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10.1681/ASN.2013060653

http://scihub22266oqcxt.onion/10.1681/ASN.2013060653
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C4033370!4033370!24525029
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suck abstract from ncbi


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pmid24525029      J+Am+Soc+Nephrol 2014 ; 25 (6): 1163-9
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  • Inflammasome Activation by Cystine Crystals: Implications for the Pathogenesis of Cystinosis #MMPMID24525029
  • Prencipe G; Caiello I; Cherqui S; Whisenant T; Petrini S; Emma F; De Benedetti F
  • J Am Soc Nephrol 2014[Jun]; 25 (6): 1163-9 PMID24525029show ga
  • Intralysosomal cystine crystal accumulation, due to mutations in the CTNS gene, is a hallmark of nephropathic cystinosis, but the role of these crystals in disease pathogenesis remains unclear. We hypothesized that, similar to other host-derived crystalline moieties, cystine crystals can induce IL-1? production through inflammasome activation. Thus, we investigated the proinflammatory effects of cystine crystals in primary human PBMCs. LPS-primed PBMCs stimulated with cystine crystals secreted IL-1? in a dose-dependent manner. Similarly to IL-1? secretion induced by other crystalline inflammasome activators, cystine crystal?induced IL-1? secretion required activation of caspase-1. Additionally, exogenous cystine crystals were internalized by monocytes, and inhibition of phagocytosis, cathepsin B leakage, generation of reactive oxygen species, and potassium efflux reduced cystine crystal?induced IL-1? secretion. Patients with cystinosis had higher levels of circulating IL-1? and IL-18 compared with controls. Analysis of inflammasome-related gene expression in PBMCs from patients with cystinosis revealed a significant increase in IL-1? and CASP-1 transcript levels compared with controls. Moreover, knockout of cystinosin in mice led to significant increases in serum IL-18 levels and kidney expression of inflammasome-related genes (Casp-1, Pycard, Il-18, Il18r1, Il1r1, and Il1rl2). Taken together, these data demonstrate that cystine crystals are endogenous inflammasome-activating stimuli, suggesting a novel role for cystine crystals in the pathogenesis of nephropathic cystinosis.
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