NLRP3 Inflammasome Expression and Activation in Human Atherosclerosis

Geena Paramel Varghese, Lasse Folkersen, Rona J. Strawbridge, Bente Halvorsen, Arne Yndestad, Trine Ranheim, Kirsten Krohg‐Sørensen, Mona Skjelland, Terje Espevik, Pål Aukrust, Mariette Lengquist, Ulf Hedin, Jan‐Hååkan Jansson, Karin Fransén, Göran K. Hansson, Per Eriksson, Allan Sirsjo

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Background The NLR family, pyrin domain containing 3 (NLRP3) inflammasome is an interleukin (IL)‐1β and IL‐18 cytokine processing complex that is activated in inflammatory conditions. The role of the NLRP3 inflammasome in the pathogenesis of atherosclerosis and myocardial infarction is not fully understood.Methods and Results Atherosclerotic plaques were analyzed for transcripts of the NLRP3 inflammasome, and for IL‐1β release. The Swedish First‐ever myocardial Infarction study in Ac‐county (FIA) cohort consisting of DNA from 555 myocardial infarction patients and 1016 healthy individuals was used to determine the frequency of 4 single nucleotide polymorphisms (SNPs) from the downstream regulatory region of NLRP3. Expression of NLRP3, Apoptosis‐associated speck‐like protein containing a CARD (ASC), caspase‐1 (CASP1), IL1B, and IL18 mRNA was significantly increased in atherosclerotic plaques compared to normal arteries. The expression of NLRP3 mRNA was significantly higher in plaques of symptomatic patients when compared to asymptomatic ones. CD68‐positive macrophages were observed in the same areas of atherosclerotic lesions as NLRP3 and ASC expression. Occasionally, expression of NLRP3 and ASC was also present in smooth muscle cells. Cholesterol crystals and ATP induced IL‐1β release from lipopolysaccharide‐primed human atherosclerotic lesion plaques. The minor alleles of the variants rs4266924, rs6672995, and rs10733113 were associated with NLRP3 mRNA levels in peripheral blood mononuclear cells but not with the risk of myocardial infarction.Conclusions Our results indicate a possible role of the NLRP3 inflammasome and its genetic variants in the pathogenesis of atherosclerosis.
Original languageEnglish
Article numbere003031
JournalJournal of the American Heart Association
Issue number5
Number of pages14
Publication statusPublished - 2016
Externally publishedYes

Bibliographical note

This is an open access article under the terms of the Creative
Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is
not used for commercial purposes.


  • Inflammasome
  • Interleukin‐1β
  • Myocardial infarction
  • NLRP3
  • Polymorphism


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