NLRP3 inflammasome-dependent inflammatory responses are triggered by a variety of signals of host danger, including infection, tissue damage and metabolic dysregulation. How these diverse activators cause inflammasome activation is poorly understood. Recent data suggest that the mitochondria integrate these distinct signals and relay this information to the NLRP3 inflammasome. Dysfunctional mitochondria generate ROS, which is required for inflammasome activation. On the contrary, the NLRP3 inflammasome is negatively regulated by autophagy, which is a catabolic process that removes damaged or otherwise dysfunctional organelles, including mitochondria. In addition to the processing and secretion of proinflammatory cytokines such as IL-1b, NLRP3 inflammasome activation also influences cellular metabolic pathways such as glycolysis and lipogenesis. Mapping the connections between mitochondria, metabolism and inflammation is of great interest, as malfunctioning of this network is associated with many chronic inflammatory diseases.Keywords: Immune regulation . Inflammation . Innate immunity See accompanying reviews by Bevan and Dinarello, also winners of the 2010 Novartis Immunology Prizes, and the Forum article describing the Prizes
Detecting and repairing tissue damageA consequence of multicellularity is the necessity for coordinated repair mechanisms to respond to damage induced by environmental, intracellular and extracellular insults. Examples include pathogens, DNA damage and metabolic stress. To mount an appropriate repair response to these dangerous situations, the organism requires mechanisms that identify the source of the problem and engage suitable effectors. Tissue damage, cellular stress and infection are sensed by the innate immune system through pattern recognition receptors (PRRs), which, upon activation, initiate defense and repair programs [1,2]. If the cellular or tissue damage is extensive, these receptors trigger an acute inflammatory response. In the vast majority of cases, this response removes the injurious stimuli and repairs the damaged tissue within days of its initiation. In some situations, however, the source of tissue or cellular stress cannot be effectively resolved. Continued death of damaged cells leads to progressive destruction of the tissue, while the immune system initiates futile attempts to repair the damage. This simultaneous destruction and healing of tissue is characteristic of chronic inflammation, and is seen in a number of degenerative disease including arthritis, diabetes, inflammatory bowel diseases and many more (see accompanying review by Dinarello [3]).The NOD-like receptor family and the NLRP3 inflammasomeThe central role of the NOD-like receptor (NLR) family of cytoplasmic PRRs in the initiation of the inflammatory responses is becoming increasingly clear. NLRs typically have a tripartite architecture, consisting of a central and defining nucleotide binding and oligomerization (NACHT) domain, C-terminal leucine-rich repeats (LRRs) and an N-terminal effector domain ...