“…Clustering of pro-caspase-1 molecules leads to proximity-induced auto-proteolysis into p20 and p10 subunits, which in turn cleave pro-IL-1b to generate active IL-1b (Dinarello, 1998). Suggested mechanisms include exocytosis via secretory lysosomes (Andrei et al, 1999(Andrei et al, , 2004, secretion by microvesicle shedding (MacKenzie et al, 2001), release of multivesicular bodies that may contain exosomes (Qu et al, 2007), an autophagy-based secretory pathway (Dupont et al, 2011), gasdermin D-dependent secretion via pores (Evavold et al, 2018) and a loss of membrane integrity leading to passive IL-1b release that occurs in parallel with pyroptotic death of the secreting cell (Shirasaki et al, 2014;Martin-Sanchez et al, 2016). Ever since an alternative secretory pathway for the leaderless IL-1b has been reported (Rubartelli et al, 1990), the exact manner of release remains matter of debate.…”