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K+ regulates Ca2+ to drive inflammasome signaling: dynamic visualization of ion flux in live cells
Open accessAbstract
P2X7 purinergic receptor engagement with extracellular ATP induces transmembrane potassium and calcium flux resulting in assembly of the NLRP3 inflammasome in LPS-primed macrophages. The role of potassium and calcium in inflammasome regulation is not well understood, largely due to limitations in existing methods for interrogating potassium in real time. The use of KS6, a novel sensor for selective and sensitive dynamic visualization of intracellular potassium flux in live cells, multiplexed with the intracellular calcium sensor Fluo-4, revealed a coordinated relationship between potassium and calcium. Interestingly, the mitochondrial potassium pool was mobilized in a P2X7 signaling, and ATP dose-dependent manner, suggesting a role for mitochondrial sensing of cytosolic ion perturbation. Through treatment with extracellular potassium we found that potassium efflux was necessary to permit sustained calcium entry, but not transient calcium flux from intracellular stores. Further, intracellular calcium chelation with BAPTA-AM indicated that P2X7-induced potassium depletion was independent of calcium mobilization. This evidence suggests that both potassium efflux and calcium influx are necessary for mitochondrial reactive oxygen generation upstream of NLRP3 inflammasome assembly and pyroptotic cell death. We propose a model wherein potassium efflux is necessary for calcium influx, resulting in mitochondrial reactive oxygen generation to trigger the NLRP3 inflammasome.
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“this has been shown to elicit activation of the NLRP3 inflammasome in LPS-stimulated macrophages, which causes secretion of IL-18 (but also of the pro-inflammatory cytokine IL-1β) and may thus promote maintenance and function of the epithelial barrier (Mariathasan et al., 2006; Sutterwala et al., 2014; 2006; Yaron et al., 2015).”
From Understanding the Holobiont: How Microbial Metabolites Affect Human Health and Shape the Immune System (2017) · cites this paper as Yaron et al., 2015
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- Murakami T, Ockinger J, Yu J, Byles V . Critical role for calcium mobilization in activation of the NLRP3 inflammasome. Proc Natl Acad Sci USA 2012; 109: 11282–11287. · DOI
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Lombardi, M., Gabrielli, M., Adinolfi, E., & Verderio, C. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.654023 · Cited by 63
Olfactory receptors in macrophages and inflammation
Orecchioni, M., Matsunami, H., & Ley, K. F. (2022) · Frontiers in Immunology · doi:10.3389/fimmu.2022.1029244 · Cited by 59
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Promise of the NLRP3 Inflammasome Inhibitors in In Vivo Disease Models
Das, B., Sarkar, C., Rawat, V. S., Kalita, D., Deka, S., & Agnihotri, A. (2021) · Molecules · doi:10.3390/molecules26164996 · Cited by 60
“An increment in cellular Ca2+ can evoke NLRP3 activation by processes that are still nebulous; on the other hand, calcium channel inhibition precludes NLRP3 stimulation [262,263].”
BackgroundLeu, W., Chen, J.-C., & Guh, J. (2019) · Frontiers in Pharmacology · doi:10.3389/fphar.2019.00573 · Cited by 59
“Furthermore, the binding of P2X7 purinergic receptor with extracellular ATP results in an efflux of intracellular K+ that induces assembly and activation of NLRP3 inflammasome in LPS-primed macrophages (Yaron et al., 2015).”
BackgroundActivation and Pharmacological Regulation of Inflammasomes
Chen, C., & Xu, P. (2022) · Biomolecules · doi:10.3390/biom12071005 · Cited by 59
Gao, R., Hao, C., Xu, L., Xu, X., Zhao, J., Sun, M., Wang, Q., Kuang, H., & Xu, C. (2023) · ACS Nano · doi:10.1021/acsnano.3c08791 · Cited by 54
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NLRP3-Mediated Inflammation in Atherosclerosis and Associated Therapeutics
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“K efflux promotes ER Ca efflux followed by plasma Ca channels activation (Yaron et al., 2015).”
BackgroundDifferential Ca2+ mobilization and mast cell degranulation by FcεRI- and GPCR-mediated signaling
Chen, Y., Chang, Y.-C., Chang, H.-A., Lin, Y.-S., Tsao, C.-W., Shen, M., & Chiu, W. (2017) · Cell Calcium · doi:10.1016/j.ceca.2017.08.002 · Cited by 49
Spotlight on NLRP3 Inflammasome: Role in Pathogenesis and Therapies of Atherosclerosis
Jiang, C., Xie, S., Yang, G., & Wang, N. (2021) · Journal of Inflammation Research · doi:10.2147/jir.s344730 · Cited by 49
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ATP-Gated P2X7 Receptors Require Chloride Channels To Promote Inflammation in Human Macrophages
Janks, L., Sprague, R. S., & Egan, T. M. (2019) · The Journal of Immunology · doi:10.4049/jimmunol.1801101 · Cited by 45
“This increased permeability is linked to facilitation of P2X7R currents (33) and several other physiological functions such as inflammasome activation (34, 35), inhibition of phagocytosis (36), activation of p38 MAPK (37, 38), and the production of nitrites and reactive oxygen species (ROS) (39).”
BackgroundMicrobe-metabolite-host axis, two-way action in the pathogenesis and treatment of human autoimmunity
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NLRP3 inflammasome activation, metabolic danger signals, and protein binding partners
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“Indeed, the efflux of cellular ions such as the potassium ions through the toxins pores, and the subsequent decrease of cellular potassium concentration, activate the NLRP3 inflammasome (Yaron et al., 2015), leading to pyroptosis (Fink and Cookson, 2006).”
BackgroundP2X7 Receptor Antagonism as a Potential Therapy in Amyotrophic Lateral Sclerosis
Ruiz‐Ruiz, C., Calzaferri, F., & Garcı́a, A. G. (2020) · Frontiers in Molecular Neuroscience · doi:10.3389/fnmol.2020.00093 · Cited by 41
“This is supported by experiments showing that not only ATP, but also other agents that induce K+ efflux, such as the ionophore nigericin or crystalline molecules, elicit inflammasome activation too (Compan et al., 2012; Yaron et al., 2015).”
BackgroundAssessing NLRP3 Inflammasome Activation by Nanoparticles
Sharma, B., McLeland, C. B., Potter, T. M., Stern, S. T., & Adiseshaiah, P. P. (2017) · Methods in molecular biology · doi:10.1007/978-1-4939-7352-1_12 · Cited by 39
The role of caloric load and mitochondrial homeostasis in the regulation of the NLRP3 inflammasome
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“Interestingly, high extracellular levels of K inhibit the influx of Ca during inflammasome induction, suggesting a role of K during inflammasome activation may be, in part, via the control of intracellular Ca levels [65, 69].”
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NLPR3 Inflammasomes and Their Significance for Atherosclerosis
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“Then, it induces the overburden of mitochondrial Ca2+ and culminates in mitochondrial dysfunction [36].”
BackgroundThe Role of NLRP3 Inflammasome in Radiation-Induced Cardiovascular Injury
Huang, S., Che, J., Chu, Q., & Zhang, P. (2020) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2020.00140 · Cited by 33
“As such, Ca2+ influx and K+ efflux are often found to be coordinated in NLRP3 activation (Yaron et al., 2015).”
BackgroundRen, G., Zhou, Q., Lü, M., & Wang, H. (2021) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/cjpp-2020-0321 · Cited by 33
Core Hydrophobicity of Supramolecular Nanoparticles Induces NLRP3 Inflammasome Activation
Nandi, D., Shivrayan, M., Gao, J., Krishna, J., Das, R., Liu, B., Thayumanavan, S., & Kulkarni, A. A. (2021) · ACS Applied Materials & Interfaces · doi:10.1021/acsami.1c14082 · Cited by 34
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“In contrast, nigericin is a K+ ionophore, which promotes the influx of Ca2+ by inducing the efflux of mitochondrial K+ [57].”
BackgroundChu, F.-X., Wang, X., Li, B., Xu, L., & Di, B. (2024) · Inflammation Research · doi:10.1007/s00011-023-01831-y · Cited by 33
NLRP3 Inflammasome Activation in Liver Disorders: From Molecular Pathways to Therapeutic Strategies
Ma, W., Wang, Y., & Liu, J. (2025) · Journal of Inflammation Research · doi:10.2147/jir.s532908 · Cited by 38
“28 Subsequent caspase-1 activation promotes pyroptosis and IL-1β/IL-18 release, perpetuating chronic inflammation and fibrosis through hepatic stellate cells (HSCs) activation.”
Metadata
- Authors
- Yaron, J. R., Gangaraju, S., Rao, M. Y., Kong, X., Zhang, L., Su, F., Tian, Y., Glenn, H. L., & Meldrum, D. R.
- Affiliations
- Arizona State University (US)
- Corresponding author
- Meldrum, D R
- Venue
- Cell Death & Disease
- Published
- 2015-10-29
- Volume
- 6
- Issue
- 10
- Pages
- e1954-e1954
- ISSN
- 2041-4889 (ISSN-L)
- PMC
- PMC5399176
- OpenAlex
- W2212334792
- Cited by
- 212
- References
- 44
- Citations by year
- 2026: 11 · 2025: 22 · 2024: 20 · 2023: 25 · 2022: 21 · 2021: 22 · 2020: 25 · 2019: 18 · 2018: 23 · 2017: 14 · 2016: 11
- FWCI
- 6.94
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Cell Death and Disease (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Human Genome Research Institute (P50HG002360)
- National Cancer Institute (U01CA164250)
- Common Fund
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Inflammasome and immune disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Physiology › Adenosine and Purinergic Signaling
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Physiology › Calcium signaling and nucleotide metabolism
- Keywords
- P2X7 receptor, NLRP3 inflammasome, potassium efflux, calcium influx, Fluo-4, mitochondrial reactive oxygen species, pyroptosis, macrophages, LPS priming, extracellular ATP, BAPTA-AM
- MeSH terms
- Adenosine Triphosphate, Animals, Calcium, Cell Line, Macrophages, Mitochondria, Models, Biological, Potassium, Reactive Oxygen Species, Calcium Signaling, Mice, Receptors, Purinergic P2X7, Inflammasomes
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