Evidence map›Paper›PMID 25730877›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2015

Cell stress increases ATP release in NLRP3 inflammasome-mediated autoinflammatory diseases, resulting in cytokine imbalance.

Sonia Carta, Federica Penco, Rosa Lavieri, Alberto Martini, Charles Anthony Dinarello, Marco Gattorno, Anna Rubartelli

Abstract readClinical Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 123 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Anti-DAMP therapies for acute inflammation.Frontiers in immunology · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. International journal of molecular sciences · 2023
    Article
  13. Article
  14. Review
  15. Article
  16. Methods to Study NLR in Human Blood Cells.Methods in molecular biology (Clifton, N.J.) · 2023
    Article
  17. Review
  18. The P2YCellular and molecular life sciences : CMLS · 2022
    Article
  19. Article
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Sonia CartaCell Biology Unit, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, 16132 Genova, Italy;
Federica PencoPediatrics II Unit, G. Gaslini Institute, 16147 Genova, Italy; Department of Pediatrics, University of Genoa, 16145 Genova, Italy;
Rosa LavieriCell Biology Unit, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, 16132 Genova, Italy;
Alberto MartiniPediatrics II Unit, G. Gaslini Institute, 16147 Genova, Italy; Department of Pediatrics, University of Genoa, 16145 Genova, Italy;
Charles Anthony DinarelloDepartment of Medicine, University of Colorado Denver, Aurora, CO 80045; and Department of Medicine, Radboud University Medical Centre, Nijmegen HB6500, The Netherlands cdinarello@me.com anna.rubartelli@hsanmartino.it.
Marco GattornoPediatrics II Unit, G. Gaslini Institute, 16147 Genova, Italy;
Anna RubartelliCell Biology Unit, IRCCS Azienda Ospedaliera Universitaria San Martino-IST, 16132 Genova, Italy; cdinarello@me.com anna.rubartelli@hsanmartino.it.
Istituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Giannina Gaslini · ITOspedale Policlinico San Martino · ITUniversity of Colorado Denver · USUniversity of Genoa · IT

Funding

Yeast-based HTS Assay Technologies for ProteasesR01AI015614 · NIAID · UNIVERSITY OF COLORADO DENVER · PI DINARELLO, CHARLES ANTHONY · 1985 to 2025
$8.5M
VitiligoR01AR045584 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI SPRITZ, RICHARD ANDREW · 1999 to 2014
$6.2M
Pathogenesis of Fever in ManR56AI015614 · NIAID · UNIVERSITY OF COLORADO DENVER · PI DINARELLO, CHARLES ANTHONY · 2016 to 2016
$311k
PATHOGENESIS OF FEVER IN HUMANSR37AI015614 · NIAID · UNIVERSITY OF COLORADO DENVER · PI DINARELLO, CHARLES ANTHONY · 1988 to 1998
–
NIAID NIH HHS AI-15614NIAID NIH HHS R01 AI015614NIAID NIH HHS R56 AI015614NIAMS NIH HHS AR-45584NIAMS NIH HHS R01 AR045584Telethon GGP14144
6 · The paper itself

Abstract

Cell stress is implicated in triggering bouts of systemic inflammation in patients with autoinflammatory disorders. Blood monocytes from patients affected by NLRP3-mediated cryopyrin-associated periodic syndromes (CAPS) release greater amounts of IL-1β than monocytes from unaffected subjects. Here we show that stress lowers the threshold of activation; blood monocytes from CAPS patients maintain the high levels of secreted IL-1β (fivefold) and IL-18 (10-fold) when stimulated with 1,000-fold less LPS than that required for full IL-1β secretion in control subjects. Unexpectedly, IL-1α secretion is increased 10-fold, indicating that inflammatory episodes in CAPS may not be entirely a result of IL-1β but may also involve IL-1α. In CAPS monocytes, LPS induces the externalization of copious amounts of ATP (10-fold), which drive IL-1β, IL-18, and IL-1α release via activation of the P2X purinoceptor 7. This enhanced ATP release appears to be the link between cell stress and increased cytokine secretion in CAPS. In the later phase after LPS stimulation, CAPS monocytes undergo oxidative stress, which impairs production of the anti-inflammatory IL-1 receptor antagonist (IL-1Ra). Remarkably, IL-1Ra secretion is fully restored by treatment with antioxidants. In two patients with the same NLRP3 mutation, but different disease severity, monocytes from the mildly affected patient exhibited more efficient redox response, lower ATP secretion, and more balanced cytokine production. Thus, the robustness of the individual antioxidant response increases the tolerance to stress and reduces the negative effect of the disease. Pharmacologic block of P2X purinoceptor 7 and improved stress tolerance may represent novel treatment strategies in stress-associated inflammatory diseases.

Indexed as

Stress, PhysiologicalAdenosine TriphosphateAdolescentAdultCarrier ProteinsChildChild, PreschoolCryopyrin-Associated Periodic SyndromesCytokinesFemaleHumansInfantInflammasomesMaleMonocytesMutationAdenosine TriphosphateCarrier ProteinsCytokinesInflammasomesNLR Family, Pyrin Domain-Containing 3 ProteinNLRP3 protein, humanPurinergic P2X Receptor AntagonistsReceptors, Purinergic P2X7interleukin 1 familyprimary monocytesreactive oxygen speciesredox stress

Identifiers

PMID25730877
PMCPMC4352822
OpenAlexW1967285776

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.