NLRP3 Inflammasome and IL-11 in Systemic Sclerosis Pulmonary Fibroblasts

Caya M. McFalls , Carol M. Artlett

Fibrosis ›› 2025, Vol. 3 ›› Issue (2) : 10006

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Fibrosis ›› 2025, Vol. 3 ›› Issue (2) :10006 DOI: 10.70322/fibrosis.2025.10006
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NLRP3 Inflammasome and IL-11 in Systemic Sclerosis Pulmonary Fibroblasts
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Abstract

Systemic sclerosis (SSc) is an autoimmune disease characterized by widespread fibrosis affecting multiple organ systems. There is clinical heterogeneity among patients with SSc in terms of the organs affected. However, the pathophysiology of the disease remains elusive. The NLRP3 inflammasome is upregulated in SSc and exerts its fibrotic effects through activation of caspase-1, which in turn activates a fibrotic signaling cascade, resulting in increased collagen deposition and myofibroblast transition. Recently, IL-11 has been shown to be elevated in disease and has been shown to participate in downstream signaling via the NLRP3 inflammasome. A significant number of patients with SSc will develop pulmonary involvement, termed interstitial lung disease (SSc-ILD). Though this type of pulmonary involvement is distinct from other types of pulmonary fibrosis (such as idiopathic pulmonary fibrosis), it may be a valuable model to study mechanisms of fibrosis that could apply to other fibrotic diseases. Here, we discuss recent advances in understanding the mechanisms of the NLRP3 inflammasome and IL-11 in SSc pulmonary fibroblasts. We tie together some of the recent findings, such as senescence, the unfolded protein response, and reactive oxygen species, that contribute to fibrotic pathology via modulating NLRP3 activation, possibly leading to IL-11 expression.

Keywords

Systemic sclerosis / Fibrosis / NLRP3 inflammasome / Caspase-1 / IL-11 / Senescence

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Caya M. McFalls, Carol M. Artlett. NLRP3 Inflammasome and IL-11 in Systemic Sclerosis Pulmonary Fibroblasts. Fibrosis, 2025, 3(2): 10006 DOI:10.70322/fibrosis.2025.10006

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Author Contributions

Writing—Original Draft Preparation, C.M.M.; Writing—Review & Editing, C.M.M., C.M.A.

Ethics Statement

Not applicable.

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Funding

This research received no external funding.

Declaration of Competing Interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

References

[1]

Denton CP, Khanna D. Systemic sclerosis. Lancet 2017, 390, 1685-1699. doi:10.1016/S0140-6736(17)30933-9.

[2]

Abraham DJ, Black CM, Denton CP, Distler JHW, Domsic R, Feghali-Bostwick C, et al. An international perspective on the future of systemic sclerosis research. Nat. Rev. Rheumatol. 2025, 21, 174-187. doi:10.1038/s41584-024-01217-2.

[3]

Wynn TA. Cellular and molecular mechanisms of fibrosis. J. Pathol. 2008, 214, 199-210. doi:10.1002/path.2277.

[4]

Jaeger VK, Tikly M, Xu D, Siegert E, Hachulla E, Airò P, et al. Racial differences in systemic sclerosis disease presentation: a European Scleroderma Trials and Research group study. Rheumatology 2020, 59, 1684-1694. doi:10.1093/rheumatology/kez486.

[5]

Tyndall AJ, Bannert B, Vonk M, Airò P, Cozzi F, Carreira PE, et al. Causes and risk factors for death in systemic sclerosis: a study from the EULAR Scleroderma Trials and Research (EUSTAR) database. Ann. Rheum. Dis. 2010, 69, 1809-1815. doi:10.1136/ard.2009.114264.

[6]

Volkmann ER, Assassi S, Denton CP, Simonovska R, Sambevski S, Alves M, et al. Outcomes in Systemic Sclerosis-Associated Interstitial Lung Disease Based on Serological Profiles: Focus on Anti-Centromere and Anti-RNA Polymerase III Antibodies. J. Rheumatol. 2025, in press. doi:10.3899/jrheum.2024-1063.

[7]

Hughes M, Bruni C, Cuomo G, Delle Sedie A, Gargani L, Gutierrez M, et al. The role of ultrasound in systemic sclerosis: On the cutting edge to foster clinical and research advancement. J. Scleroderma Relat. Disord. 2021, 6, 123-132. doi:10.1177/2397198320970394.

[8]

Distler O, Assassi S, Cottin V, Cutolo M, Danoff SK, Denton CP, et al. Predictors of progression in systemic sclerosis patients with interstitial lung disease. Eur. Respir. J. 2020, 55, 1902026. doi:10.1183/13993003.02026-2019.

[9]

Artlett CM, Sassi-Gaha S, Rieger JL, Boesteanu AC, Feghali-Bostwick CA, Katsikis PD. The inflammasome activating caspase 1 mediates fibrosis and myofibroblast differentiation in systemic sclerosis. Arthritis. Rheum. 2011, 63, 3563-3574. doi:10.1002/art.30568.

[10]

Schroder K, Tschopp J. The inflammasomes. Cell 2010, 140, 821-832. doi:10.1016/j.cell.2010.01.040.

[11]

Yu X, Lan P, Hou X, Han Q, Lu N, Li T, et al. HBV inhibits LPS-induced NLRP3 inflammasome activation and IL-1β production via suppressing the NF-κB pathway and ROS production. J. Hepatol. 2017, 66, 693-702. doi:10.1016/j.jhep.2016.12.018.

[12]

Artlett CM. Inflammasomes in wound healing and fibrosis. J. Pathol. 2013, 229, 157-167. doi:10.1002/path.4116.

[13]

Bulte D, Rigamonti C, Romano A, Mortellaro A. Inflammasomes: Mechanisms of Action and Involvement in Human Diseases. Cells 2023, 12, 1766. doi:10.3390/cells12131766.

[14]

Gritsenko A, Green JP, Brough D, Lopez-Castejon G. Mechanisms of NLRP3 priming in inflammaging and age related diseases. Cytokine Growth. Factor. Rev. 2020, 55, 15-25. doi:10.1016/j.cytogfr.2020.08.003.

[15]

Bauernfeind FG, Horvath G, Stutz A, Alnemri ES, MacDonald K, Speert D, et al. Cutting Edge: NF-κB Activating Pattern Recognition and Cytokine Receptors License NLRP3 Inflammasome Activation by Regulating NLRP3 Expression. J. Immunol. 2009, 183, 787-791. doi:10.4049/jimmunol.0901363.

[16]

Song N, Liu ZS, Xue W, Bai ZF, Wang QY, Dai J, et al. NLRP3 Phosphorylation Is an Essential Priming Event for Inflammasome Activation. Mol. Cell. 2017, 68, 185-197.e186. doi:10.1016/j.molcel.2017.08.017.

[17]

Lelarge V, Capelle R, Oger F, Mathieu T, Le Calve B. Senolytics: from pharmacological inhibitors to immunotherapies, a promising future for patients’ treatment. NPJ Aging. 2024, 10, 12. doi:10.1038/s41514-024-00138-4.

[18]

Schmitz J, Owyang A, Oldham E, Song Y, Murphy E, McClanahan TK, et al. IL-33, an interleukin-1-like cytokine that signals via the IL-1 receptor-related protein ST2 and induces T helper type 2-associated cytokines. Immunity 2005, 23, 479-490. doi:10.1016/j.immuni.2005.09.015.

[19]

Keller M, Rüegg A, Werner S, Beer HD. Active caspase-1 is a regulator of unconventional protein secretion. Cell 2008, 132, 818-831. doi:10.1016/j.cell.2007.12.040.

[20]

Shao W, Yeretssian G, Doiron K, Hussain SN, Saleh M. The caspase-1 digestome identifies the glycolysis pathway as a target during infection and septic shock. J. Biol. Chem. 2007, 282, 36321-36329. doi:10.1074/jbc.M708182200.

[21]

Connolly LM, McFalls CM, McMahon IG, Bhat AM, Artlett CM. Caspase 1 Enhances Transport and Golgi Organization Protein 1 Expression to Promote Procollagen Export From the Endoplasmic Reticulum in Systemic Sclerosis Contributing to Fibrosis. Arthritis. Rheum. 2023, 75, 1831-1841. doi:10.1002/art.42535.

[22]

Gronberg C, Rattik S, Tran-Manh C, Zhou X, Rius Rigau A, Li YN, et al. Combined inhibition of IL-1, IL-33 and IL-36 signalling by targeting IL1RAP ameliorates skin and lung fibrosis in preclinical models of systemic sclerosis. Ann. Rheum. Dis. 2024, 83, 1156-1168. doi:10.1136/ard-2023-225158.

[23]

Kayagaki N, Warming S, Lamkanfi M, Vande Walle L, Louie S, Dong J, et al. Non-canonical inflammasome activation targets caspase-11. Nature 2011, 479, 117-121. doi:10.1038/nature10558.

[24]

Schmid-Burgk JL, Gaidt MM, Schmidt T, Ebert TS, Bartok E, Hornung V. Caspase-4 mediates non-canonical activation of the NLRP3 inflammasome in human myeloid cells. Eur. J. Immunol. 2015, 45, 2911-2917. doi:10.1002/eji.201545523.

[25]

Martinon F, Burns K, Tschopp J. The inflammasome: a molecular platform triggering activation of inflammatory caspases and processing of proIL-beta. Mol. Cell. 2002, 10, 417-426. doi:10.1016/s1097-2765(02)00599-3.

[26]

Salskov-Iversen ML, Johansen C, Kragballe K, Iversen L. Caspase-5 expression is upregulated in lesional psoriatic skin. J. Invest. Dermatol. 2011, 131, 670-676. doi:10.1038/jid.2010.370.

[27]

Martínez-Godínez MA, Cruz-Domínguez MP, Jara LJ, Domínguez-López A, Jarillo-Luna RA, Vera-Lastra O, et al. Expression of NLRP3 inflammasome, cytokines and vascular mediators in the skin of systemic sclerosis patients. Israel. Med. Assoc. J. 2015, 17, 5-10.

[28]

Schafer S, Viswanathan S, Widjaja AA, Lim WW, Moreno-Moral A, DeLaughter DM, et al. IL-11 is a crucial determinant of cardiovascular fibrosis. Nature 2017, 552, 110-115. doi:10.1038/nature24676.

[29]

Ng B, Dong J, D’Agostino G, Viswanathan S, Widjaja AA, Lim WW, et al. Interleukin-11 is a therapeutic target in idiopathic pulmonary fibrosis. Sci. Transl. Med. 2019, 11, eaaw1237. doi:10.1126/scitranslmed.aaw1237.

[30]

Widjaja AA, Singh BK, Adami E, Viswanathan S, Dong J, D’Agostino GA, et al. Inhibiting Interleukin 11 Signaling Reduces Hepatocyte Death and Liver Fibrosis, Inflammation, and Steatosis in Mouse Models of Nonalcoholic Steatohepatitis. Gastroenterology 2019, 157, 777-792.e714. doi:10.1053/j.gastro.2019.05.002.

[31]

Allanki S, Strilic B, Scheinberger L, Onderwater YL, Marks A, Günther S, et al. Interleukin-11 signaling promotes cellular reprogramming and limits fibrotic scarring during tissue regeneration. Sci. Adv. 2021, 7, eabg6497. doi:10.1126/sciadv.abg6497.

[32]

Tan Y, Mosallanejad K, Zhang Q, O’Brien S, Clements M, Perper S, et al. IL11-mediated stromal cell activation may not be the master regulator of pro-fibrotic signaling downstream of TGFbeta. Front. Immunol. 2024, 15, 1293883. doi:10.3389/fimmu.2024.1293883.

[33]

Obana M, Maeda M, Takeda K, Hayama A, Mohri T, Yamashita T, et al. Therapeutic activation of signal transducer and activator of transcription 3 by interleukin-11 ameliorates cardiac fibrosis after myocardial infarction. Circulation 2010, 121, 684-691. doi:10.1161/circulationaha.109.893677.

[34]

McFalls CM, Connolly LM, Fustakgi AG, Artlett CM. IL-11 Expression in Systemic Sclerosis Is Dependent on Caspase-1 Activity but Does Not Increase Collagen Deposition. Rheumato 2024, 4, 163-175. doi:10.3390/rheumato4040013.

[35]

Cook SA. Understanding interleukin 11 as a disease gene and therapeutic target. Biochem. J. 2023, 480, 1987-2008. doi:10.1042/bcj20220160.

[36]

Steadman T, O’Reilly S. Elevated interleukin-11 in systemic sclerosis and role in disease pathogenesis. J. Dermatol. 2023, 50, 1255-1261. doi:10.1111/1346-8138.16854.

[37]

Lopes-Paciencia S, Saint-Germain E, Rowell MC, Ruiz AF, Kalegari P, Ferbeyre G. The senescence-associated secretory phenotype and its regulation. Cytokine 2019, 117, 15-22. doi:10.1016/j.cyto.2019.01.013.

[38]

Schafer MJ, White TA, Iijima K, Haak AJ, Ligresti G, Atkinson EJ, et al. Cellular senescence mediates fibrotic pulmonary disease. Nat. Commun. 2017, 8, 14532. doi:10.1038/ncomms14532.

[39]

DePianto DJ, Heiden JAV, Morshead KB, Sun KH, Modrusan Z, Teng G, et al. Molecular mapping of interstitial lung disease reveals a phenotypically distinct senescent basal epithelial cell population. JCI Insight. 2021, 6, e143626. doi:10.1172/jci.insight.143626.

[40]

Yang MM, Lee S, Neely J, Hinchcliff M, Wolters PJ, Sirota M. Gene expression meta-analysis reveals aging and cellular senescence signatures in scleroderma-associated interstitial lung disease. Front. Immunol. 2024, 15, 1326922. doi:10.3389/fimmu.2024.1326922.

[41]

Kizilay Mancini O, Acevedo M, Fazez N, Cuillerier A, Fernandez Ruiz A, Huynh DN, et al. Oxidative stress-induced senescence mediates inflammatory and fibrotic phenotypes in fibroblasts from systemic sclerosis patients. Rheumatology 2022, 61, 1265-1275. doi:10.1093/rheumatology/keab477.

[42]

Stout-Delgado HW, Cho SJ, Chu SG, Mitzel DN, Villalba J, El-Chemaly S, et al. Age-Dependent Susceptibility to Pulmonary Fibrosis Is Associated with NLRP3 Inflammasome Activation. Am. J. Respir. Cell. Mol. Biol. 2016, 55, 252-263. doi:10.1165/rcmb.2015-0222OC.

[43]

Feng J, Liu H, Jiang K, Gong X, Huang R, Zhou C, et al. Enhanced oxidative stress aggravates BLM-induced pulmonary fibrosis by promoting cellular senescence through enhancing NLRP3 activation. Life Sci. 2024, 358, 123128. doi:10.1016/j.lfs.2024.123128.

[44]

Artlett CM, Black CM, Briggs DC, Stevens CO, Welsh KI. Telomere reduction in scleroderma patients: a possible cause for chromosomal instability. Br. J. Rheumatol. 1996, 35, 732-737.

[45]

Artlett CM, Black CM, Briggs DC, Stephens C, Welsh KI. DNA allelic alterations within VNTR loci of scleroderma families. Br. J. Rheumatol. 1996, 35, 1216-1222.

[46]

Vijayraghavan S, Blouin T, McCollum J, Porcher L, Virard F, Zavadil J, et al. Widespread mutagenesis and chromosomal instability shape somatic genomes in systemic sclerosis. Nat. Commun. 2024, 15, 8889. doi:10.1038/s41467-024-53332-z.

[47]

Hasegawa T, Nakashima M, Suzuki Y. Nuclear DNA damage-triggered NLRP3 inflammasome activation promotes UVB-induced inflammatory responses in human keratinocytes. Biochem. Biophys. Res. Commun. 2016, 477, 329-335. doi:10.1016/j.bbrc.2016.06.106.

[48]

Shimada K, Crother TR, Karlin J, Dagvadorj J, Chiba N, Chen S, et al. Oxidized mitochondrial DNA activates the NLRP3 inflammasome during apoptosis. Immunity 2012, 36, 401-414. doi:10.1016/j.immuni.2012.01.009.

[49]

Licandro G, Ling Khor H, Beretta O, Lai J, Derks H, Laudisi F, et al. The NLRP3 inflammasome affects DNA damage responses after oxidative and genotoxic stress in dendritic cells. Eur. J. Immunol. 2013, 43, 2126-2137. doi:10.1002/eji.201242918.

[50]

Li Z, Jiao Y, Wu Z, Liu H, Li Y, Cai Y, et al. The role of quercetin in ameliorating bleomycin-induced pulmonary fibrosis: insights into autophagy and the SIRT1/AMPK signaling pathway. Molec. Biol. Rep. 2024, 51, 795. doi:10.1007/s11033-024-09752-7.

[51]

Widjaja AA, Lim WW, Viswanathan S, Chothani S, Corden B, Dasan CM, et al. Inhibition of IL-11 signalling extends mammalian healthspan and lifespan. Nature 2024, 632, 157-165. doi:10.1038/s41586-024-07701-9.

[52]

O’Loghlen A. IL-11 as a master regulator of ageing. Nat. Rev. Molec. Cell. Biol. 2024, 25, 956-956. doi:10.1038/s41580-024-00793-1.

[53]

Chen H, Chen H, Liang J, Gu X, Zhou J, Xie C, et al. TGF-beta1/IL-11/MEK/ERK signaling mediates senescence-associated pulmonary fibrosis in a stress-induced premature senescence model of Bmi-1 deficiency. Exp. Mol. Med. 2020, 52, 130-151. doi:10.1038/s12276-019-0371-7.

[54]

O’Reilly S. Senescence in diffuse systemic sclerosis is elevated and may play a role in fibrosis. Clin. Exp. Immunol. 2023, 2019, uxad077. doi:10.1093/cei/uxad077.

[55]

Martyanov V, Whitfield ML, Varga J. Senescence Signature in Skin Biopsies From Systemic Sclerosis Patients Treated With Senolytic Therapy: Potential Predictor of Clinical Response? Arthritis Rheumatol. 2019, 71, 1766-1767. doi:10.1002/art.40934.

[56]

Smer-Barreto V, Quintanilla A, Elliott RJR, Dawson JC, Sun J, Campa VM, et al. Discovery of senolytics using machine learning. Nat. Commun. 2023, 14, 3445. doi:10.1038/s41467-023-39120-1.

[57]

Yamamoto T, Nishioka K. Increased expression of p53 and p21 (Waf1/Cip1) in the lesional skin of bleomycin-induced scleroderma. Arch. Dermatol. Res. 2005, 296, 509-513. doi:10.1007/s00403-005-0550-3.

[58]

Ahmad O, Haris M. Inhibiting IL11: a novel approach to turning back the clock. Imm. Ag. 2024, 21, 71. doi:10.1186/s12979-024-00477-6.

[59]

Frangogiannis NG. Cardiac fibrosis: Cell biological mechanisms, molecular pathways and therapeutic opportunities. Mol. Aspects Med. 2019, 65, 70-99. doi:10.1016/j.mam.2018.07.001.

[60]

Zhou J, Chen H, Wang Q, Chen S, Wang R, Wang Z, et al. Sirt1 overexpression improves senescence-associated pulmonary fibrosis induced by vitamin D deficiency through downregulating IL-11 transcription. Aging Cell. 2022, 21, e13680. doi:10.1111/acel.13680.

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