes in the lung microenvironment prior to SCV2 infection might also extend to changes in lung epithelial cells (ECs), the primary target and reservoir of SCV2 replication 94,95 .…”
Section: Pulmonary Scv2 Replication Is Restricted By Nucleic Acid Sen...mentioning
confidence: 99%
“…This is, perhaps, responsible for peripheral lymphopenia in severe COVID-19 patients. The role of inflammasome is also related to development of severe inflammation in COVID-19 patients [ 111 , 112 , 113 , 114 , 115 , 116 ]. In addition to this, attention should be focused on the initial failure or suboptimal induction of innate immunity in the host during initial exposure to SARS-CoV-2 in order to allow for the development of proper insights into the cellular and molecular mechanisms underlying severe COVID-19.…”
Section: Possible Mechanisms Underlying Failure Of Containing Sars-co...mentioning
confidence: 99%