Review Article

Metabolic Dysfunction in the Regulation of the NLRP3 Inflammasome Activation: A Potential Target for Diabetic Nephropathy

Table 1

Aberrant metabolites activate the NLRP3 inflammasome in kidney-associated cells.

StimulusKidney-related cellsMechanismRef.

Glucose ↑MonocytesK+ outflow, Ca2+ inward flow/ROS/NLRP3 inflammasome[14, 15]
Glomerular mesangial cellsROS/p38/FOXO1/TXNIP/NLRP3[1719]
P50(NF-κB)/NLRP3 inflammasome[20]
MacrophagesPKM2/NLRP3 inflammasome[21]
Saturated fatty acids ↑MacrophagesLysosomal destabilization/NLRP3 inflammasome[26]
AMPK/ROS/NLRP3 inflammasome[27, 55]
Cholesterol ↑MacrophagesLysosomal destabilization/histone B/NLRP3 inflammasome/IL-1β[34]
ER to Golgi translocation/SREBP2/NLRP3 inflammasome[35, 36]
Uric acid ↑MacrophagesROS/NLRP3/IL-1β/NF-κB[40]
MacrophagesROS/TXNIP/NLRP3/caspase[43]
Homocysteine ↑Vascular endothelial cellsHMGB1/cathepsin V/NLRP3/caspase-1[47]

ROS: reactive oxygen species; TXNIP: thioredoxin-interacting protein; FOXO1: forkhead box protein O1; NF-κB: nuclear factor kappa B; PKM2: pyruvate kinase M2; AMPK: adenosine 5-monophosphate-activated protein kinase; ER: endoplasmic reticulum; SREBP2: sterol regulatory element-binding protein 2; HMGB1: high mobility group box-1 protein; HIF1α: hypoxia inducible factor-1α; PDK1: 3-phosphoinositide-dependent kinase-1.