Absence of the inflammasome adaptor ASC reduces hypoxia-induced pulmonary hypertension in mice

FT Cero, V Hillestad, I Sjaastad… - … of Physiology-Lung …, 2015 - journals.physiology.org
FT Cero, V Hillestad, I Sjaastad, A Yndestad, P Aukrust, T Ranheim, IG Lunde, MB Olsen…
American Journal of Physiology-Lung Cellular and Molecular …, 2015journals.physiology.org
Pulmonary hypertension is a serious condition that can lead to premature death. The
mechanisms involved are incompletely understood although a role for the immune system
has been suggested. Inflammasomes are part of the innate immune system and consist of
the effector caspase-1 and a receptor, where nucleotide-binding oligomerization domain-
like receptor pyrin domain-containing 3 (NLRP3) is the best characterized and interacts with
the adaptor protein apoptosis-associated speck-like protein containing a caspase …
Pulmonary hypertension is a serious condition that can lead to premature death. The mechanisms involved are incompletely understood although a role for the immune system has been suggested. Inflammasomes are part of the innate immune system and consist of the effector caspase-1 and a receptor, where nucleotide-binding oligomerization domain-like receptor pyrin domain-containing 3 (NLRP3) is the best characterized and interacts with the adaptor protein apoptosis-associated speck-like protein containing a caspase-recruitment domain (ASC). To investigate whether ASC and NLRP3 inflammasome components are involved in hypoxia-induced pulmonary hypertension, we utilized mice deficient in ASC and NLRP3. Active caspase-1, IL-18, and IL-1β, which are regulated by inflammasomes, were measured in lung homogenates in wild-type (WT), ASC−/−, and NLRP3−/− mice, and phenotypical changes related to pulmonary hypertension and right ventricular remodeling were characterized after hypoxic exposure. Right ventricular systolic pressure (RVSP) of ASC−/− mice was significantly lower than in WT exposed to hypoxia (40.8 ± 1.5 mmHg vs. 55.8 ± 2.4 mmHg, P < 0.001), indicating a substantially reduced pulmonary hypertension in mice lacking ASC. Magnetic resonance imaging further supported these findings by demonstrating reduced right ventricular remodeling. RVSP of NLRP3−/− mice exposed to hypoxia was not significantly altered compared with WT hypoxia. Whereas hypoxia increased protein levels of caspase-1, IL-18, and IL-1β in WT and NLRP3−/− mice, this response was absent in ASC−/− mice. Moreover, ASC−/− mice displayed reduced muscularization and collagen deposition around arteries. In conclusion, hypoxia-induced elevated right ventricular pressure and remodeling were attenuated in mice lacking the inflammasome adaptor protein ASC, suggesting that inflammasomes play an important role in the pathogenesis of pulmonary hypertension.
American Physiological Society