cGAS drives noncanonical-inflammasome activation in age-related macular degeneration

N Kerur, S Fukuda, D Banerjee, Y Kim, D Fu… - Nature medicine, 2018 - nature.com
N Kerur, S Fukuda, D Banerjee, Y Kim, D Fu, I Apicella, A Varshney, R Yasuma, BJ Fowler
Nature medicine, 2018nature.com
Geographic atrophy is a blinding form of age-related macular degeneration characterized by
retinal pigmented epithelium (RPE) death; the RPE also exhibits DICER1 deficiency,
resultant accumulation of endogenous Alu-retroelement RNA, and NLRP3-inflammasome
activation. How the inflammasome is activated in this untreatable disease is largely
unknown. Here we demonstrate that RPE degeneration in human-cell-culture and mouse
models is driven by a noncanonical-inflammasome pathway that activates caspase-4 …
Abstract
Geographic atrophy is a blinding form of age-related macular degeneration characterized by retinal pigmented epithelium (RPE) death; the RPE also exhibits DICER1 deficiency, resultant accumulation of endogenous Alu-retroelement RNA, and NLRP3-inflammasome activation. How the inflammasome is activated in this untreatable disease is largely unknown. Here we demonstrate that RPE degeneration in human-cell-culture and mouse models is driven by a noncanonical-inflammasome pathway that activates caspase-4 (caspase-11 in mice) and caspase-1, and requires cyclic GMP-AMP synthase (cGAS)-dependent interferon-β production and gasdermin D–dependent interleukin-18 secretion. Decreased DICER1 levels or Alu-RNA accumulation triggers cytosolic escape of mitochondrial DNA, which engages cGAS. Moreover, caspase-4, gasdermin D, interferon-β, and cGAS levels were elevated in the RPE in human eyes with geographic atrophy. Collectively, these data highlight an unexpected role of cGAS in responding to mobile-element transcripts, reveal cGAS-driven interferon signaling as a conduit for mitochondrial-damage-induced inflammasome activation, expand the immune-sensing repertoire of cGAS and caspase-4 to noninfectious human disease, and identify new potential targets for treatment of a major cause of blindness.
nature.com