Evidence map›Paper›PMID 33854503›Full record

ArticleFrontiers in immunology2021

Lactic Acid Fermentation Is Required for NLRP3 Inflammasome Activation.

Hsin-Chung Lin, Yu-Jen Chen, Yau-Huei Wei, Hsin-An Lin, Chien-Chou Chen, Tze-Fan Liu, Yi-Lin Hsieh, Kuo-Yang Huang, Kuan-Hung Lin, Hsueh-Hsiao Wang and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Lactate acts as a metabolic brake on inflammation by repressing NLRP3 transcription via NF-κB inhibition.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  5. [Research progress on the metabolic regulatory mechanisms of coronary collateral circulation].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Caspase-1 in cancer and inflammatory diseases: a potential therapeutic target.Apoptosis : an international journal on programmed cell death · 2026
    Review
  10. Review
  11. Review
  12. Review
  13. Lactate Metabolism and Protein Lactylation in Diabetic Kidney Disease: A Narrative Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026
    Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Gout Risk Allele RegulatingInternational journal of molecular sciences · 2025
    Article
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

11 authors at 5 institutions in 1 country.

Hsin-Chung LinGraduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan.
Yu-Jen ChenDepartment of Radiation Oncology, MacKay Memorial Hospital, New Taipei City, Taiwan.
Yau-Huei WeiCenter for Mitochondrial Medicine and Free Radical Research, Changhua Christian Hospital, Changhua, Taiwan.
Hsin-An LinDepartment of Medicine, Tri-Service General Hospital SongShan Branch, Taipei, Taiwan.
Chien-Chou ChenDepartment of Medicine, Tri-Service General Hospital SongShan Branch, Taipei, Taiwan.
Tze-Fan LiuDepartment of Medicine, MacKay Medical College, New Taipei City, Taiwan.
Yi-Lin HsiehDepartment of Medicine, MacKay Medical College, New Taipei City, Taiwan.
Kuo-Yang HuangGraduate Institute of Pathology and Parasitology, National Defense Medical Center, Taipei, Taiwan.
Kuan-Hung LinInstitute of Biomedical Sciences, MacKay Medical College, New Taipei City, Taiwan.
Hsueh-Hsiao WangDepartment of Medicine, MacKay Medical College, New Taipei City, Taiwan.
Lih-Chyang ChenDepartment of Medicine, MacKay Medical College, New Taipei City, Taiwan.
Mackay Medical College · TWNational Defense Medical Center · TWTri-Service General Hospital Songshan Branch · TWChanghua Christian Hospital · TWMackay Junior College of Medicine, Nursing and Management · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Activation of the Nod-like receptor 3 (NLRP3) inflammasome is important for activation of innate immune responses, but improper and excessive activation can cause inflammatory disease. We previously showed that glycolysis, a metabolic pathway that converts glucose into pyruvate, is essential for NLRP3 inflammasome activation in macrophages. Here, we investigated the role of metabolic pathways downstream glycolysis - lactic acid fermentation and pyruvate oxidation-in activation of the NLRP3 inflammasome. Using pharmacological or genetic approaches, we show that decreasing lactic acid fermentation by inhibiting lactate dehydrogenase reduced caspase-1 activation and IL-1β maturation in response to various NLRP3 inflammasome agonists such as nigericin, ATP, monosodium urate (MSU) crystals, or alum, indicating that lactic acid fermentation is required for NLRP3 inflammasome activation. Inhibition of lactate dehydrogenase with GSK2837808A reduced lactate production and activity of the NLRP3 inflammasome regulator, phosphorylated protein kinase R (PKR), but did not reduce the common trigger of NLRP3 inflammasome, potassium efflux, or reactive oxygen species (ROS) production. By contrast, decreasing the activity of pyruvate oxidation by depletion of either mitochondrial pyruvate carrier 2 (MPC2) or pyruvate dehydrogenase E1 subunit alpha 1 (PDHA1) enhanced NLRP3 inflammasome activation, suggesting that inhibition of mitochondrial pyruvate transport enhanced lactic acid fermentation. Moreover, treatment with GSK2837808A reduced MSU-mediated peritonitis in mice, a disease model used for studying the consequences of NLRP3 inflammasome activation. Our results suggest that lactic acid fermentation is important for NLRP3 inflammasome activation, while pyruvate oxidation is not. Thus, reprograming pyruvate metabolism in mitochondria and in the cytoplasm should be considered as a novel strategy for the treatment of NLRP3 inflammasome-associated diseases.

Indexed as

FermentationAnimalsCells, CulturedeIF-2 KinaseFemaleGlycolysisLactic AcidMiceMice, Inbred C57BLNLR Family, Pyrin Domain-Containing 3 ProteinPeritonitisPhosphorylationPyruvic AcidReactive Oxygen SpecieseIF-2 KinaseLactic AcidNLR Family, Pyrin Domain-Containing 3 ProteinNlrp3 protein, mouseprotein kinase R, mousePyruvic AcidReactive Oxygen Speciesglycolysisinflammationlactic acid fermentationNLRP3 inflammasomepyruvate oxidation

Identifiers

PMID33854503
PMCPMC8039150
OpenAlexW3149829530

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.