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Cited by 219

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The role of the NLRP3 inflammasome in gout

Open access
McDermott, Michael, Kingsbury, Sarah, Conaghan·2011·Journal of Inflammation Research

Abstract

Gout is an inflammatory arthritis characterized by abrupt self-limiting attacks of inflammation caused by precipitation of monosodium urate crystals (MSU) in the joint. Recent studies suggest that orchestration of the MSU-induced inflammatory response is dependent on the proinflammatory cytokine IL-1β, underlined by promising results in early IL-1 inhibitor trials in gout patients. This IL-1-dependent innate inflammatory phenotype, which is observed in a number of diseases in addition to gout, is now understood to rely on the formation of the macromolecular NLRP3 inflammasome complex in response to the MSU 'danger signal'. This review focuses on our current understanding of the NLRP3 inflammasome and its critical role in MSU-crystal induced inflammatory gout attacks. It also discusses the management of treatment-resistant acute and chronic tophaceous gout with IL-1 inhibitors; early clinical studies of rilonacept (IL-1 Trap), canakinumab (monoclonal anti-IL-1β antibody), and anakinra have all demonstrated treatment efficacy in such patients.

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Metadata

Authors
McDermott, M., Kingsbury, S., & Conaghan
Venue
Journal of Inflammation Research
Published
2011-03
Volume
4
Pages
39
ISSN
1178-7031 (ISSN-L)
OpenAlex
W2126158243
Cited by
219
References
24
FWCI
4.58
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: The role of the NLRP3 inflammasome in gout. https://app.cochat.ai/papers/10.2147/jir.s11330
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McDermott, M., Kingsbury, S., & Conaghan. (2011). The role of the NLRP3 inflammasome in gout. Journal of Inflammation Research. https://doi.org/10.2147/jir.s11330

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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