4.8 Article

Extracellular nicotinate phosphoribosyltransferase binds Toll like receptor 4 and mediates inflammation

Journal

NATURE COMMUNICATIONS
Volume 10, Issue -, Pages -

Publisher

NATURE PUBLISHING GROUP
DOI: 10.1038/s41467-019-12055-2

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Funding

  1. Italian Institute for Genomic Medicine Institutional funds
  2. Polytechnic University of Marche
  3. Associazione Italiana per la Ricerca sul Cancro AIRC
  4. Gilead Fellowship Program 2018
  5. Ministero Istruzione e Universita, Progetto Eccellenza 2018-2022
  6. Ministero Istruzione e Universita, PRIN project 2017CBNCYT

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Damage-associated molecular patterns (DAMPs) are molecules that can be actively or passively released by injured tissues and that activate the immune system. Here we show that nicotinate phosphoribosyltransferase (NAPRT), detected by antibody-mediated assays and mass spectrometry, is an extracellular ligand for Toll-like receptor 4 (TLR4) and a critical mediator of inflammation, acting as a DAMP. Exposure of human and mouse macrophages to NAPRT activates the inflammasome and NF-kappa B for secretion of inflammatory cytokines. Furthermore, NAPRT enhances monocyte differentiation into macrophages by inducing macrophage colony-stimulating factor. These NAPRT-induced effects are independent of NAD-biosynthetic activity, but rely on NAPRT binding to TLR4. In line with our finding that NAPRT mediates endotoxin tolerance in vitro and in vivo, sera from patients with sepsis contain the highest levels of NAPRT, compared to patients with other chronic inflammatory conditions. Together, these data identify NAPRT as a endogenous ligand for TLR4 and a mediator of inflammation.

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