症の“スイッチ”を入れる新たな仕組みを発見 ―Pyrin(パイリン)が関与する“過剰な炎症”とヒト疾患の背景を明らかに― を選択 炎症の“スイッチ”を入れる新たな仕組みを発見 ―Pyrin(パイリン)が関与する“過剰な炎症”とヒト疾患の背景を明らかに―

ad

2026-08-08 京都大学高等研究院

京都大学高等研究院ASHBiを中心とする国際共同研究チームは、自己炎症性疾患である家族性地中海熱(FMF)の発症に関わる新たな炎症制御機構を解明した。研究では、炎症センサータンパク質であるPyrin(パイリン)が、細胞骨格制御因子として知られるCDC42と直接相互作用し、その結合が炎症反応の「スイッチ」として機能することを発見した。原因不明の重度炎症患者の遺伝子解析と、MEFV遺伝子(Pyrinをコード)の265種類の変異を対象とした網羅的機能解析を組み合わせた結果、病的変異はCDC42結合部位周辺に集中し、PyrinとCDC42の相互作用を異常に強めることでPyrinの凝集とインフラマソーム活性化を促進し、過剰な炎症を引き起こすことが示された。さらに研究チームは、多数のMEFV変異について病原性を体系的に評価した「機能アトラス」を構築した。これにより、これまで解釈が困難だった遺伝子変異の診断精度向上が期待される。今回の成果は、FMFなど自己炎症性疾患の発症機構の理解を大きく前進させるとともに、CDC42を標的とした新たな治療法や精密医療の開発につながる可能性を示した。

症の“スイッチ”を入れる新たな仕組みを発見 ―Pyrin(パイリン)が関与する“過剰な炎症”とヒト疾患の背景を明らかに― を選択	 炎症の“スイッチ”を入れる新たな仕組みを発見 ―Pyrin(パイリン)が関与する“過剰な炎症”とヒト疾患の背景を明らかに―

<関連情報>

CDC42のN末端T43I変異体は、ピリンインフラマソーム活性化のメカニズムを明らかにする An N-terminal CDC42 T43I variant reveals the mechanism of pyrin inflammasome activation

Mariko Aoki, Alberto Iannuzzo, Philippe Mertz, Shouya Feng, […] , and Jérôme Delon
Science Immunology  Published:7 Aug 2026
DOI:https://doi.org/10.1126/sciimmunol.aea0515

Abstract

Heterozygous carboxyl-terminal variants in the RHO guanosine triphosphatase (GTPase) CDC42 are known to cause severe autoinflammatory syndromes. Here, we identified a heterozygous amino-terminal p.T43I (Thr43→Ile) CDC42 variant in patients with autoinflammation and uncovered a molecular link between CDC42 and the inflammasome sensor pyrin, mutated in the hereditary autoinflammatory syndrome familial Mediterranean fever. We demonstrate that the region surrounding residue T43 of CDC42 interacts with the carboxyl-terminal B30.2 domain of pyrin and regulates its localization and activation. The p.T43I substitution strengthens the CDC42-pyrin interaction through additional van der Waals interactions, leading to increased pyrin inflammasome activation, as evidenced by increased ASC (apoptosis-associated speck-like protein containing a caspase activating and recruitment domain) speck formation, enhanced pyroptosis, and excessive interleukin-1β (IL-1β) and IL-18 production. These findings identify CDC42 as a pyrin ligand and provide critical insights into the role of the pyrin B30.2 domain in inflammasome activation, suggesting dual regulation of pyrin by two RHO family GTPases, RHOA and CDC42.


遺伝子型優先アプローチにより、ピリンインフラマソーム活性化の分子基盤が明らかになる A genotype-first approach reveals the molecular basis of pyrin inflammasome activation

Naoya Iwata, Yoshihiko Kuchitsu, Atsushi Hijikata, Hirofumi Shibata, […] , and Yoshitaka Honda
Science Immunology  Published:7 Aug 2026
DOI:https://doi.org/10.1126/sciimmunol.aea0705

Abstract

Mutations in the MEFV gene, which encodes pyrin, are associated with a spectrum of inflammatory conditions called pyrin-associated autoinflammatory diseases (PAADs). Of the 400 MEFV variants listed in the Infevers database, most are classified as variants of uncertain significance. Thus, genetic diagnosis of PAADs remains challenging, and the molecular mechanisms underlying pyrin activation remain poorly understood. Here, we used a cell-based pyroptosis assay to stratify 265 missense MEFV variants and identified previously uncharacterized pathogenic variants. We then characterized the interaction between the pyrin B30.2 domain and CDC42, a key regulator of pyrin intracellular trafficking and activation. We found that classical familial Mediterranean fever (FMF)–related variants bind tightly to CDC42 to induce pyrin hyperactivation, whereas certain non-FMF variants induce pyrin hyperactivation independently of CDC42, indicating involvement of multiple pathways in pyrin activation. Our approach provides a proof of concept for a genotype-first approach, which may advance our understanding of complex human diseases.

医療・健康
ad
ad
Follow
ad
タイトルとURLをコピーしました