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      Cleavage of cFLIP restrains cell death during viral infection and tissue injury and favors tissue repair

      research-article
      1 , 1 , 1 , 1 , 2 , 2 , 3 , 3 , 3 , 4 , 5 , 6 , 6 , 7 , 8 , 1 , 1 , 1 , 1 , 9 , 10 , 1 , 7 , 11 , 1 , 7 , 11 , 12 , 13 , 12 , 13 , 14 , 15 , 16 , 9 , 10 , 17 , 3 , 4 , 5 , 1 , 6 , 7 , 18 , 7 , 8 , 19 , 2 , 1 , 7 , 11 , 1 , * ,
      Science Advances
      American Association for the Advancement of Science

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          Abstract

          Cell death coordinates repair programs following pathogen attack and tissue injury. However, aberrant cell death can interfere with such programs and cause organ failure. Cellular FLICE-like inhibitory protein (cFLIP) is a crucial regulator of cell death and a substrate of Caspase-8. However, the physiological role of cFLIP cleavage by Caspase-8 remains elusive. Here, we found an essential role for cFLIP cleavage in restraining cell death in different pathophysiological scenarios. Mice expressing a cleavage-resistant cFLIP mutant, Cflip D377A , exhibited increased sensitivity to severe acute respiratory syndrome coronavirus (SARS-CoV)–induced lethality, impaired skin wound healing, and increased tissue damage caused by Sharpin deficiency. In vitro, abrogation of cFLIP cleavage sensitizes cells to tumor necrosis factor(TNF)–induced necroptosis and apoptosis by favoring complex-II formation. Mechanistically, the cell death–sensitizing effect of the D377A mutation depends on glutamine-469. These results reveal a crucial role for cFLIP cleavage in controlling the amplitude of cell death responses occurring upon tissue stress to ensure the execution of repair programs.

          Abstract

          cFLIP cleavage acts as a molecular brake on cell death and is essential for the ability of tissues to overcome damage.

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          Most cited references67

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          Induction of TNF receptor I-mediated apoptosis via two sequential signaling complexes.

          Apoptosis induced by TNF-receptor I (TNFR1) is thought to proceed via recruitment of the adaptor FADD and caspase-8 to the receptor complex. TNFR1 signaling is also known to activate the transcription factor NF-kappa B and promote survival. The mechanism by which this decision between cell death and survival is arbitrated is not clear. We report that TNFR1-induced apoptosis involves two sequential signaling complexes. The initial plasma membrane bound complex (complex I) consists of TNFR1, the adaptor TRADD, the kinase RIP1, and TRAF2 and rapidly signals activation of NF-kappa B. In a second step, TRADD and RIP1 associate with FADD and caspase-8, forming a cytoplasmic complex (complex II). When NF-kappa B is activated by complex I, complex II harbors the caspase-8 inhibitor FLIP(L) and the cell survives. Thus, TNFR1-mediated-signal transduction includes a checkpoint, resulting in cell death (via complex II) in instances where the initial signal (via complex I, NF-kappa B) fails to be activated.
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            Synergism of TNF-α and IFN-γ triggers inflammatory cell death, tissue damage, and mortality in SARS-CoV-2 infection and cytokine shock syndromes

            COVID-19 is characterized by excessive production of pro-inflammatory cytokines and acute lung damage associated with patient mortality. While multiple inflammatory cytokines are produced by innate immune cells during SARS-CoV-2 infection, we found that only the combination of TNF-α and IFN-γ induced inflammatory cell death characterized by pyroptosis, apoptosis, and necroptosis (PANoptosis). Mechanistically, TNF-α and IFN-γ co-treatment activated the JAK/STAT1/IRF1 axis, inducing nitric oxide production and driving caspase-8/FADD–mediated PANoptosis. TNF-α and IFN-γ caused a lethal cytokine shock in mice that mirrors the tissue damage and inflammation of COVID-19, and inhibiting PANoptosis protected mice from this pathology and death. Furthermore, treating with neutralizing antibodies against TNF-α and IFN-γ protected mice from mortality during SARS-CoV-2 infection, sepsis, hemophagocytic lymphohistiocytosis, and cytokine shock. Collectively, our findings suggest that blocking the cytokine-mediated inflammatory cell death signaling pathway identified here may benefit patients with COVID-19 or other infectious and autoinflammatory diseases by limiting tissue damage/inflammation.
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              TNF biology, pathogenic mechanisms and emerging therapeutic strategies.

              TNF is a pleiotropic cytokine with important functions in homeostasis and disease pathogenesis. Recent discoveries have provided insights into TNF biology that introduce new concepts for the development of therapeutics for TNF-mediated diseases. The model of TNF receptor signalling has been extended to include linear ubiquitination and the formation of distinct signalling complexes that are linked with different functional outcomes, such as inflammation, apoptosis and necroptosis. Our understanding of TNF-induced gene expression has been enriched by the discovery of epigenetic mechanisms and concepts related to cellular priming, tolerization and induction of 'short-term transcriptional memory'. Identification of distinct homeostatic or pathogenic TNF-induced signalling pathways has introduced the concept of selectively inhibiting the deleterious effects of TNF while preserving its homeostatic bioactivities for therapeutic purposes. In this Review, we present molecular mechanisms underlying the roles of TNF in homeostasis and inflammatory disease pathogenesis, and discuss novel strategies to advance therapeutic paradigms for the treatment of TNF-mediated diseases.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Formal analysisRole: InvestigationRole: MethodologyRole: ValidationRole: VisualizationRole: Writing - original draftRole: Writing - review & editing
                Role: ConceptualizationRole: InvestigationRole: MethodologyRole: ResourcesRole: ValidationRole: VisualizationRole: Writing - original draftRole: Writing - review & editing
                Role: InvestigationRole: MethodologyRole: Visualization
                Role: ConceptualizationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SupervisionRole: Validation
                Role: InvestigationRole: MethodologyRole: ValidationRole: VisualizationRole: Writing - original draft
                Role: Investigation
                Role: InvestigationRole: MethodologyRole: ValidationRole: Visualization
                Role: ConceptualizationRole: Investigation
                Role: InvestigationRole: Writing - original draftRole: Writing - review & editing
                Role: InvestigationRole: Methodology
                Role: InvestigationRole: Methodology
                Role: InvestigationRole: MethodologyRole: Resources
                Role: Formal analysisRole: InvestigationRole: Validation
                Role: InvestigationRole: Validation
                Role: ConceptualizationRole: InvestigationRole: MethodologyRole: Validation
                Role: InvestigationRole: Methodology
                Role: ConceptualizationRole: Formal analysisRole: InvestigationRole: MethodologyRole: ResourcesRole: VisualizationRole: Writing - original draftRole: Writing - review & editing
                Role: ConceptualizationRole: InvestigationRole: MethodologyRole: ResourcesRole: Writing - review & editing
                Role: Formal analysisRole: InvestigationRole: MethodologyRole: Visualization
                Role: Investigation
                Role: ConceptualizationRole: MethodologyRole: Project administrationRole: Supervision
                Role: Methodology
                Role: ConceptualizationRole: Funding acquisitionRole: Project administrationRole: ResourcesRole: ValidationRole: Writing - original draftRole: Writing - review & editing
                Role: ConceptualizationRole: Funding acquisitionRole: MethodologyRole: Project administrationRole: ResourcesRole: Supervision
                Role: ConceptualizationRole: MethodologyRole: Project administrationRole: ResourcesRole: SupervisionRole: ValidationRole: Writing - review & editing
                Role: ConceptualizationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SupervisionRole: ValidationRole: VisualizationRole: Writing - original draftRole: Writing - review & editing
                Role: ConceptualizationRole: Funding acquisitionRole: MethodologyRole: ResourcesRole: Supervision
                Role: ConceptualizationRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SupervisionRole: ValidationRole: VisualizationRole: Writing - review & editing
                Role: ConceptualizationRole: MethodologyRole: ResourcesRole: SupervisionRole: ValidationRole: VisualizationRole: Writing - original draftRole: Writing - review & editing
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SupervisionRole: ValidationRole: VisualizationRole: Writing - original draftRole: Writing - review & editing
                Journal
                Sci Adv
                Sci Adv
                sciadv
                advances
                Science Advances
                American Association for the Advancement of Science
                2375-2548
                July 2023
                26 July 2023
                : 9
                : 30
                : eadg2829
                Affiliations
                [ 1 ]Center for Molecular Medicine Cologne, University of Cologne, Robert-Koch Strasse 21, 50931, Cologne, Germany.
                [ 2 ]MRC Toxicology Unit, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QR, UK.
                [ 3 ]Aragón Health Research Institute (IIS Aragón), Biomedical Research Centre of Aragón (CIBA), Zaragoza, Spain.
                [ 4 ]Department of Microbiology, Radiology, Pediatry and Public Health, University of Zaragoza, Zaragoza, Spain.
                [ 5 ]CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain.
                [ 6 ]Department of Dermatology, University of Cologne, 50937 Cologne, Germany.
                [ 7 ]Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), University of Cologne, 50931 Cologne, Germany.
                [ 8 ]Institute of Biochemistry I, Medical Faculty, University of Cologne, 50931 Cologne, Germany.
                [ 9 ]Division of Nephrology, Department of Internal Medicine 3, University Hospital Carl Gustav Carus at the Technische Universität Dresden, Dresden, Germany.
                [ 10 ]Biotechnology Center, Technische Universität Dresden, Dresden, Germany.
                [ 11 ]Department of Translational Genomics, University of Cologne, Weyertal 115b, 50931 Köln, Germany.
                [ 12 ]VIB-UGent Center for Medical Biotechnology, VIB, B-9052 Ghent, Belgium.
                [ 13 ]Department of Biochemistry and Microbiology, Ghent University, B-9000 Ghent, Belgium.
                [ 14 ]Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, Australia.
                [ 15 ]Department of Medical Biology, The University of Melbourne, Parkville, VIC 3010, Australia.
                [ 16 ]The Breast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, London, UK.
                [ 17 ]Division of Nephrology, Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
                [ 18 ]Institute of Zoology, Developmental Biology Unit, University of Cologne, 50674 Cologne, Germany.
                [ 19 ]Centre for Cell Death, Cancer, and Inflammation (CCCI), UCL Cancer Institute, University College, London WC1E 6BT, UK.
                Author notes
                [* ]Corresponding author. Email: a.annibaldi@ 123456uni-koeln.de
                [†]

                These authors contributed equally to this work.

                Author information
                https://orcid.org/0000-0002-8306-6982
                https://orcid.org/0000-0002-9217-5582
                https://orcid.org/0000-0001-5548-9681
                https://orcid.org/0000-0002-5354-9123
                https://orcid.org/0000-0002-5957-9251
                https://orcid.org/0000-0003-2203-6947
                https://orcid.org/0000-0001-8411-984X
                https://orcid.org/0000-0002-8486-8514
                https://orcid.org/0000-0002-0840-227X
                https://orcid.org/0009-0008-9030-8696
                https://orcid.org/0000-0002-3063-4827
                https://orcid.org/0009-0001-5559-8404
                https://orcid.org/0009-0007-7607-104X
                https://orcid.org/0000-0002-9728-1413
                https://orcid.org/0000-0001-6930-203X
                https://orcid.org/0000-0003-4289-2687
                https://orcid.org/0000-0002-4914-7455
                https://orcid.org/0000-0002-3861-6965
                https://orcid.org/0000-0003-2760-6523
                https://orcid.org/0000-0001-6287-9725
                https://orcid.org/0000-0003-0154-0730
                https://orcid.org/0000-0001-8485-3921
                https://orcid.org/0000-0002-6312-4591
                https://orcid.org/0000-0001-7886-1159
                https://orcid.org/0000-0002-4134-5852
                https://orcid.org/0000-0002-0346-4340
                Article
                adg2829
                10.1126/sciadv.adg2829
                10371024
                37494451
                e0b1a6a5-d7ab-4fd9-b7d5-8b48299aaf72
                Copyright © 2023 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution License 4.0 (CC BY).

                This is an open-access article distributed under the terms of the Creative Commons Attribution license, which permits which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 09 January 2023
                : 22 June 2023
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100005156, Alexander von Humboldt-Stiftung;
                Funded by: FundRef http://dx.doi.org/10.13039/100005156, Alexander von Humboldt-Stiftung;
                Funded by: FundRef http://dx.doi.org/10.13039/100005930, ASCRS Research Foundation;
                Award ID: AN 1717/1-1
                Funded by: FundRef http://dx.doi.org/10.13039/100005930, ASCRS Research Foundation;
                Funded by: FundRef http://dx.doi.org/10.13039/100006301, Center for International Business Education and Research, University of Illinois at Urbana-Champaign;
                Award ID: PID2020-113963RBI00
                Funded by: FundRef http://dx.doi.org/10.13039/100006301, Center for International Business Education and Research, University of Illinois at Urbana-Champaign;
                Funded by: FundRef http://dx.doi.org/10.13039/100007472, University of Kentucky;
                Award ID: A17341
                Funded by: FundRef http://dx.doi.org/10.13039/501100011033, Agencia Estatal de Investigación;
                Funded by: FundRef http://dx.doi.org/10.13039/100010269, Wellcome;
                Award ID: 214342/Z/18/Z
                Funded by: FundRef http://dx.doi.org/10.13039/501100007155, Medical Research Council Canada;
                Award ID: MR/S00811X/1
                Funded by: FundRef http://dx.doi.org/10.13039/501100007155, Medical Research Council Canada;
                Award ID: 00025/4
                Funded by: FundRef http://dx.doi.org/10.13039/501100001659, Deutsche Forschungsgemeinschaft;
                Funded by: FundRef http://dx.doi.org/10.13039/501100008530, European Regional Development Fund;
                Funded by: FundRef http://dx.doi.org/10.13039/501100011033, Agencia Estatal de Investigación;
                Funded by: FundRef http://dx.doi.org/10.13039/100010269, Wellcome;
                Funded by: FundRef http://dx.doi.org/10.13039/501100007155, Medical Research Council Canada;
                Funded by: FundRef http://dx.doi.org/10.13039/100012573, MicroResearch;
                Funded by: FundRef http://dx.doi.org/10.13039/100007472, University of Kentucky;
                Funded by: Center for Molecular Medicine Cologne (CMMC);
                Award ID: Junior research group program
                Funded by: Wellcome Trust Investigator Award;
                Award ID: 214342/Z/18/Z
                Funded by: Molecular Medicine Cologne CMMC Junior;
                Funded by: Manchot Foundation;
                Funded by: Collaborative Research Centre ID;
                Award ID: SFB1403
                Funded by: Collaborative Research Centre ID;
                Award ID: 414786233
                Funded by: Collaborative Research Centre ID;
                Award ID: SFB1530
                Funded by: Collaborative Research Centre ID;
                Award ID: 455784452
                Funded by: Network Cancer Targeting CANTAR;
                Funded by: Collaborative Research Centre ID;
                Award ID: SFB1403
                Funded by: Collaborative Research Centre ID;
                Award ID: 414786233
                Funded by: Collaborative Research Centre Project A10 ID;
                Award ID: SFB1403
                Funded by: Collaborative Research Centre Project A10 ID;
                Award ID: 414786233
                Funded by: Collaborative Research Centre Project C06;
                Award ID: SFB1399
                Funded by: Collaborative Research Centre Project A03 ID;
                Award ID: SFB1530
                Funded by: FundRef http://dx.doi.org/10.13039/100014013, UK Research and Innovation;
                Funded by: FundRef http://dx.doi.org/10.13039/501100023961, Centro de Investigación Biotecnológica en Red de Enfermedades Infecciosas;
                Award ID: PID2020-113963RBI00
                Funded by: FundRef http://dx.doi.org/10.13039/501100023961, Centro de Investigación Biotecnológica en Red de Enfermedades Infecciosas;
                Funded by: Deutsche Forschungsgemainschaft;
                Award ID: AN 1717/1-1
                Funded by: Jürgen Manchot Foundation;
                Funded by: Collaborative Research Centre SFB1403;
                Award ID: 414786233
                Funded by: Collaborative Research Centre SFB1530;
                Award ID: 455784452
                Funded by: Network Cancer Targeting (CANTAR);
                Funded by: Medical Research Council grant;
                Award ID: MR/S00811X/1
                Funded by: Cancer Research UK Programme Grant;
                Award ID: A17341
                Funded by: FEDER (Fondo Europeo de Desarrollo Regional, Gobierno de Aragón, Group B29_17R);
                Award ID: PID2020-113963RBI00
                Funded by: UKRI Medical Research Council;
                Award ID: MC_UU_00025/4
                Funded by: Collaborative Research Centre Project A03 ID;
                Award ID: 455784452
                Categories
                Research Article
                Biomedicine and Life Sciences
                SciAdv r-articles
                Cell Biology
                Immunology
                Immunology
                Custom metadata
                Nicole Falcasantos

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