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    Caspase-8-driven apoptotic and pyroptotic crosstalk causes cell death and IL-1β release in X-linked inhibitor of apoptosis (XIAP) deficiency
    Hughes, SA ; Lin, M ; Weir, A ; Huang, B ; Xiong, L ; Chua, NK ; Pang, J ; Santavanond, JP ; Tixeira, R ; Doerflinger, M ; Deng, Y ; Yu, C-H ; Silke, N ; Conos, SA ; Frank, D ; Simpson, DS ; Murphy, JM ; Lawlor, KE ; Pearson, JS ; Silke, J ; Pellegrini, M ; Herold, M ; Poon, IKH ; Masters, SL ; Li, M ; Tang, Q ; Zhang, Y ; Rashidi, M ; Geng, L ; Vince, JE (WILEY, 2023-03-01)
    Genetic lesions in X-linked inhibitor of apoptosis (XIAP) pre-dispose humans to cell death-associated inflammatory diseases, although the underlying mechanisms remain unclear. Here, we report that two patients with XIAP deficiency-associated inflammatory bowel disease display increased inflammatory IL-1β maturation as well as cell death-associated caspase-8 and Gasdermin D (GSDMD) processing in diseased tissue, which is reduced upon patient treatment. Loss of XIAP leads to caspase-8-driven cell death and bioactive IL-1β release that is only abrogated by combined deletion of the apoptotic and pyroptotic cell death machinery. Namely, extrinsic apoptotic caspase-8 promotes pyroptotic GSDMD processing that kills macrophages lacking both inflammasome and apoptosis signalling components (caspase-1, -3, -7, -11 and BID), while caspase-8 can still cause cell death in the absence of both GSDMD and GSDME when caspase-3 and caspase-7 are present. Neither caspase-3 and caspase-7-mediated activation of the pannexin-1 channel, or GSDMD loss, prevented NLRP3 inflammasome assembly and consequent caspase-1 and IL-1β maturation downstream of XIAP inhibition and caspase-8 activation, even though the pannexin-1 channel was required for NLRP3 triggering upon mitochondrial apoptosis. These findings uncouple the mechanisms of cell death and NLRP3 activation resulting from extrinsic and intrinsic apoptosis signalling, reveal how XIAP loss can co-opt dual cell death programs, and uncover strategies for targeting the cell death and inflammatory pathways that result from XIAP deficiency.
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    CRISPR/Cas9-The ultimate weapon to battle infectious diseases?
    Doerflinger, M ; Forsyth, W ; Ebert, G ; Pellegrini, M ; Herold, MJ (WILEY-HINDAWI, 2017-02)
    Infectious diseases are a leading cause of death worldwide. Novel therapeutics are urgently required to treat multidrug-resistant organisms such as Mycobacterium tuberculosis and to mitigate morbidity and mortality caused by acute infections such as malaria and dengue fever virus as well as chronic infections such as human immunodeficiency virus-1 and hepatitis B virus. The clustered regularly interspaced short palindromic repeats (CRISPR)/CRISPR-associated protein 9 (Cas9) system, which has revolutionized biomedical research, holds great promise for the identification and validation of novel drug targets. Since its discovery as an adaptive immune system in prokaryotes, the CRISPR/Cas9 system has been developed into a multi-faceted genetic modification tool, which can now be used to induce gene deletions or specific gene insertions, such as conditional alleles or endogenous reporters in virtually any organism. The generation of CRISPR/Cas9 libraries that can be used to perform phenotypic whole genome screens provides an important new tool that will aid in the identification of critical host factors involved in the pathogenesis of infectious diseases. In this review, we will discuss the development and recent applications of the CRISPR/Cas9 system used to identify novel regulators, which might become important in the fight against infectious diseases.
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    Flexible Usage and Interconnectivity of Diverse Cell Death Pathways Protect against Intracellular Infection
    Doerflinger, M ; Deng, Y ; Whitney, P ; Salvamoser, R ; Engel, S ; Kueh, AJ ; Tai, L ; Bachem, A ; Gressier, E ; Geoghegan, ND ; Wilcox, S ; Rogers, KL ; Garnham, AL ; Dengler, MA ; Bader, SM ; Ebert, G ; Pearson, JS ; De Nardo, D ; Wang, N ; Yang, C ; Pereira, M ; Bryant, CE ; Strugnell, RA ; Vince, JE ; Pellegrini, M ; Strasser, A ; Bedoui, S ; Herold, MJ (CELL PRESS, 2020-09-15)
    Programmed cell death contributes to host defense against pathogens. To investigate the relative importance of pyroptosis, necroptosis, and apoptosis during Salmonella infection, we infected mice and macrophages deficient for diverse combinations of caspases-1, -11, -12, and -8 and receptor interacting serine/threonine kinase 3 (RIPK3). Loss of pyroptosis, caspase-8-driven apoptosis, or necroptosis had minor impact on Salmonella control. However, combined deficiency of these cell death pathways caused loss of bacterial control in mice and their macrophages, demonstrating that host defense can employ varying components of several cell death pathways to limit intracellular infections. This flexible use of distinct cell death pathways involved extensive cross-talk between initiators and effectors of pyroptosis and apoptosis, where initiator caspases-1 and -8 also functioned as executioners when all known effectors of cell death were absent. These findings uncover a highly coordinated and flexible cell death system with in-built fail-safe processes that protect the host from intracellular infections.