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The SPRY domain of Pyrin, mutated in familial
Mediterranean fever patients, interacts with
inflammasome components and inhibits proIL-1b
processing
S Papin1
, S Cuenin1
, L Agostini1
, F Martinon1
, S Werner2
, H-D Beer2
, C Gru¨tter3
, M Gru¨tter3
and J Tschopp*,1
The autoinflammatory disorders Muckle–Wells syndrome, familial cold urtecaria and chronic infantile neurological cutaneous
and articular syndrome are associated with mutations in the NALP3 (Cryopyrin) gene, which is the central platform of the
proinflammatory caspase-1 activating complex, named the inflammasome. In patients with another autoinflammatory disorder,
familial Mediterranean fever (FMF), mutations in the SPRY domain of the Pyrin protein are frequently found. Recent evidence
suggests that Pyrin associates with ASC, an inflammasome component, via its Pyrin domain, thereby halting the inflammatory
response. This interaction, however, does not explain the effects of mutations of the SPRY domain found in FMF patients. Here
we show that the Pyrin SPRY domain not only interacts with NALP3, but also with caspase-1 and its substrate pro-interleukin(IL)-
1b. Whereas a Pyrin knockdown results in increased caspase-1 activation and IL-1b secretion, overexpression of the SPRY
domain alone blocks these processes. Thus Pyrin binds to several inflammasome components thereby modulating their activity.
Cell Death and Differentiation (2007) 14, 1457–1466; doi:10.1038/sj.cdd.4402142; published online 13 April 2007
Hereditary recurrent fevers are disorders characterized by
recurrent episodes of fever and serosal inflammation,
associated with more specific symptoms.1–3
This group of
diseases comprises three syndromes associated with muta-
tions in NALP3, a key component of the inflammasome4
:
Muckle–Wells syndrome, familial cold urticaria5
and chronic
infantile neurological cutaneous and articular syndrome/
OMID,6
as well as other syndromes like hyper-IgD,7,8
PAPA
syndrome,9
TRAPS10,11
and familial Mediterranean fever
(FMF).12,13
The latter is a recessively inherited disorder, in
which mutations occur in the pyrin gene.12,13
Pyrin is
expressed in neutrophils and monocytes, and its expression
is tightly regulated by cytokines.14
Several spliced isoforms of
Pyrin have been described so far.15,16
The subcellular
localization of Pyrin has been well studied in overexpression
studies as well as at the endogenous level. It appears that
according to the cell type or to the spliced isoform studied,
Pyrin can be localized diffusely or as specks, in the cytoplasm,
but also in the nucleus.15–20
Pyrin contains at the N-terminus a Pyrin domain (PYD), a
member of the death effector-fold domains,21–23
two B-boxes
and a coiled-coil domain (BBCC), as well as a SPRY domain
(also called B30.2 domain). The PYD found in Pyrin is also
present in NALP proteins. The NALP proteins, and more
precisely NALP1, NALP2 and NALP3, are involved in the
formation of molecular platforms that trigger activation of
caspase-1 followed by processing and release of active
interleukin (IL)-1b, a major inflammatory cytokine.4,24
These
platforms have been named inflammasomes, and are formed
by the recruitment of several proteins to the NALPs, like ASC,
Cardinal, caspase-1 and caspase-5. In addition to Pyrin and
NALPs, the PYD is also found in the adaptor ASC that makes
the link between NALPs and caspase-1 in the inflammasome
formation, through PYD-PYD interactions between ASC and
NALPs and CARD-CARD interactions between ASC and
caspase-1.4,24
Several groups have reported that the PYD of
Pyrin can interact with the PYD of ASC.19,25,26
However the
relevance and function of this interaction is not clear and
controversial. Some reports suggest that this interaction
negatively regulates caspase-1,27,28
and another indicates
that it can promote the formation of an active caspase-1
activating complex.26
These contradictory data are probably
due to the use of different experimental systems.
The other domains of Pyrin, the BBCC and the SPRY
domains, are found in many proteins of the TRIM (tripartite
motif) family,29
which often contain, instead of the amino-
terminal PYD, an E3 ubiquitin-ligase-like RING domain.
BBCC and SPRY domains are thought to be protein–protein
interaction domains, but for the great majority of the TRIM
proteins, no binding partners have been described and their
functions are not yet established. Interestingly, TRIM5 has
been implicated in HIV-1 restriction in primates, and this
Received 06.10.06; revised 07.3.07; accepted 07.3.07; Edited by P Mehlen; published online 13.4.07
1
Department of Biochemistry, University of Lausanne, Chemin des Boveresses 155, CH-1066 Epalinges, Switzerland; 2
Department of Biology, Institute of Cell Biology,
ETH Zu¨rich, CH-8093 Zu¨rich, Switzerland and 3
Department of Biochemistry, University of Zu¨rich, Winterthurerstr 160, CH-8057 Zu¨rich, Switzerland
*Corresponding author: J Tschopp, Department of Biochemistry, Chemin des Boveresses 155, CH-1066 Epalinges, Switzerland. Tel: þ 41 21 692 5738;
Fax: þ 41 21 692 5705;
E-mail: jurg.tschopp@unil.ch
Keywords: inflammation; fever; inflammasome; IL-1b; caspase-1
Abbreviations: BBCC, B-boxes and a coiled-coil; FMF, familial Mediterranean fever; IL, interleukin; PYD, Pyrin domain
Cell Death and Differentiation (2007) 14, 1457–1466
& 2007 Nature Publishing Group All rights reserved 1350-9047/07 $30.00
www.nature.com/cdd
antiviral effect is mediated through the SPRY domain.30,31
Antiviral effects have also been reported for other TRIM
members, suggesting that the SPRY domain has evolved
for anti-viral immunity. Interestingly, the mutations found in
FMF patients are also mainly localized in the SPRY domain
of Pyrin.
The presence of a common domain in Pyrin and NALPs, as
well as the similarities of the syndromes associated with the
mutations in Pyrin and NALP3, suggest that these proteins
could be involved in related pathways. In accord with this
hypothesis, recent evidence suggests that the SPRY domain
of Pyrin directly binds to caspase-1.32
Therefore we decided
to investigate the role of Pyrin in inflammasome regulation
in more detail.
Results
Pyrin interacts with NALPs and caspases. To determine
whether Pyrin can interact with inflammasome components,
co-immunoprecipitation experiments were performed in
HEK293T cells transfected with plasmids coding for tagged
proteins. Upon overexpression of VSV-tagged Pyrin together
with Flag-tagged caspases and NALPs, we detected a
specific interaction with caspase-1 (in accordance with
recently published data32
) and caspase-5, but not with the
other pro-inflammatory caspase-4 (Figure 1a and c).
Interactions between Pyrin and the inflammasome
components NALP1, NALP2 and NALP3 were equally
strong (Figure 1a).
IP: α-Flag
WB: α-VSV
Cell extracts
PyrinFL-VSV+
Flag-
m
ockCaspase-1
Caspase-2
Caspase-4
Nalp1
Nalp2
Nalp3
IP
83
WB: α-VSV 83
WB: α-Flag
83
47
32
IP: α-Flag
WB: α-Myc
Cell extracts
Flag-
SPRY wt-Myc
m
ock
Nalp
2FL
Nalp2
Nacht
Nalp3
short
IP
27
WB: α-Myc
WB: α-Flag
83
47
32
- + + + + + +
ASC
Nalp
1FL
m
ock
27
+
IP: α-Flag
WB: α-Myc
Cell extracts
Flag-
SPRY wt-Myc
m
ock
Caspase-1
Caspase-4
Caspase-5
Nalp1Nalp2Nalp3
IP
27
WB: α-Myc
WB: α-Flag
83
47
32
- + + + + + + + + +
Caspase-9
ASC
m
ock
27
+ + + + +
Caspase-1
FL
Caspase-1
p20
Caspase-1
p10
Caspase-1
CARD
-
Myc-
SPRY- Flag
IP: α-Flag
WB: α-Myc
Cell extracts
IP 47
WB: α-Flag
WB: α-Myc
23
47
23
23
d
b
c
Figure 1 Pyrin interacts with NALPs, caspase-1 and caspase-5. (a–d) 293T cells were transfected with 5 mg of each cDNA encoding Flag-, Myc- or VSV-tagged proteins.
After 24 h, cells were collected, and the lysates were subjected to immunoprecipitation using anti-Flag agarose beads. Cell extracts and immunoprecipitates were then
analyzed by Western blot
Pyrin and the inflammasome
S Papin et al
1458
Cell Death and Differentiation
To identify the domains involved in these interactions,
immunoprecipitation experiments using only the SPRY
domain of Pyrin and different domains of NALP proteins were
performed. They revealed that the SPRY domain of Pyrin is
sufficient for binding to the NALPs. Furthermore, using NALP
constructs containing only the NACHT domain, it became
evident that the SPRY domain of Pyrin interacts with NALPs
through their NACHT domain (Figure 1b).
The SPRY domain of Pyrin was also sufficient for the
interaction between Pyrin and caspases. Indeed, strong
interactions of the Pyrin SPRY domain with caspase-1 and
caspase-5 were observed. We did not detect interaction of the
Pyrin SPRY domain with ASC, caspase-4 and caspase-9
(Figure 1c).
To map the interaction between Pyrin and caspase-1 more
precisely, we overexpressed the SPRY domain of Pyrin
together with different constructs of caspase-1: the full-length
protein, the p20 subunit, the p10 subunit or the CARD domain.
We detected a weak interaction with the full-length caspase-1,
and a very strong interaction with the p20 subunit. These data
suggest that Pyrin can interact weakly with the proform of
caspase-1, but that the interaction with the cleaved active
form of caspase-1 is much stronger (Figure 1d).
The mutations in Pyrin found in FMF patients are mainly
localized in the SPRY domain of the protein. They have been
recently proposed to affect the interaction between caspase-1
and Pyrin interaction.32
We therefore tested whether the
mutations would also affect the binding of Pyrin to the
inflammasome components and co-expressed the SPRY
domain of Pyrin containing the most frequent mutation found
in FMF patients (M694V) together with caspases and NALPs.
As shown in Figure 2, the interactions of caspase-1, caspase-
5 and NALPs with the mutated SPRY domain of Pyrin
was equally strong as the one observed with wild-type
SPRY (Figure 1c), suggesting that this mutation does
not affect the binding of Pyrin to its partners, at least if
assayed in our overexpression system. The reduced binding
of caspase-5 and NALP2 seen in this experiment was not
consistently seen.
Pyrin interacts with the inflammasome substrate proIL-
1b. We further investigated if Pyrin could interact with the
substrate of the active inflammasome: proIL-1b. By co-
immunoprecipitation in HEK293T cells an interaction of the
full-length Pyrin with proIL-1b was detected, but no
interaction of proIL-1b with ASC, RIP2 (Figure 3a and b).
When mapping this interaction we found that both the BBCC
and the SPRY domain of Pyrin interact with proIL-1b (Figure
3a and c), although the interaction with the SPRY domain
was clearly stronger. In this experiment we did not detect the
interaction with the full-length Pyrin as shown in Figure 3b,
indicating that proIL-1b interacts much more strongly with
the individual domains than with the full-length protein.
Furthermore, when expressing constructs containing the
two domains (BBCC-SPRY), we no longer observed the
interaction with proIL-1b, suggesting that these two domains
interact with each other thereby masking the proIL-1b
interaction site.
To test this hypothesis, the SPRY domain of Pyrin, either
wild type or mutated, together with different domains of Pyrin
coupled to another tag were expressed in HEK293T cells. The
SPRY domain indeed interacted with the BBCC domain of
Pyrin (Figure 3d). The mutated SPRY domain also interacted
with the BBCC, suggesting that the mutation does also not
affect the auto-inhibition of Pyrin. Based on the proposed
model, we predicted that proIL-1b could compete for binding
of the BBCC domain to the SPRY domain, which was indeed
the case (Figure 3d).
We did not detect any interaction of Pyrin with mature IL-1b
(data not shown), indicating that the interaction of Pyrin with
proIL-1b depends on the pro-domain of proIL-1b.
Endogenous Pyrin can be recruited to the inflam-
masome. To determine a possible interaction of Pyrin and
the inflammasome components at the endogenous level, we
used the in vitro assembly system described previously for the
identification of the inflammasome.33
Immunoprecipitations
using an anti-Pyrin antibody were performed and as shown in
Figure 4a, full-length Pyrin at the expected size (85kDa) was
readily detected in the cell extracts and in the immuno-
precipitates. Interestingly, in immunoprecipitates but not in cell
extracts, the full-length Pyrin disappeared during the activation
at 301C, suggesting that it is degraded. This degradation is a
caspase-independent process, as it was not inhibited by the
caspase inhibitor z-VAD-fmk.
In this experiment we detected a transient recruitment of
ASC in Pyrin immunoprecipitates upon 1 h of inflammasome
activation. Binding of NALP3 to Pyrin was also detected after 1
and 2 h of activation. Finally, an interaction with processed
caspase-1 was also detected at 1 and 2 h. No recruitment of
FADD was seen, demonstrating the specificity of complex
formation.
IP: α-Flag
WB: α-Myc
Cell extracts
Flag-
SPRY M694V-Myc
IP
27
WB: α-Myc
WB: α-Flag
83
47
32
m
ock
Nalp1Nalp2
Nalp3
- + + + + + + + + +
m
ock
27
Figure 2 The most frequent mutation of Pyrin found in patients with FMF does
not affect Pyrin binding to the NALPs and caspases. 293T cells were transfected
with 5 mg of each cDNA encoding Flag- or Myc-tagged proteins. After 24 h, cells
were collected, lysed, and the lysates were subjected to immunoprecipitation using
anti-Flag agarose beads. Cell extracts and immunoprecipitates were then analyzed
by Western blot
Pyrin and the inflammasome
S Papin et al
1459
Cell Death and Differentiation
PYD BBCC SPRYPyrin FL
Pyrin SPRY wt
Pyrin BBCC-SPRY
Pyrin FL M694V
Pyrin PYD-BBCC
Pyrin BBCC
Pyrin SPRY M694V
IP: α-Flag
Cell extracts
Flag-
Pro-IL1β
m
ockM
ock
Pyrin
FLASC
RIP2
IP
WB: α-Pro-IL1β
WB: α-Pro-IL1β
WB:α-Flag
85
47
32
32
32
- + + + +
IP: α-Flag
WB: α-ProIL-1β
Cell extracts
WB: α-ProIL-1β
Flag-
Pro-IL1β
m
ockM
ock
Pyrin
FL
wt
Pyrin
FL
M
694V
Pyrin
PYD
Pyrin
BBCC-SPRY
IP
WB: α-Flag
Pyrin
BBCC
85
47
32
32
32
Pyrin
SPRY
wt
Pyrin
SPRY
M
694V
- + + + + + + + +
-
-
-
+
-
-
+
-
-
+
-
-
+
-
+
-
-
-
-
+
-
-
+
-
-
+
-
-
+
+
Myc-
Pyrin SPRY–Flag
Pyrin SPRY M694V-Flag
ProIL-1β
-
-
+
-
-
+
M
ockM
ockPyrin
FL
wt
Pyrin
BBCC
Pyrin
BBCC
Pyrin
BBCC
M
ockM
ockPyrin
FL
wtPyrin
BBCC
Pyrin
BBCCPyrin
BBCC
IP: α-Flag
WB: α-Myc
Cell extracts
IP
WB: α-Flag
WB: α-Myc
IP: α-Flag
WB: α-Flag
IP: α-Flag
WB: α-proIL-1β
WB: α-ProIL-1β
25
47
32
25
47
32
b c
d
Pyrin and the inflammasome
S Papin et al
1460
Cell Death and Differentiation
To further demonstrate the interaction of the SPRY domain
of Pyrin with caspase-1 in this more physiological system, we
produced the recombinant GST-SPRY domain and incubated
it with THP1 extracts, activated or not at 301C. As shown in
Figure 4b, the SPRY domain associated with the active
caspase-1, present only in preactivated THP1 cell extracts. It
is possible that the observed Pyrin–caspase-1 interaction is
not direct but mediated by (a) linker protein(s).
Pyrin inhibits caspase-1-dependent IL-1b processing.
Since the SPRY domain of Pyrin can interact with inflam-
masome components and with proIL-1b, we investigated its
effect on proIL-1b processing. To this end, HEK293T cells were
reconstituted with proIL-1b and pro-caspase-1, because these
proteins are not present endogenously, and we measured
caspase-1-dependent IL-1b processing. In this system,
overexpression of pro-caspase-1 leads to its auto-activation
and subsequent processing of proIL-1b to mature IL-1b. By
co-overexpressing different Pyrin constructs, lower levels of
IL-1b were detected in the presence of full-length Pyrin, and
Pyrin that lacks the PYD domain was observed (Figure 5a).
However, Pyrin lacking the SPRY domain did not inhibit IL-1b
processing, indicating that the inhibitory effect is mediated
through the SPRY domain in accordance with the binding
studies shown above. To corroborate this finding, we expressed
the SPRY domain of Pyrin, either wild type or mutated. A
dose-dependent inhibition of caspase-1-dependent IL-1b
processing, by both the wild-type or the mutated SPRY
domain of Pyrin (Figure 5b) was observed, confirming that the
inhibitory effect of Pyrin on proIL-1b processing mostly
depended on the SPRY domain, and is not affected by the
mutations found in FMF patients. Here the inhibitory effect of
Pyrin is observed on caspase-1 self-activation, but we could
also observe an inhibitory effect of the SPRY on ASC-
dependent activation of caspase-1 and subsequent IL-1b
processing (data not shown).
We expected that the SPRY domain would interfere with the
proIL-1b caspase-1 interaction. To demonstrate this mechan-
ism, we co-expressed caspase-1, proIL-1b and different
amounts of the SPRY domain. Surprisingly, higher concen-
trations of the SPRY domain resulted in slightly increased
recruitment of proIL-1b in caspase-1 immunoprecipitates
(Figure 5c), while inhibiting the processing of the cytokine.
We have to conclude that the SPRY domain does not compete
with proIL-1b for the binding to caspase-1, but that it freezes
the enzyme/substrate in an inactive state, through the
formation of a trimolecular complex.
To investigate the effect of Pyrin on proIL-1b processing
in a more physiological setting, a THP1 cell line was
generated by retroviral infection that stably expresses
VSV-tagged full-length Pyrin. THP1 cells producing relatively
low levels of exogenous Pyrin were only obtained, as shown in
Figure 6c, by increasing endogenous Pyrin levels approxi-
mately three times. In this context, it is noteworthy that cells
infected with viruses expressing the SPRY domain of Pyrin
were not viable, suggesting that the SPRY domain may be
toxic. Cells were differentiated using PMA to induce the
synthesis of proIL-1b, followed by stimulation with peptido-
glycans (PGN) to activate the processing and secretion of
mature IL-1b (Figure 6a). Although the level of proteins in the
cell extracts was comparable between Pyrin and mock-stable
cell lines, there was a lower amount of IL-1b and caspase-1
secreted by the Pyrin overexpressing cell line (Figure 6a,
lower panel).
We also used the THP1 Pyrin cell line for in vitro
inflammasome activation experiments. As in intact cells,
activation of caspase-1 and processing of proIL-1b was
reduced (Figure 6b) in cell extracts originating from cells
expressing exogenous Pyrin.
Figure 3 Pyrin interacts with proIL-1b through its BBCC and SPRY domains. (a) Schematic representation of the various Pyrin constructs used in this experiment. (b and
c) 293T cells were transfected with 5 mg of each cDNA encoding Flag-tagged proteins or proIL-1b. After 24 h, cells were collected, lysed, and the lysates were subjected to
immunoprecipitation using anti-Flag agarose beads. Cell extracts and immunoprecipitates were then analyzed by Western blot. (d) 293T cells were transfected with 4 mg of
each cDNA encoding Flag-, Myc-tagged proteins and proIL-1b. After 24 h, cells were collected, lysed, and the lysates were subjected to immunoprecipitation using anti-Flag
agarose beads. Cell extracts and immunoprecipitates were then analyzed by Western blot
WB: α-Pyrin
WB: α-ASC
WB: α-Casp1
WB: α-Nalp3
1
z Ctr z Ctr
2Activation 30°C (h)
XT
2 20 1 2
IP α-Pyrin
2 20
85
62
27
16
8
47
WB: α-FADD
Pyrin
ASC
NALP3
p35
CARD
WB: α-Casp1
+
-
30Activation 30°C (min)
XT
+
-
0
GST
pull-down
32
27
SPRY-GST
SPRY-GST
GST -
+
30
-
+
0
+
-
30
+
-
0
-
+
30
-
+
0
47
47
32
GST
p35
b
WB: α-GST
Figure 4 Interaction of Pyrin with endogenous inflammasome components in
THP1 cells. (a) THP1 cells were lysed in the Wang hypotonic buffer (buffer W, see
methods), as described. The cell extracts were filtered and activated at 301C for
different times, allowing the activation of the inflammasome, and then subjected to
immunoprecipitation using an anti-Pyrin antibody, or control antibody (Ctr). Z-VAD-
fmk (Z) was added at some time points. The immunoprecipitates and the cell
extracts were then analyzed by Western blot. (b) The recombinant GST-SPRY
domain was added to THP1 cell extract generated as described under (a) and the
interaction with caspase-1 in the assembling inflammasome investigated
Pyrin and the inflammasome
S Papin et al
1461
Cell Death and Differentiation
In view of the above-described inhibitory effect of the SPRY
domain on proIL-1b processing, we anticipated increased
processing and secretion in cells in which Pyrin was absent.
To this end, we generated THP1 cells in which expression of
Pyrin and various inflammasome components were knocked
down by shRNA (Figure 7a). The deficient cell lines were
treated with the two potent NALP3 inflammasome activators,
uric acid crystals (MSU) and PGN. Whereas cells lacking
NALP3 or caspase-1 showed highly reduced secretion of
mature IL-1b as expected, increased levels of the cytokine
were observed in cells that had the Pyrin protein knocked
down (Figure 7a and b).
Discussion
The findings in this article support the hypothesis for the
function of Pyrin as an inhibitor of caspase-1 and subsequent
processing of IL-1b.34
Pyrin, through its SPRY domain, can
interact with the inflammasome components caspase-1,
NALP1, NALP2 and NALP3. In addition to its interaction with
different inflammasome components, the same domain also
interacts with the substrate of the inflammasomes: proIL-1b. It
is important to note that no interaction could be detected
between Pyrin and mature IL-1b, indicating that this inter-
action requires the pro-domain of IL-1b. Considering that
Pyrin also interacts with ASC via the PYD domain,19,26
we
speculate that Pyrin serves as a inhibitory protein for
the inflammasome/proIL-1b complex (Figure 8). In this model
the proIL-1b processing activity of the assembling inflamma-
some, through interaction of its NACHT and its PYD domain
with the SPRY and PYD domain of Pyrin, respectively, is
inhibited. The blockade of inflammasome activity is further
strengthened by the fact that Pyrin also binds to the
inflammasome substrate, that is, proIL-1b.
SPRY wt-Myc ( g)
SPRY M694V-Myc ( g)
Pro-Caspase 1-Flag
ProIL-1β
-
-
-
-
-
-
-
+
-
-
+
+
1
-
+
+
2
-
+
+
4
-
+
+
Cell extracts
WB: α-D116
WB: α-Myc
WB: α-Casp1
-
1
+
+
-
2
+
+
-
4
+
+
Pyrin FL-Flag
Pyrin ∆PYD wt-Flag
Pyrin ∆SPRY-Flag
Pro-Caspase 1-Flag
ProIL-1β
-
-
-
-
-
-
-
-
-
+
-
-
-
+
+
+
-
-
+
+
-
+
-
+
+
-
-
+
+
+
Cell extracts
WB: α-D116
WB: α-Flag
WB: α-Casp1
WB: α-Pro-IL1β
WB: α-Pro-IL1β
-
-
-
-
-
+
-
+
+
2
+
+
4
+
+
Pyrin SPRY –Myc ( g)
ProIL- 1β
Procaspase-1-Flag
6
+
+
IP: α-Flag
WB: α-ProIL-1β
Cell extracts
IP
WB: α-Flag
WB: α-Myc
IP: α-Flag
WB: α-Myc-Pyrin
IP: α-Flag
WB: α-Flag-Casp1
WB: α-ProIL-1β
WB: α-D116
c
Figure 5 Pyrin inhibits caspase-1-dependent IL-1b processing through its SPRY domain in reconstituted 293T cells. (a) 293T cells were transfected with 2 mg of each
cDNA encoding proIL-1b, pro-caspase-1 and Flag-tagged proteins. After 24 h, cells were collected, lysed, and the lysates were then analyzed by Western blot. (b) 293T cells
were transfected with 2 mg of each cDNA encoding proIL-1b, pro-caspase-1 and the indicated amount of Myc- tagged proteins. After 24 h, cells were harvested, lysed and
analyzed by Western blot. The D116 antibody detects the cleaved, active IL-1b. (c) As (b), but the interaction between the transfected components were assayed by
immunoprecipitation
Pyrin and the inflammasome
S Papin et al
1462
Cell Death and Differentiation
This model is supported by experiments in which we show
that the caspase-1/proIL-1b processing inhibitory activity of
Pyrin is mostly confined to the SPRY domain. We detected
this inhibitory effect of Pyrin in overexpression experiments in
293T cells, by transfection of the full-length Pyrin or only the
SPRY domain of Pyrin. But we also see this inhibitory effect of
Pyrin in a more physiological system, in THP1 cells that were
genetically modified to express exogenous Pyrin and in which
a dampening of IL-1b processing and secretion is observed.
Most convincingly, dowregulation of endogenous Pyrin in
THP1 cells by shRNA led to a substantial increase in
inflammasome activity. As we could detect interaction of
Pyrin with NALP1, NALP2 and NALP3, we can speculate that
Pyrin not only modulates the NALP3-associated inflamma-
some activity, but also of others NALPs-associated inflamma-
somes. Interestingly, another SPRY containing protein, the
estrogen-responsive B box protein, was recently also shown
to modulate inflammasome activity.35
As this caspase-1 inhibiting activity is associated with the
SPRY domain of Pyrin, it was of interest to test whether
mutations found in FMF patients in the SPRY domain of
Pyrin36,37
may affect SPRY binding to NALPs, caspases or
proIL-1b. However, our experiments failed to demonstrate
that the most frequent mutation M694V affects one of these
interactions. We cannot exclude that the strength of the
interactions is only mildly affected and cannot be measured
with the experiments shown here that mostly rely on
overexpression. Alternatively, the FMF mutations may affect
binding of an as yet unidentified inhibitory interaction partner
or influence the stability or localization of Pyrin, thereby
leading to a higher level of secreted IL-1b and exacerbated
inflammatory responses, as observed in FMF patients.
Our results are in direct contradiction with results recently
published by Chae et al.32
While these authors describe a
Pyrin–SPRY domain interaction with caspase-1, in full
agreement with the results presented here, they also report
that this interaction is reduced in the SPRY domain carrying
the M694V mutation. Although we could find dampened
interaction in some experiments, this was not consistently
seen. Thus, unlike Chae et al.,32
we cannot propose that the
FMF mutations affect Pyrin–caspase-1 interaction, consider-
ing also that this conclusion is based on overexpression
studies. We are presently co-crystallizing the SPRY-domain
of Pyrin with active caspase-1 to further investigate this
important issue.
These data generate a mechanistic link between two
autoinflammatory diseases, FMF and Muckle–Wells syn-
drome as both diseases appear to be associated with
10 30
Activation 30°C
(min)
WB: α-Casp1
CARD
30
WB: α-FADD
0
Z
WB: α-D116
10 30 300
Z
Mock Pyrin
WB: α-RIP1
WB: α-VSV
c
PGN (hr)
WB: α-IL1β
D116
Mock
WB: α-RIP1
WB: α-Casp1
CARD
0 1 2 43 50.5
0 0.5 0 0.5
Pyrin
0 1 2 43 50.5
PGN (hr)
Supernatants
Mock
1 2 43 5
Pyrin
1 2 43 5
WB: α-IL1β
D116
WB: α-RIP1
WB: α-Casp1
b
Pyrin
PyrinMock
WB: α-proIL1β
WB: α-proIL1β
Figure 6 THP1 stably expressing Pyrin show reduced IL-1b processing. (a) Mock- and Pyrin-infected THP1 cells were differentiated 3 h with PMA. After 24 h, cells were
stimulated with peptidoglycan (PGN) or uric acid crystals (MSU) for 1–5 h. Cell extracts and the precipitated supernatants were then analyzed by Western blot. (b)
Differentiated mock- and Pyrin-infected THP1 cells were lysed in the Wang hypotonic buffer, and the cell extracts were activated at 301C for different times, with or without z-
VAD-fmk (Z). Cell extracts were then subjected to Western-blot analysis. (c) Mock-infected THP1 cells and Pyrin-infected THP1 cells were lysed and cell extracts were
analyzed by Western blot to determine the level of Pyrin expression
Pyrin and the inflammasome
S Papin et al
1463
Cell Death and Differentiation
increased inflammasome activity. A connection between FMF
and yet another inflammatory disorders has already been
described. The protein mutated in PAPA syndrome, named
PSTPIP1, interacts with Pyrin through the BBCC domain of
Pyrin.38
This interaction is enhanced in mutated PSTPIP1,
suggesting that PAPA syndrome is due to abnormal interac-
tion with Pyrin with PSTPIP1, thus indirectly modulating
inflammasome activity.
The SPRY domain of Pyrin has undergone remarkable
changes during evolution. In zebrafish and fugu, a SPRY
domain has been fused directly to the NALP homolog,
suggesting an important function of the SPRY domain in
inflammasome regulation. During evolution, the SPRY do-
main separated from the NALPs and acquired other regula-
tory domains such as the BBCC and PYD. Interestingly, in
rodents the SPRY domain is completely lost, indicating a
strong variation in the function of Pyrin.39
Furthermore, the
mutations found in FMF patients, except the M694V mutation,
correspond to the wild-type amino-acids of Pyrin of lower
primates.40
This suggests that Pyrin in patients with FMF
corresponds to an ancestral state of Pyrin structure and
function. If Pyrin is necessary in humans to reduce unneces-
sary inflammatory response against certain pathogen X,
whereas in lower primates the response against pathogen X
is still required, the mutations in Pyrin could allow a loss of
inhibition of this response. In rodents, where the SPRY is lost,
the inhibitory role of Pyrin is probably completely abrogated
allowing a complete inflammatory response against the
pathogen X. FMF is very frequent only in the Mediterranean
area, so one can speculate that the reappearance or
disappearance of a Mediterranean endemic pathogen X has
stimulated selective pressure in favor of Pyrin with the
mutated allele leading to a response against this pathogen.
As such heterozygotes could be quite protected against this
pathogen and bear a selective advantage, whereas homo-
zygotes show an excessive response to this agent X, leading
to the disease. Indeed it is expected, given the very high
frequency of heterozygotes in the Mediterranean area, that
heterozygotes have a yet unknown selective advantage.
Experimental Procedures
Antibodies. Polyclonal antibodies against human Pyrin (AL196) and human
proIL-1b were generated in rabbits (Eurogentec, Belgium). Monoclonal antibodies
against NALP3 were generated from GST-NALP3-immunized mice. Four
monoclonal antibodies were purified (Nalpy3a, Nalpy3b, Nalpy3c and Nalpy3d).
Other antibodies were purchased from the following companies: cleaved IL-1b,
D116 (Cell Signaling), Flag antibody (M2, Sigma), MYC antibody (9E10, Sigma),
VSV antibody (P5D4, Sigma), mAbs to ASC and FADD (MBL), anti-RIP1
(Transduction), anti-caspase-1 (Santa-Cruz Biotech) and polyclonal anti-ASC
(AL177, Apotech). Peroxidase-conjugated secondary anti-mouse and anti-rabbit
antibodies were from Jackson IR and isotype-specific anti-IgG1 from Southern
Biotech.
Cell lines. THP1 and 293T were cultured in RPMI 1640 and DMEM,
respectively, supplemented with 10% fetal calf serum, 50 mM b-mercaptoethanol
Lamin NALP3 Pyrin Casp-1
WB: α-Pyrin
WB: α-Casp1
SN WB α-D116
WB: α-D116
PGN
MSU
Treatment: -
-
+
-
-
+
-
-
+
-
-
+
-
-
+
-
-
+
-
-
+
-
-
+
shRNA
Cell extractsCell extracts
bb
shRNA
Lam
inN
ALP3PyrinC
aspase-1
WB α-Lamin
WB α-NALP3
WB α-Pyrin
WB α-Casp1
Cell extracts
0
2
4
6
8
10
Time (hr)
Foldinduction
Sh Lamin
Sh Pyrin
0 1 6 6z2 4
Figure 7 THP1 cells stably expressing Pyrin shRNA show reduced IL-1b processing. (a) THP1 cells were infected with lentivirus carrying various shRNA. The efficacy of
knockdown was determined by Western blots. PMA differentiated mock- and THP1 cells with various shRNA were activated with PGN or MSU for 4 h and the amount of active
IL-1b in the supernatant detected with the D116 antibody. (b) The levels of IL-1b were determined by ELISA in supernatants of MSU-activated THP1 cells
Pyrin and the inflammasome
S Papin et al
1464
Cell Death and Differentiation
for THP1 and penicillin/streptomycin (100 mg/ml of each). THP1 cells stably
expressing VSV-Pyrin and shRNA were cultured with medium supplemented with
5 mg/ml puromycin.
Transient transfection and immunoprecipitation. Transient
transfection of 293T cells was performed as described previously.41
For co-
immunoprecipitation experiments, transfected 293T cells were suspended in 500 ml
of lysis buffer (50 mM Tris (pH 7.8), 200 mM NaCl, 1% Nonidet P-40, 5 mM EDTA
and protease inhibitors) and incubated at 41C 15 min. The lysates were then cleared
by centrifugation at 13 000 r.p.m. for 5 min and incubated with 3 mg of anti-Flag
agarose (Sigma) bound to protein G at 41C overnight. The agarose beads were
washed four times with lysis buffer, and the precipitated proteins were then
fractionated on 8 and 15% SDS-PAGE and analyzed by Western blotting.
Immunoprecipitation of the inflammasome. Immunoprecipitations of
endogenous Pyrin were performed using 108
THP-1 cells/time points, as
described.24
. Cell extracts prepared in buffer W24
were incubated with 3 mg of
the indicated antibodies (anti-Pyrin) conjugated to protein G at 41C for overnight
incubation. The immunoprecipitates were recovered by centrifugation and washed
five times with buffer W before SDS-PAGE and Western analysis.
Generation of cell lines stably expressing Pyrin. The Pyrin stable cell
line was generated by retroviral infection of THP1 cells. The Pyrin cDNA was cloned
into the pMSCV retroviral vector that contains the puromycin resistance gene.
Briefly, 293T cells were transfected with a mock retroviral vector, or a retroviral
vector encoding Pyrin, as well as with cDNA encoding the proteins allowing the
synthesis of the viral particles (Hit60 and VSV-G). At 8 h after transfection, cells
were incubated overnight with sodium butyrate. After 48 h, retroviral supernatants
were collected, filtered and used to perform four infection cycles (1 h incubation at
371C and 1 h centrifugation) of THP1 cells. THP1-infected cells were then selected
by culturing them in the presence of puromycin.
shRNA. nt GCTGGAGCAGGTGTACTACTTC of the human Pyrin coding
sequence, nt CAGGTTTGACTATCTGTTCT of the human NALP3 coding
sequence and nt GTGAAGAGATCCTTCTGTA of the 30
UTR of the human
caspase-1 were inserted into pSUPER. The Pol III promoter shRNA cassettes from
these vectors and from a lamin A/C-specific pSUPER control construct were
inserted into the lentiviral vector pAB286.1, a derivative of pHR that contains a
SV40-puromycin acetyl transferase cassette for antibiotic selection (lamin A/C-
pSUPER and pAB286.1 were gifts of Richard Iggo, Lausanne, Switzerland).
Second generation packaging plasmids pMD2-VSVG and pCMV-R8.91 (Naldini
et al., 1996) were used for lentivirus production and infection as described
elsewhere (http://www.tronolab.unige.ch).
Processing and secretion of IL-1b. To study IL-1b processing and
secretion in THP1 cells, the following method was used. Mock- or Pyrin-infected
THP1 cells were differentiated with PMA for 3 h, allowing the synthesis of the
precursor of IL-1b. After an overnight incubation, THP1 cells become adherent, and
they were stimulated with bacterial PGN(10 mg/ml, Alexis) or uric acid crystals
(200 mg/ml, Alexis), with or without z-VAD-fmk, for 1–6 h. Then the supernatants
proIL-1β
proIL-1β
PYDNACHT
Ligand
PYD
CARD
ASC
NALP 3
CARD
Casp
Casp
ProCaspase-1
PYDNACHT
NACHT
PYD
PYD
CARD
CARD
Casp
IL-1β
Active IL-1β
PYD
SPRY
Pyrin
PYDNACHT
NACHT
PYD
PYD
CARDPYD
CARD
IL-1β
ActiveIL-1β
+++
+/-
BBCC
BBCC
SPRY
Figure 8 Schematic model of NALP3-induced caspase-1 activation and proIL-1b processing by the SPRY domain of Pyrin. Pyrin is initially autoinhibited through the
interaction between the Pyrin and BBCC domain. Following the activation of the inflammasome, Pyrin is recruited into the assembling complex, where it interacts with
processed caspase-1 and its substrate proIL-1b
Pyrin and the inflammasome
S Papin et al
1465
Cell Death and Differentiation
were collected and precipitated, and the cell extracts were prepared, and both were
subjected to Western-blot analysis to detect the presence of cleaved IL-1b. On the
other hand, the in vitro system previously described for the identification of the
inflammasome33
was used to study the processing of IL-1b in mock and Pyrin-
infecetd cells. Briefly, THP1 cells were differentiated by an overnight PMA
incubation, and then lysed in the Wang hypotonic buffer. The cell extracts were then
activated at 301C, a temperature allowing the activation of the inflammasome, and
subjected to Western-blot analysis.
Acknowledgements. We thank Helen Everett for critical reading of the article.
This work was supported by grants from the Swiss National Science foundation and
CTI (to JT and HDB). SP is a recipient of a Marie-Curie fellowship.
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Pyrin and the inflammasome
S Papin et al
1466
Cell Death and Differentiation

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The SPRY domain of pyrin, mutated in familial mediterranean fever

  • 1. The SPRY domain of Pyrin, mutated in familial Mediterranean fever patients, interacts with inflammasome components and inhibits proIL-1b processing S Papin1 , S Cuenin1 , L Agostini1 , F Martinon1 , S Werner2 , H-D Beer2 , C Gru¨tter3 , M Gru¨tter3 and J Tschopp*,1 The autoinflammatory disorders Muckle–Wells syndrome, familial cold urtecaria and chronic infantile neurological cutaneous and articular syndrome are associated with mutations in the NALP3 (Cryopyrin) gene, which is the central platform of the proinflammatory caspase-1 activating complex, named the inflammasome. In patients with another autoinflammatory disorder, familial Mediterranean fever (FMF), mutations in the SPRY domain of the Pyrin protein are frequently found. Recent evidence suggests that Pyrin associates with ASC, an inflammasome component, via its Pyrin domain, thereby halting the inflammatory response. This interaction, however, does not explain the effects of mutations of the SPRY domain found in FMF patients. Here we show that the Pyrin SPRY domain not only interacts with NALP3, but also with caspase-1 and its substrate pro-interleukin(IL)- 1b. Whereas a Pyrin knockdown results in increased caspase-1 activation and IL-1b secretion, overexpression of the SPRY domain alone blocks these processes. Thus Pyrin binds to several inflammasome components thereby modulating their activity. Cell Death and Differentiation (2007) 14, 1457–1466; doi:10.1038/sj.cdd.4402142; published online 13 April 2007 Hereditary recurrent fevers are disorders characterized by recurrent episodes of fever and serosal inflammation, associated with more specific symptoms.1–3 This group of diseases comprises three syndromes associated with muta- tions in NALP3, a key component of the inflammasome4 : Muckle–Wells syndrome, familial cold urticaria5 and chronic infantile neurological cutaneous and articular syndrome/ OMID,6 as well as other syndromes like hyper-IgD,7,8 PAPA syndrome,9 TRAPS10,11 and familial Mediterranean fever (FMF).12,13 The latter is a recessively inherited disorder, in which mutations occur in the pyrin gene.12,13 Pyrin is expressed in neutrophils and monocytes, and its expression is tightly regulated by cytokines.14 Several spliced isoforms of Pyrin have been described so far.15,16 The subcellular localization of Pyrin has been well studied in overexpression studies as well as at the endogenous level. It appears that according to the cell type or to the spliced isoform studied, Pyrin can be localized diffusely or as specks, in the cytoplasm, but also in the nucleus.15–20 Pyrin contains at the N-terminus a Pyrin domain (PYD), a member of the death effector-fold domains,21–23 two B-boxes and a coiled-coil domain (BBCC), as well as a SPRY domain (also called B30.2 domain). The PYD found in Pyrin is also present in NALP proteins. The NALP proteins, and more precisely NALP1, NALP2 and NALP3, are involved in the formation of molecular platforms that trigger activation of caspase-1 followed by processing and release of active interleukin (IL)-1b, a major inflammatory cytokine.4,24 These platforms have been named inflammasomes, and are formed by the recruitment of several proteins to the NALPs, like ASC, Cardinal, caspase-1 and caspase-5. In addition to Pyrin and NALPs, the PYD is also found in the adaptor ASC that makes the link between NALPs and caspase-1 in the inflammasome formation, through PYD-PYD interactions between ASC and NALPs and CARD-CARD interactions between ASC and caspase-1.4,24 Several groups have reported that the PYD of Pyrin can interact with the PYD of ASC.19,25,26 However the relevance and function of this interaction is not clear and controversial. Some reports suggest that this interaction negatively regulates caspase-1,27,28 and another indicates that it can promote the formation of an active caspase-1 activating complex.26 These contradictory data are probably due to the use of different experimental systems. The other domains of Pyrin, the BBCC and the SPRY domains, are found in many proteins of the TRIM (tripartite motif) family,29 which often contain, instead of the amino- terminal PYD, an E3 ubiquitin-ligase-like RING domain. BBCC and SPRY domains are thought to be protein–protein interaction domains, but for the great majority of the TRIM proteins, no binding partners have been described and their functions are not yet established. Interestingly, TRIM5 has been implicated in HIV-1 restriction in primates, and this Received 06.10.06; revised 07.3.07; accepted 07.3.07; Edited by P Mehlen; published online 13.4.07 1 Department of Biochemistry, University of Lausanne, Chemin des Boveresses 155, CH-1066 Epalinges, Switzerland; 2 Department of Biology, Institute of Cell Biology, ETH Zu¨rich, CH-8093 Zu¨rich, Switzerland and 3 Department of Biochemistry, University of Zu¨rich, Winterthurerstr 160, CH-8057 Zu¨rich, Switzerland *Corresponding author: J Tschopp, Department of Biochemistry, Chemin des Boveresses 155, CH-1066 Epalinges, Switzerland. Tel: þ 41 21 692 5738; Fax: þ 41 21 692 5705; E-mail: jurg.tschopp@unil.ch Keywords: inflammation; fever; inflammasome; IL-1b; caspase-1 Abbreviations: BBCC, B-boxes and a coiled-coil; FMF, familial Mediterranean fever; IL, interleukin; PYD, Pyrin domain Cell Death and Differentiation (2007) 14, 1457–1466 & 2007 Nature Publishing Group All rights reserved 1350-9047/07 $30.00 www.nature.com/cdd
  • 2. antiviral effect is mediated through the SPRY domain.30,31 Antiviral effects have also been reported for other TRIM members, suggesting that the SPRY domain has evolved for anti-viral immunity. Interestingly, the mutations found in FMF patients are also mainly localized in the SPRY domain of Pyrin. The presence of a common domain in Pyrin and NALPs, as well as the similarities of the syndromes associated with the mutations in Pyrin and NALP3, suggest that these proteins could be involved in related pathways. In accord with this hypothesis, recent evidence suggests that the SPRY domain of Pyrin directly binds to caspase-1.32 Therefore we decided to investigate the role of Pyrin in inflammasome regulation in more detail. Results Pyrin interacts with NALPs and caspases. To determine whether Pyrin can interact with inflammasome components, co-immunoprecipitation experiments were performed in HEK293T cells transfected with plasmids coding for tagged proteins. Upon overexpression of VSV-tagged Pyrin together with Flag-tagged caspases and NALPs, we detected a specific interaction with caspase-1 (in accordance with recently published data32 ) and caspase-5, but not with the other pro-inflammatory caspase-4 (Figure 1a and c). Interactions between Pyrin and the inflammasome components NALP1, NALP2 and NALP3 were equally strong (Figure 1a). IP: α-Flag WB: α-VSV Cell extracts PyrinFL-VSV+ Flag- m ockCaspase-1 Caspase-2 Caspase-4 Nalp1 Nalp2 Nalp3 IP 83 WB: α-VSV 83 WB: α-Flag 83 47 32 IP: α-Flag WB: α-Myc Cell extracts Flag- SPRY wt-Myc m ock Nalp 2FL Nalp2 Nacht Nalp3 short IP 27 WB: α-Myc WB: α-Flag 83 47 32 - + + + + + + ASC Nalp 1FL m ock 27 + IP: α-Flag WB: α-Myc Cell extracts Flag- SPRY wt-Myc m ock Caspase-1 Caspase-4 Caspase-5 Nalp1Nalp2Nalp3 IP 27 WB: α-Myc WB: α-Flag 83 47 32 - + + + + + + + + + Caspase-9 ASC m ock 27 + + + + + Caspase-1 FL Caspase-1 p20 Caspase-1 p10 Caspase-1 CARD - Myc- SPRY- Flag IP: α-Flag WB: α-Myc Cell extracts IP 47 WB: α-Flag WB: α-Myc 23 47 23 23 d b c Figure 1 Pyrin interacts with NALPs, caspase-1 and caspase-5. (a–d) 293T cells were transfected with 5 mg of each cDNA encoding Flag-, Myc- or VSV-tagged proteins. After 24 h, cells were collected, and the lysates were subjected to immunoprecipitation using anti-Flag agarose beads. Cell extracts and immunoprecipitates were then analyzed by Western blot Pyrin and the inflammasome S Papin et al 1458 Cell Death and Differentiation
  • 3. To identify the domains involved in these interactions, immunoprecipitation experiments using only the SPRY domain of Pyrin and different domains of NALP proteins were performed. They revealed that the SPRY domain of Pyrin is sufficient for binding to the NALPs. Furthermore, using NALP constructs containing only the NACHT domain, it became evident that the SPRY domain of Pyrin interacts with NALPs through their NACHT domain (Figure 1b). The SPRY domain of Pyrin was also sufficient for the interaction between Pyrin and caspases. Indeed, strong interactions of the Pyrin SPRY domain with caspase-1 and caspase-5 were observed. We did not detect interaction of the Pyrin SPRY domain with ASC, caspase-4 and caspase-9 (Figure 1c). To map the interaction between Pyrin and caspase-1 more precisely, we overexpressed the SPRY domain of Pyrin together with different constructs of caspase-1: the full-length protein, the p20 subunit, the p10 subunit or the CARD domain. We detected a weak interaction with the full-length caspase-1, and a very strong interaction with the p20 subunit. These data suggest that Pyrin can interact weakly with the proform of caspase-1, but that the interaction with the cleaved active form of caspase-1 is much stronger (Figure 1d). The mutations in Pyrin found in FMF patients are mainly localized in the SPRY domain of the protein. They have been recently proposed to affect the interaction between caspase-1 and Pyrin interaction.32 We therefore tested whether the mutations would also affect the binding of Pyrin to the inflammasome components and co-expressed the SPRY domain of Pyrin containing the most frequent mutation found in FMF patients (M694V) together with caspases and NALPs. As shown in Figure 2, the interactions of caspase-1, caspase- 5 and NALPs with the mutated SPRY domain of Pyrin was equally strong as the one observed with wild-type SPRY (Figure 1c), suggesting that this mutation does not affect the binding of Pyrin to its partners, at least if assayed in our overexpression system. The reduced binding of caspase-5 and NALP2 seen in this experiment was not consistently seen. Pyrin interacts with the inflammasome substrate proIL- 1b. We further investigated if Pyrin could interact with the substrate of the active inflammasome: proIL-1b. By co- immunoprecipitation in HEK293T cells an interaction of the full-length Pyrin with proIL-1b was detected, but no interaction of proIL-1b with ASC, RIP2 (Figure 3a and b). When mapping this interaction we found that both the BBCC and the SPRY domain of Pyrin interact with proIL-1b (Figure 3a and c), although the interaction with the SPRY domain was clearly stronger. In this experiment we did not detect the interaction with the full-length Pyrin as shown in Figure 3b, indicating that proIL-1b interacts much more strongly with the individual domains than with the full-length protein. Furthermore, when expressing constructs containing the two domains (BBCC-SPRY), we no longer observed the interaction with proIL-1b, suggesting that these two domains interact with each other thereby masking the proIL-1b interaction site. To test this hypothesis, the SPRY domain of Pyrin, either wild type or mutated, together with different domains of Pyrin coupled to another tag were expressed in HEK293T cells. The SPRY domain indeed interacted with the BBCC domain of Pyrin (Figure 3d). The mutated SPRY domain also interacted with the BBCC, suggesting that the mutation does also not affect the auto-inhibition of Pyrin. Based on the proposed model, we predicted that proIL-1b could compete for binding of the BBCC domain to the SPRY domain, which was indeed the case (Figure 3d). We did not detect any interaction of Pyrin with mature IL-1b (data not shown), indicating that the interaction of Pyrin with proIL-1b depends on the pro-domain of proIL-1b. Endogenous Pyrin can be recruited to the inflam- masome. To determine a possible interaction of Pyrin and the inflammasome components at the endogenous level, we used the in vitro assembly system described previously for the identification of the inflammasome.33 Immunoprecipitations using an anti-Pyrin antibody were performed and as shown in Figure 4a, full-length Pyrin at the expected size (85kDa) was readily detected in the cell extracts and in the immuno- precipitates. Interestingly, in immunoprecipitates but not in cell extracts, the full-length Pyrin disappeared during the activation at 301C, suggesting that it is degraded. This degradation is a caspase-independent process, as it was not inhibited by the caspase inhibitor z-VAD-fmk. In this experiment we detected a transient recruitment of ASC in Pyrin immunoprecipitates upon 1 h of inflammasome activation. Binding of NALP3 to Pyrin was also detected after 1 and 2 h of activation. Finally, an interaction with processed caspase-1 was also detected at 1 and 2 h. No recruitment of FADD was seen, demonstrating the specificity of complex formation. IP: α-Flag WB: α-Myc Cell extracts Flag- SPRY M694V-Myc IP 27 WB: α-Myc WB: α-Flag 83 47 32 m ock Nalp1Nalp2 Nalp3 - + + + + + + + + + m ock 27 Figure 2 The most frequent mutation of Pyrin found in patients with FMF does not affect Pyrin binding to the NALPs and caspases. 293T cells were transfected with 5 mg of each cDNA encoding Flag- or Myc-tagged proteins. After 24 h, cells were collected, lysed, and the lysates were subjected to immunoprecipitation using anti-Flag agarose beads. Cell extracts and immunoprecipitates were then analyzed by Western blot Pyrin and the inflammasome S Papin et al 1459 Cell Death and Differentiation
  • 4. PYD BBCC SPRYPyrin FL Pyrin SPRY wt Pyrin BBCC-SPRY Pyrin FL M694V Pyrin PYD-BBCC Pyrin BBCC Pyrin SPRY M694V IP: α-Flag Cell extracts Flag- Pro-IL1β m ockM ock Pyrin FLASC RIP2 IP WB: α-Pro-IL1β WB: α-Pro-IL1β WB:α-Flag 85 47 32 32 32 - + + + + IP: α-Flag WB: α-ProIL-1β Cell extracts WB: α-ProIL-1β Flag- Pro-IL1β m ockM ock Pyrin FL wt Pyrin FL M 694V Pyrin PYD Pyrin BBCC-SPRY IP WB: α-Flag Pyrin BBCC 85 47 32 32 32 Pyrin SPRY wt Pyrin SPRY M 694V - + + + + + + + + - - - + - - + - - + - - + - + - - - - + - - + - - + - - + + Myc- Pyrin SPRY–Flag Pyrin SPRY M694V-Flag ProIL-1β - - + - - + M ockM ockPyrin FL wt Pyrin BBCC Pyrin BBCC Pyrin BBCC M ockM ockPyrin FL wtPyrin BBCC Pyrin BBCCPyrin BBCC IP: α-Flag WB: α-Myc Cell extracts IP WB: α-Flag WB: α-Myc IP: α-Flag WB: α-Flag IP: α-Flag WB: α-proIL-1β WB: α-ProIL-1β 25 47 32 25 47 32 b c d Pyrin and the inflammasome S Papin et al 1460 Cell Death and Differentiation
  • 5. To further demonstrate the interaction of the SPRY domain of Pyrin with caspase-1 in this more physiological system, we produced the recombinant GST-SPRY domain and incubated it with THP1 extracts, activated or not at 301C. As shown in Figure 4b, the SPRY domain associated with the active caspase-1, present only in preactivated THP1 cell extracts. It is possible that the observed Pyrin–caspase-1 interaction is not direct but mediated by (a) linker protein(s). Pyrin inhibits caspase-1-dependent IL-1b processing. Since the SPRY domain of Pyrin can interact with inflam- masome components and with proIL-1b, we investigated its effect on proIL-1b processing. To this end, HEK293T cells were reconstituted with proIL-1b and pro-caspase-1, because these proteins are not present endogenously, and we measured caspase-1-dependent IL-1b processing. In this system, overexpression of pro-caspase-1 leads to its auto-activation and subsequent processing of proIL-1b to mature IL-1b. By co-overexpressing different Pyrin constructs, lower levels of IL-1b were detected in the presence of full-length Pyrin, and Pyrin that lacks the PYD domain was observed (Figure 5a). However, Pyrin lacking the SPRY domain did not inhibit IL-1b processing, indicating that the inhibitory effect is mediated through the SPRY domain in accordance with the binding studies shown above. To corroborate this finding, we expressed the SPRY domain of Pyrin, either wild type or mutated. A dose-dependent inhibition of caspase-1-dependent IL-1b processing, by both the wild-type or the mutated SPRY domain of Pyrin (Figure 5b) was observed, confirming that the inhibitory effect of Pyrin on proIL-1b processing mostly depended on the SPRY domain, and is not affected by the mutations found in FMF patients. Here the inhibitory effect of Pyrin is observed on caspase-1 self-activation, but we could also observe an inhibitory effect of the SPRY on ASC- dependent activation of caspase-1 and subsequent IL-1b processing (data not shown). We expected that the SPRY domain would interfere with the proIL-1b caspase-1 interaction. To demonstrate this mechan- ism, we co-expressed caspase-1, proIL-1b and different amounts of the SPRY domain. Surprisingly, higher concen- trations of the SPRY domain resulted in slightly increased recruitment of proIL-1b in caspase-1 immunoprecipitates (Figure 5c), while inhibiting the processing of the cytokine. We have to conclude that the SPRY domain does not compete with proIL-1b for the binding to caspase-1, but that it freezes the enzyme/substrate in an inactive state, through the formation of a trimolecular complex. To investigate the effect of Pyrin on proIL-1b processing in a more physiological setting, a THP1 cell line was generated by retroviral infection that stably expresses VSV-tagged full-length Pyrin. THP1 cells producing relatively low levels of exogenous Pyrin were only obtained, as shown in Figure 6c, by increasing endogenous Pyrin levels approxi- mately three times. In this context, it is noteworthy that cells infected with viruses expressing the SPRY domain of Pyrin were not viable, suggesting that the SPRY domain may be toxic. Cells were differentiated using PMA to induce the synthesis of proIL-1b, followed by stimulation with peptido- glycans (PGN) to activate the processing and secretion of mature IL-1b (Figure 6a). Although the level of proteins in the cell extracts was comparable between Pyrin and mock-stable cell lines, there was a lower amount of IL-1b and caspase-1 secreted by the Pyrin overexpressing cell line (Figure 6a, lower panel). We also used the THP1 Pyrin cell line for in vitro inflammasome activation experiments. As in intact cells, activation of caspase-1 and processing of proIL-1b was reduced (Figure 6b) in cell extracts originating from cells expressing exogenous Pyrin. Figure 3 Pyrin interacts with proIL-1b through its BBCC and SPRY domains. (a) Schematic representation of the various Pyrin constructs used in this experiment. (b and c) 293T cells were transfected with 5 mg of each cDNA encoding Flag-tagged proteins or proIL-1b. After 24 h, cells were collected, lysed, and the lysates were subjected to immunoprecipitation using anti-Flag agarose beads. Cell extracts and immunoprecipitates were then analyzed by Western blot. (d) 293T cells were transfected with 4 mg of each cDNA encoding Flag-, Myc-tagged proteins and proIL-1b. After 24 h, cells were collected, lysed, and the lysates were subjected to immunoprecipitation using anti-Flag agarose beads. Cell extracts and immunoprecipitates were then analyzed by Western blot WB: α-Pyrin WB: α-ASC WB: α-Casp1 WB: α-Nalp3 1 z Ctr z Ctr 2Activation 30°C (h) XT 2 20 1 2 IP α-Pyrin 2 20 85 62 27 16 8 47 WB: α-FADD Pyrin ASC NALP3 p35 CARD WB: α-Casp1 + - 30Activation 30°C (min) XT + - 0 GST pull-down 32 27 SPRY-GST SPRY-GST GST - + 30 - + 0 + - 30 + - 0 - + 30 - + 0 47 47 32 GST p35 b WB: α-GST Figure 4 Interaction of Pyrin with endogenous inflammasome components in THP1 cells. (a) THP1 cells were lysed in the Wang hypotonic buffer (buffer W, see methods), as described. The cell extracts were filtered and activated at 301C for different times, allowing the activation of the inflammasome, and then subjected to immunoprecipitation using an anti-Pyrin antibody, or control antibody (Ctr). Z-VAD- fmk (Z) was added at some time points. The immunoprecipitates and the cell extracts were then analyzed by Western blot. (b) The recombinant GST-SPRY domain was added to THP1 cell extract generated as described under (a) and the interaction with caspase-1 in the assembling inflammasome investigated Pyrin and the inflammasome S Papin et al 1461 Cell Death and Differentiation
  • 6. In view of the above-described inhibitory effect of the SPRY domain on proIL-1b processing, we anticipated increased processing and secretion in cells in which Pyrin was absent. To this end, we generated THP1 cells in which expression of Pyrin and various inflammasome components were knocked down by shRNA (Figure 7a). The deficient cell lines were treated with the two potent NALP3 inflammasome activators, uric acid crystals (MSU) and PGN. Whereas cells lacking NALP3 or caspase-1 showed highly reduced secretion of mature IL-1b as expected, increased levels of the cytokine were observed in cells that had the Pyrin protein knocked down (Figure 7a and b). Discussion The findings in this article support the hypothesis for the function of Pyrin as an inhibitor of caspase-1 and subsequent processing of IL-1b.34 Pyrin, through its SPRY domain, can interact with the inflammasome components caspase-1, NALP1, NALP2 and NALP3. In addition to its interaction with different inflammasome components, the same domain also interacts with the substrate of the inflammasomes: proIL-1b. It is important to note that no interaction could be detected between Pyrin and mature IL-1b, indicating that this inter- action requires the pro-domain of IL-1b. Considering that Pyrin also interacts with ASC via the PYD domain,19,26 we speculate that Pyrin serves as a inhibitory protein for the inflammasome/proIL-1b complex (Figure 8). In this model the proIL-1b processing activity of the assembling inflamma- some, through interaction of its NACHT and its PYD domain with the SPRY and PYD domain of Pyrin, respectively, is inhibited. The blockade of inflammasome activity is further strengthened by the fact that Pyrin also binds to the inflammasome substrate, that is, proIL-1b. SPRY wt-Myc ( g) SPRY M694V-Myc ( g) Pro-Caspase 1-Flag ProIL-1β - - - - - - - + - - + + 1 - + + 2 - + + 4 - + + Cell extracts WB: α-D116 WB: α-Myc WB: α-Casp1 - 1 + + - 2 + + - 4 + + Pyrin FL-Flag Pyrin ∆PYD wt-Flag Pyrin ∆SPRY-Flag Pro-Caspase 1-Flag ProIL-1β - - - - - - - - - + - - - + + + - - + + - + - + + - - + + + Cell extracts WB: α-D116 WB: α-Flag WB: α-Casp1 WB: α-Pro-IL1β WB: α-Pro-IL1β - - - - - + - + + 2 + + 4 + + Pyrin SPRY –Myc ( g) ProIL- 1β Procaspase-1-Flag 6 + + IP: α-Flag WB: α-ProIL-1β Cell extracts IP WB: α-Flag WB: α-Myc IP: α-Flag WB: α-Myc-Pyrin IP: α-Flag WB: α-Flag-Casp1 WB: α-ProIL-1β WB: α-D116 c Figure 5 Pyrin inhibits caspase-1-dependent IL-1b processing through its SPRY domain in reconstituted 293T cells. (a) 293T cells were transfected with 2 mg of each cDNA encoding proIL-1b, pro-caspase-1 and Flag-tagged proteins. After 24 h, cells were collected, lysed, and the lysates were then analyzed by Western blot. (b) 293T cells were transfected with 2 mg of each cDNA encoding proIL-1b, pro-caspase-1 and the indicated amount of Myc- tagged proteins. After 24 h, cells were harvested, lysed and analyzed by Western blot. The D116 antibody detects the cleaved, active IL-1b. (c) As (b), but the interaction between the transfected components were assayed by immunoprecipitation Pyrin and the inflammasome S Papin et al 1462 Cell Death and Differentiation
  • 7. This model is supported by experiments in which we show that the caspase-1/proIL-1b processing inhibitory activity of Pyrin is mostly confined to the SPRY domain. We detected this inhibitory effect of Pyrin in overexpression experiments in 293T cells, by transfection of the full-length Pyrin or only the SPRY domain of Pyrin. But we also see this inhibitory effect of Pyrin in a more physiological system, in THP1 cells that were genetically modified to express exogenous Pyrin and in which a dampening of IL-1b processing and secretion is observed. Most convincingly, dowregulation of endogenous Pyrin in THP1 cells by shRNA led to a substantial increase in inflammasome activity. As we could detect interaction of Pyrin with NALP1, NALP2 and NALP3, we can speculate that Pyrin not only modulates the NALP3-associated inflamma- some activity, but also of others NALPs-associated inflamma- somes. Interestingly, another SPRY containing protein, the estrogen-responsive B box protein, was recently also shown to modulate inflammasome activity.35 As this caspase-1 inhibiting activity is associated with the SPRY domain of Pyrin, it was of interest to test whether mutations found in FMF patients in the SPRY domain of Pyrin36,37 may affect SPRY binding to NALPs, caspases or proIL-1b. However, our experiments failed to demonstrate that the most frequent mutation M694V affects one of these interactions. We cannot exclude that the strength of the interactions is only mildly affected and cannot be measured with the experiments shown here that mostly rely on overexpression. Alternatively, the FMF mutations may affect binding of an as yet unidentified inhibitory interaction partner or influence the stability or localization of Pyrin, thereby leading to a higher level of secreted IL-1b and exacerbated inflammatory responses, as observed in FMF patients. Our results are in direct contradiction with results recently published by Chae et al.32 While these authors describe a Pyrin–SPRY domain interaction with caspase-1, in full agreement with the results presented here, they also report that this interaction is reduced in the SPRY domain carrying the M694V mutation. Although we could find dampened interaction in some experiments, this was not consistently seen. Thus, unlike Chae et al.,32 we cannot propose that the FMF mutations affect Pyrin–caspase-1 interaction, consider- ing also that this conclusion is based on overexpression studies. We are presently co-crystallizing the SPRY-domain of Pyrin with active caspase-1 to further investigate this important issue. These data generate a mechanistic link between two autoinflammatory diseases, FMF and Muckle–Wells syn- drome as both diseases appear to be associated with 10 30 Activation 30°C (min) WB: α-Casp1 CARD 30 WB: α-FADD 0 Z WB: α-D116 10 30 300 Z Mock Pyrin WB: α-RIP1 WB: α-VSV c PGN (hr) WB: α-IL1β D116 Mock WB: α-RIP1 WB: α-Casp1 CARD 0 1 2 43 50.5 0 0.5 0 0.5 Pyrin 0 1 2 43 50.5 PGN (hr) Supernatants Mock 1 2 43 5 Pyrin 1 2 43 5 WB: α-IL1β D116 WB: α-RIP1 WB: α-Casp1 b Pyrin PyrinMock WB: α-proIL1β WB: α-proIL1β Figure 6 THP1 stably expressing Pyrin show reduced IL-1b processing. (a) Mock- and Pyrin-infected THP1 cells were differentiated 3 h with PMA. After 24 h, cells were stimulated with peptidoglycan (PGN) or uric acid crystals (MSU) for 1–5 h. Cell extracts and the precipitated supernatants were then analyzed by Western blot. (b) Differentiated mock- and Pyrin-infected THP1 cells were lysed in the Wang hypotonic buffer, and the cell extracts were activated at 301C for different times, with or without z- VAD-fmk (Z). Cell extracts were then subjected to Western-blot analysis. (c) Mock-infected THP1 cells and Pyrin-infected THP1 cells were lysed and cell extracts were analyzed by Western blot to determine the level of Pyrin expression Pyrin and the inflammasome S Papin et al 1463 Cell Death and Differentiation
  • 8. increased inflammasome activity. A connection between FMF and yet another inflammatory disorders has already been described. The protein mutated in PAPA syndrome, named PSTPIP1, interacts with Pyrin through the BBCC domain of Pyrin.38 This interaction is enhanced in mutated PSTPIP1, suggesting that PAPA syndrome is due to abnormal interac- tion with Pyrin with PSTPIP1, thus indirectly modulating inflammasome activity. The SPRY domain of Pyrin has undergone remarkable changes during evolution. In zebrafish and fugu, a SPRY domain has been fused directly to the NALP homolog, suggesting an important function of the SPRY domain in inflammasome regulation. During evolution, the SPRY do- main separated from the NALPs and acquired other regula- tory domains such as the BBCC and PYD. Interestingly, in rodents the SPRY domain is completely lost, indicating a strong variation in the function of Pyrin.39 Furthermore, the mutations found in FMF patients, except the M694V mutation, correspond to the wild-type amino-acids of Pyrin of lower primates.40 This suggests that Pyrin in patients with FMF corresponds to an ancestral state of Pyrin structure and function. If Pyrin is necessary in humans to reduce unneces- sary inflammatory response against certain pathogen X, whereas in lower primates the response against pathogen X is still required, the mutations in Pyrin could allow a loss of inhibition of this response. In rodents, where the SPRY is lost, the inhibitory role of Pyrin is probably completely abrogated allowing a complete inflammatory response against the pathogen X. FMF is very frequent only in the Mediterranean area, so one can speculate that the reappearance or disappearance of a Mediterranean endemic pathogen X has stimulated selective pressure in favor of Pyrin with the mutated allele leading to a response against this pathogen. As such heterozygotes could be quite protected against this pathogen and bear a selective advantage, whereas homo- zygotes show an excessive response to this agent X, leading to the disease. Indeed it is expected, given the very high frequency of heterozygotes in the Mediterranean area, that heterozygotes have a yet unknown selective advantage. Experimental Procedures Antibodies. Polyclonal antibodies against human Pyrin (AL196) and human proIL-1b were generated in rabbits (Eurogentec, Belgium). Monoclonal antibodies against NALP3 were generated from GST-NALP3-immunized mice. Four monoclonal antibodies were purified (Nalpy3a, Nalpy3b, Nalpy3c and Nalpy3d). Other antibodies were purchased from the following companies: cleaved IL-1b, D116 (Cell Signaling), Flag antibody (M2, Sigma), MYC antibody (9E10, Sigma), VSV antibody (P5D4, Sigma), mAbs to ASC and FADD (MBL), anti-RIP1 (Transduction), anti-caspase-1 (Santa-Cruz Biotech) and polyclonal anti-ASC (AL177, Apotech). Peroxidase-conjugated secondary anti-mouse and anti-rabbit antibodies were from Jackson IR and isotype-specific anti-IgG1 from Southern Biotech. Cell lines. THP1 and 293T were cultured in RPMI 1640 and DMEM, respectively, supplemented with 10% fetal calf serum, 50 mM b-mercaptoethanol Lamin NALP3 Pyrin Casp-1 WB: α-Pyrin WB: α-Casp1 SN WB α-D116 WB: α-D116 PGN MSU Treatment: - - + - - + - - + - - + - - + - - + - - + - - + shRNA Cell extractsCell extracts bb shRNA Lam inN ALP3PyrinC aspase-1 WB α-Lamin WB α-NALP3 WB α-Pyrin WB α-Casp1 Cell extracts 0 2 4 6 8 10 Time (hr) Foldinduction Sh Lamin Sh Pyrin 0 1 6 6z2 4 Figure 7 THP1 cells stably expressing Pyrin shRNA show reduced IL-1b processing. (a) THP1 cells were infected with lentivirus carrying various shRNA. The efficacy of knockdown was determined by Western blots. PMA differentiated mock- and THP1 cells with various shRNA were activated with PGN or MSU for 4 h and the amount of active IL-1b in the supernatant detected with the D116 antibody. (b) The levels of IL-1b were determined by ELISA in supernatants of MSU-activated THP1 cells Pyrin and the inflammasome S Papin et al 1464 Cell Death and Differentiation
  • 9. for THP1 and penicillin/streptomycin (100 mg/ml of each). THP1 cells stably expressing VSV-Pyrin and shRNA were cultured with medium supplemented with 5 mg/ml puromycin. Transient transfection and immunoprecipitation. Transient transfection of 293T cells was performed as described previously.41 For co- immunoprecipitation experiments, transfected 293T cells were suspended in 500 ml of lysis buffer (50 mM Tris (pH 7.8), 200 mM NaCl, 1% Nonidet P-40, 5 mM EDTA and protease inhibitors) and incubated at 41C 15 min. The lysates were then cleared by centrifugation at 13 000 r.p.m. for 5 min and incubated with 3 mg of anti-Flag agarose (Sigma) bound to protein G at 41C overnight. The agarose beads were washed four times with lysis buffer, and the precipitated proteins were then fractionated on 8 and 15% SDS-PAGE and analyzed by Western blotting. Immunoprecipitation of the inflammasome. Immunoprecipitations of endogenous Pyrin were performed using 108 THP-1 cells/time points, as described.24 . Cell extracts prepared in buffer W24 were incubated with 3 mg of the indicated antibodies (anti-Pyrin) conjugated to protein G at 41C for overnight incubation. The immunoprecipitates were recovered by centrifugation and washed five times with buffer W before SDS-PAGE and Western analysis. Generation of cell lines stably expressing Pyrin. The Pyrin stable cell line was generated by retroviral infection of THP1 cells. The Pyrin cDNA was cloned into the pMSCV retroviral vector that contains the puromycin resistance gene. Briefly, 293T cells were transfected with a mock retroviral vector, or a retroviral vector encoding Pyrin, as well as with cDNA encoding the proteins allowing the synthesis of the viral particles (Hit60 and VSV-G). At 8 h after transfection, cells were incubated overnight with sodium butyrate. After 48 h, retroviral supernatants were collected, filtered and used to perform four infection cycles (1 h incubation at 371C and 1 h centrifugation) of THP1 cells. THP1-infected cells were then selected by culturing them in the presence of puromycin. shRNA. nt GCTGGAGCAGGTGTACTACTTC of the human Pyrin coding sequence, nt CAGGTTTGACTATCTGTTCT of the human NALP3 coding sequence and nt GTGAAGAGATCCTTCTGTA of the 30 UTR of the human caspase-1 were inserted into pSUPER. The Pol III promoter shRNA cassettes from these vectors and from a lamin A/C-specific pSUPER control construct were inserted into the lentiviral vector pAB286.1, a derivative of pHR that contains a SV40-puromycin acetyl transferase cassette for antibiotic selection (lamin A/C- pSUPER and pAB286.1 were gifts of Richard Iggo, Lausanne, Switzerland). Second generation packaging plasmids pMD2-VSVG and pCMV-R8.91 (Naldini et al., 1996) were used for lentivirus production and infection as described elsewhere (http://www.tronolab.unige.ch). Processing and secretion of IL-1b. To study IL-1b processing and secretion in THP1 cells, the following method was used. Mock- or Pyrin-infected THP1 cells were differentiated with PMA for 3 h, allowing the synthesis of the precursor of IL-1b. After an overnight incubation, THP1 cells become adherent, and they were stimulated with bacterial PGN(10 mg/ml, Alexis) or uric acid crystals (200 mg/ml, Alexis), with or without z-VAD-fmk, for 1–6 h. Then the supernatants proIL-1β proIL-1β PYDNACHT Ligand PYD CARD ASC NALP 3 CARD Casp Casp ProCaspase-1 PYDNACHT NACHT PYD PYD CARD CARD Casp IL-1β Active IL-1β PYD SPRY Pyrin PYDNACHT NACHT PYD PYD CARDPYD CARD IL-1β ActiveIL-1β +++ +/- BBCC BBCC SPRY Figure 8 Schematic model of NALP3-induced caspase-1 activation and proIL-1b processing by the SPRY domain of Pyrin. Pyrin is initially autoinhibited through the interaction between the Pyrin and BBCC domain. Following the activation of the inflammasome, Pyrin is recruited into the assembling complex, where it interacts with processed caspase-1 and its substrate proIL-1b Pyrin and the inflammasome S Papin et al 1465 Cell Death and Differentiation
  • 10. were collected and precipitated, and the cell extracts were prepared, and both were subjected to Western-blot analysis to detect the presence of cleaved IL-1b. On the other hand, the in vitro system previously described for the identification of the inflammasome33 was used to study the processing of IL-1b in mock and Pyrin- infecetd cells. Briefly, THP1 cells were differentiated by an overnight PMA incubation, and then lysed in the Wang hypotonic buffer. The cell extracts were then activated at 301C, a temperature allowing the activation of the inflammasome, and subjected to Western-blot analysis. Acknowledgements. We thank Helen Everett for critical reading of the article. This work was supported by grants from the Swiss National Science foundation and CTI (to JT and HDB). SP is a recipient of a Marie-Curie fellowship. 1. McDermott MF, Aksentijevich I. The autoinflammatory syndromes. Curr Opin Allergy Clin Immunol 2002; 2: 511–516. 2. Grateau G, Drenth JP, Delpech M. 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