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Blood, 1 April 2007, Vol. 109, No. 7, pp. 2903-2911.
Prepublished online as a Blood First Edition Paper on December 12, 2006; DOI 10.1182/blood-2006-07-033597.


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IMMUNOBIOLOGY

Disease-associated mutations in CIAS1 induce cathepsin B–dependent rapid cell death of human THP-1 monocytic cells

Akihiro Fujisawa1, Naotomo Kambe1, Megumu Saito2, Ryuta Nishikomori2, Hideaki Tanizaki1, Nobuo Kanazawa1,3, Souichi Adachi2, Toshio Heike2, Junji Sagara4, Takashi Suda5, Tatsutoshi Nakahata2, and Yoshiki Miyachi1

1 Department of Dermatology, Kyoto University Graduate School of Medicine, Japan; 2 Department of Pediatrics, Kyoto University Graduate School of Medicine, Japan; 3 Department of Dermatology, Wakayama Medical University, Japan; 4 Department of Biochemical Laboratory Science, School of Health Science, Shinshu University, Nagano, Japan; 5 Division of Immunology and Molecular Biology, Cancer Research Institute, Kanazawa University, Ishikawa, Japan

Mutations in the cold-induced autoinflammatory syndrome 1 (CIAS1) gene are associated with a spectrum of autoinflammatory diseases, including familial cold autoinflammatory syndrome, Muckle-Wells syndrome, and chronic infantile neurologic, cutaneous, articular syndrome, also known as neonatal-onset multisystem inflammatory disease. CIAS1 encodes cryopyrin, a protein that localizes to the cytosol and functions as pattern recognition receptor. Cryopyrin also participates in nuclear factor-{kappa}B regulation and caspase-1–mediated maturation of interleukin 1ß. In this study, we showed that disease-associated mutations in CIAS1 induced rapid cell death of THP-1 monocytic cells. The features of cell death, including 7-AAD staining, the presence of cellular edema, and early membrane damage resulting in lactate dehydrogenase (LDH) release, indicated that it was more likely to be necrosis than apoptosis, and was effectively blocked with the cathepsin B–specific inhibitor CA-074-Me. CA-074-Me also suppressed induced by disease-associated mutation lysosomal leakage and mitochondrial damage. In addition, R837, a recently identified activator of cryopyrin-associated inflammasomes, induced cell death in wild type CIAS1-transfected THP-1 cells. These results indicated that monocytes undergo rapid cell death in a cathepsin B–dependent manner upon activation of cryopyrin, which is also a specific phenomenon induced by disease-associated mutation of CIAS1.


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