NKCC1-dependent K+ Influx Inhibits NLRP3 Inflammasome Activation and Prevents Intestinal Epithelial Cell Injury

Background: Loss of function mutations in SLC12A2, the gene encoding the Na+-K+-2Cl− cotransporter (NKCC1) are associated with autoinflammatory and severe chronic inflammation in multiple organs. NLRP(s) are a family of cytosolic sensors that initiate the innate immune response. Once activated, NLRP(s) form inflammasomes, which are multi-protein complex that sense danger signals, damaged and infected cells. Assembly of the inflammasome mediates caspases-1 activation and the production of the proinflammatory cytokines IL-1β and IL-18 and initiates an inflammatory cell death process called pyroptosis. Aberrant activation of NLRP3 and other inflammasomes leads to a variety of autoimmune and chronic inflammatory diseases. Here we ask whether loss of NKCC1 function affects inflammasome activation in intestinal epithelial cells. Methods: Wild-type intestinal epithelial cells (IEC) and CRISPR/Cas9 NKCC1-deleted clones were tested for inflammasome activation. WT and NKCC1-deficient clones were treated with nigericin, ATP or ouabain to activate the inflammasome. Conditioned media, whole cell lysate and fixed cells were collected at different time points and analyzed by immunoblotting, immunofluorescence, and ELISA (to measure cytokine release). Inflammasome-induced pyroptosis was assessed by measuring LDH release in the supernatant and gasdermine D cleavage by immunoblotting. Results: Loss of NKCC1 function induces inflammasome activation by increasing IL-1β secretion in intestinal epithelial cells. Prolong inflammatory cytokine secretion led to increased pyroptosis-mediated cell death. Loss of NKCC1 mediates NLRP3 inflammasome activation by compromising K+ influx. NLRP3 agonists increase the interaction and localization of WNK1 and SPAK kinases with the NLRP3 inflammasome complex. Conclusions: NKCC1 regulates inflammatory cytokines secretion. Loss of NKCC1 inhibits K+ and Cl− inward fluxes, which in turn activate NLRP3 inflammasome. Loss of NKCC1 function is a previously unknown mechanism that causes aberrant inflammasome activation. GM118944 DK093501. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.