Caspases and their role in inflammation and ischemic neuronal death. Focus on caspase-12.

Caspases are cysteine proteases, which play important roles in different processes including, apoptosis and inflammation. Caspase-12, expressed in mouse and human, is classified as an inflammatory caspase. However, in humans caspase-12 gene has acquired different mutations that result in the expression of different variants. Caspase-12 is generally recognized as a negative regulator of the inflammatory response induced by infections, because it inhibits the activation of caspase-1 in inflammasome complexes, the production of the pro-inflammatory cytokines IL-1ß and IL-18 and the overall response to sepsis. In contrast, caspase-4, the human paralog of caspase-12, exerts a positive modulatory action of the inflammatory response to infectious agents. The role of caspase-12 and caspase-4 in inflammation associated with cerebral ischemia, a condition that results from a transient or permanent reduction of cerebral blood flow, is still unknown. Among the mechanisms involved in ischemic brain injury, apoptosis and inflammation have important roles. Under these conditions, disturbances in the homeostasis of the endoplasmic reticulum (ER) take place, leading to ER stress, caspase activation and apoptosis. Caspase-12 up-regulation and processing has been observed after the ischemic episode but its role in apoptosis is controversial. Cleavage of caspase-4 also occurs during ER stress but its role in ischemic brain injury is unknown. Throughout this review evidence supporting a role of caspase-12 and caspase-4 on the modulation of the inflammatory response to infection and their potential contribution to ER stress-induced apoptosis, is discussed. Understanding the actions of rodent caspase-12 and human caspase-4 will help us to elucidate their role in different pathological conditions, which to date is not well understood.

Presencia de un polimorfismo de la CSP-12 relacionado consusceptibilidad a sepsis grave en una muestra de trespoblaciones colombianas / Presence of a polymorphism of the csp-12 related with susceptibility to severe sepsis in colombian individuals from three different populations

La sepsis, un síndrome de respuesta sistémica a la infección, es un problema de salud pública asociado a alta morbilidad y mortalidad alrededor del mundo. Entre los múltiples genes asociados a esta enfermedad se encuentra el gen que codifica para la caspasa-12 (csp-12), en el cual se ha identificado un polimorfismo de un sólo nucleótido (125T>C) en el exón 4 que predice una forma larga (L) de la proteína, que a su vez se ha asociado con riesgo de sepsis grave y alta mortalidad. Además, se ha demostrado que la frecuencia del alelo L es mucho mayor en poblaciones afroamericanas. Este estudio evalúa la presencia ó el polimorfismo 125T®C de la csp-12 en 128 individuos: 81 pacientes de Medellín con diagnóstico de sepsis, 23 individuos sanos de una población afroamericana del Chocó y24 individuos sanos provenientes de Medellín. En las tres poblaciones se encontraron 121 individuos homocigotos S/S (csp-12 corta) y 7 heterocigotos S/L discriminados así: 3 pacientes con diagnóstico de sepsis, 3 individuos afroamericanos y 1 de la población sana de Medellín. Nuestros resultados muestran que, a pesar de ser una muestra pequeña, en nuestra población existe el alelo L, encontrándose en mayor frecuencia en individuos afroamericanos y en una menor proporción en los mestizos, tanto pacientes como en los individuos sanos. Esto indica que la población afroamericana de Colombia podría tener mayor susceptibilidad a sepsis grave que las poblaciones mestizas, las cuales, se ha demostrado, son producto de mezcla europea, amerindia y africana, ésta última en una baja proporción. Por lo tanto, se deben efectuar estudios más amplios para un mejor entendimiento de las bases genéticas de la respuesta inmune de pacientes con sepsis, con el fin de diseñar terapias más racionales y personalizadas para prevenir este síndrome.

Sepsis, a syndrome of systemic response to infection is a major public health problem, because it is associated with high morbidity and mortality. Among the genes shown to be associated with this syndrome, there is one which encodes for caspase-12 (csp-12). Within this gene, the single nucleotide polymorphism 125T>C located in exon4, which predicts a long form of the protein, has been associated with severe sepsis and increased related mortality. On the other hand, higher frequency of allele L has been reported in African American populations. The present study evaluated the csp-12 polymorphism125T>C in 128 individuals: 81 patients with sepsis, 23 healthy African Colombian subjects and 24 healthy individuals from Medellin-Colombia. We found 121 individuals homozygous S/S (csp-12 short) in these three populations and 7 heterozygotes S/L, discriminated as follows: 3 septic patients, 3 African Colombians and 1 healthy subject from Medellin. This preliminary data suggest that the csp-12L allele is present in the Colombian population, both in African Colombians and Mestizo individuals (either septic patients or healthy individuals). Therefore, more comprehensive studies should be performed to better understand the genetic basis of the immune response of patients with sepsis in order to design more rational and personalized therapies to prevent this syndrome.