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      Emerging insights on the role of gasdermins in infection and inflammatory diseases

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          Abstract

          The gasdermins, family of pore‐forming proteins, are emerging key regulators of infection, autoinflammation and antitumor immunity. Multiple studies have recently characterised their crucial roles in driving pyroptosis, a lytic pro‐inflammatory type of cell death. Additionally, gasdermins also act as key effectors of NETosis, secondary necrosis and apoptosis. In this review, we will address current understanding of the mechanisms of gasdermin activation and further describe the protective and detrimental roles of gasdermins in host defence and autoinflammatory diseases. These data suggest that gasdermins play a prominent role in innate immunity and autoinflammatory disorders, thereby providing potential new therapeutic avenues for the treatment of infection and autoimmune disease.

          Abstract

          This review summarises the latest advances in several aspects of mode of activation of gasdermins, which finally drives pyroptosis, NETosis, secondary necrotic death and apoptosis. Here, we also highlight the current understanding of gasdermin involvement in infections and autoimmunity disorders, providing a promising translational approach to the treatment of infectious and autoinflammatory diseases.

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          Most cited references87

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          Chemotherapy drugs induce pyroptosis through caspase-3 cleavage of a Gasdermin

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            Gasdermin E suppresses tumor growth by activating anti-tumor immunity

            Cleavage of the gasdermins to produce a pore-forming N-terminal fragment causes inflammatory death (pyroptosis) 1 . Caspase-3 cleaves gasdermin E (GSDME, also known as DFNA5), mutated in familial aging-related hearing loss 2 , which converts noninflammatory apoptosis to pyroptosis in GSDME-expressing cells 3–5 . GSDME expression is suppressed in many cancers and reduced GSDME is associated with decreased breast cancer survival 2,6 , suggesting GSDME might be a tumor suppressor. Here we show reduced GSDME function of 20 of 22 tested cancer-associated mutations. Gsdme knockout in GSDME-expressing tumors enhances, while ectopic expression in Gsdme-repressed tumors inhibits, tumor growth. Tumor suppression is mediated by cytotoxic lymphocyte killing since it is abrogated in perforin-deficient or killer lymphocyte-depleted mice. GSDME expression enhances tumor-associated macrophage phagocytosis and the number and functions of tumor-infiltrating NK and CD8+ T lymphocytes. Killer cell granzyme B also activates caspase-independent pyroptosis in target cells by directly cleaving GSDME at the same site as caspase-3. Non-cleavable or pore-defective GSDME are not tumor suppressive. Thus, tumor GSDME is a tumor suppressor by activating pyroptosis, which enhances anti-tumor immunity.
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              Granzyme A from cytotoxic lymphocytes cleaves GSDMB to trigger pyroptosis in target cells

              Cytotoxic lymphocyte-mediated immunity relies on granzymes. Granzymes are thought to kill target cells by inducing apoptosis, though the underlying mechanisms are not fully understood. Here, we report that natural killer cells and cytotoxic T lymphocytes kill gasdermin B (GSDMB)–positive cells through pyroptosis, a form of proinflammatory cell death executed by the gasdermin family of pore-forming proteins. Killing results from the cleavage of GSDMB by lymphocyte-derived granzyme A (GZMA), which unleashes its pore-forming activity. Interferon gamma up-regulates GSDMB expression and promotes pyroptosis. GSDMB is highly expressed in certain tissues, particularly digestive tract epithelia including derived tumors. Introducing GZMA-cleavable GSDMB into murine cancer cells promotes tumor clearance in mice. This study establishes gasdermin-mediated pyroptosis as a cytotoxic lymphocyte killing mechanism, which may enhance antitumor immunity.
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                Author and article information

                Contributors
                lcj@gzucm.edu.cn
                zhengguangjuan@gzucm.edu.cn
                b.m.t.burgering@umcutrecht.nl
                Journal
                Clin Transl Immunology
                Clin Transl Immunology
                10.1002/(ISSN)2050-0068
                CTI2
                Clinical & Translational Immunology
                John Wiley and Sons Inc. (Hoboken )
                2050-0068
                04 October 2020
                2020
                : 9
                : 10 ( doiID: 10.1002/cti2.v9.10 )
                : e1186
                Affiliations
                [ 1 ] Department of Pharmacology of Traditional Chinese Medicine The Second Affiliated Hospital of Guangzhou University of Chinese Medicine Guangzhou China
                [ 2 ] Department of Molecular Cancer Research Center Molecular Medicine University Medical Center Utrecht Utrecht The Netherlands
                [ 3 ] Department of Dermatology The Second Affiliated Hospital of Guangzhou University of Chinese Medicine Guangzhou China
                [ 4 ] Department of Pathology The Second Affiliated Hospital of Guangzhou University of Chinese Medicine Guangzhou China
                Author notes
                [*] [* ] Correspondence

                C Lu, Department of Dermatology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, 111 Dade Road, 510120, Guangzhou, China.

                E‐mail: lcj@ 123456gzucm.edu.cn

                G Zheng, Department of Pharmacology of Traditional Chinese Medicine and Pathology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, 111 Dade Road, 510120, Guangzhou, China.

                E‐mail: zhengguangjuan@ 123456gzucm.edu.cn

                BMT Burgering, Department of Molecular Cancer Research, Center Molecular Medicine, University Medical Center Utrecht, Stratenum, Universiteitsweg 100, 3584CG, Utrecht, The Netherlands.

                E‐mail: b.m.t.burgering@ 123456umcutrecht.nl

                Author information
                https://orcid.org/0000-0002-8760-9331
                Article
                CTI21186
                10.1002/cti2.1186
                7533414
                33033617
                bd847461-5188-4090-8a5d-dd987842d935
                © 2020 The Authors. Clinical & Translational Immunology published by John Wiley & Sons Australia, Ltd on behalf of Australian and New Zealand Society for Immunology, Inc.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 03 June 2020
                : 08 September 2020
                : 09 September 2020
                Page count
                Figures: 6, Tables: 2, Pages: 18, Words: 10576
                Funding
                Funded by: Innovative and Enhancement Research Program of Guangdong Province
                Award ID: 2019KTSCX025
                Funded by: Medical Scientific Research Foundation of Guangdong Province
                Award ID: A2017277
                Funded by: Natural Science Foundation of Guangdong Province , open-funder-registry 10.13039/501100003453;
                Award ID: 2017A030313639
                Funded by: Specific Research Fund for TCM Science and Technology of Guangdong Provincial Hospital of Chinese Medicine
                Award ID: YN2018QJ03
                Categories
                Review
                Reviews
                Custom metadata
                2.0
                2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.1 mode:remove_FC converted:05.10.2020

                gasdermins,inflammatory bowel disease,multiple sclerosis,netosis,pyroptosis,rheumatoid arthritis

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