Publications by authors named "David Brough"

The NLRP3 inflammasome is a key target for drug discovery due to its implication in a range of inflammation-related diseases. In this work, we identify new inhibitors of the NLRP3 inflammasome via a hierarchical virtual screening strategy using molecular similarity, docking and MD simulation. The most potent inhibitors identified from a subsequent biological assay (IC of 1 - 4 μM) feature a sulfonamide group, a motif known to favour NLRP3 inhibition, in conjunction with an indole, benzofuran or tricyclic 6,7-dihydro-5H-indeno[5,6-b]furan ring, yielding novel scaffolds.

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  • * Neuroinflammation is prevalent in both conditions, and a specific inflammasome complex is identified as a driver of this damaging inflammation, similar to other neurodegenerative diseases like Alzheimer's.
  • * Research shows that the toxic dipeptide, poly-glycine-arginine, activates the inflammasome in immune cells, leading to inflammation, but several existing anti-inflammatory drugs can mitigate this activation, suggesting potential new treatments.
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Interleukin-1α is a suggested dual-function cytokine that diverged from interleukin-1β in mammals potentially by acquiring additional biological roles that relate to highly conserved regions in the pro-domain of interleukin-1α, including a nuclear localisation sequence and histone acetyltransferase-binding domains. Why evolution modified pro-interleukin-1α's subcellular location and protein interactome, and how this shaped interleukin-1α's intracellular role, is unknown. Here we show that TurboID proximity labelling with pro-interleukin-1α suggests a nuclear role for pro-interleukin-1α that involves interaction with histone acetyltransferases, including EP300.

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NLRP3 forms a multiprotein inflammasome complex to initiate the inflammatory response when macrophages sense infection or tissue damage, which leads to caspase-1 activation, maturation and release of the inflammatory cytokines interleukin-1β (IL-1β) and IL-18 and Gasdermin-D (GSDMD) mediated pyroptosis. NLRP3 inflammasome activity must be controlled as unregulated and chronic inflammation underlies inflammatory and autoimmune diseases. Several findings uncovered that NLRP3 inflammasome activity is under the regulation of centrosome localized proteins such as NEK7 and HDAC6, however, whether the centrosome composition or structure is altered during the inflammasome activation is not known.

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  • Research shows that despite current prevention methods, early recurrent strokes are still common, especially in patients with atherosclerosis, with over 10% experiencing repeat events.
  • A new mouse model revealed that strokes activate the AIM2 inflammasome in atherosclerotic plaques due to increased circulating cell-free DNA, leading to inflammation, plaque destabilization, and recurrent strokes.
  • Targeting the mechanisms of DNA-mediated inflammasome activation may offer new treatment options to reduce the high rate of recurrent strokes in at-risk patients.
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Hyperinflammatory disease is associated with an aberrant immune response resulting in cytokine storm. One such instance of hyperinflammatory disease is known as macrophage activation syndrome (MAS). The pathology of MAS can be characterised by significantly elevated serum levels of interleukin-18 (IL-18) and interferon gamma (IFNγ).

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  • Myeloid cells are abundant in glioblastoma (GBM) and exist in various forms with different activation states, but there’s limited understanding of how the tumor microenvironment (TME) affects their behavior.
  • Researchers used advanced imaging techniques to analyze and map these myeloid cell populations within the GBM TME, revealing that their distribution is influenced by factors like tissue hypoxia and specific signaling molecules.
  • The study found that the organization of these myeloid cells in certain tumor areas corresponds to patient survival rates, providing important insights into how these cells may impact clinical outcomes in GBM patients.
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  • Brain swelling in pediatric cerebral malaria (CM) is linked to fluid buildup, but the process of draining this fluid during recovery remains unclear.
  • Research using an experimental model reveals that fluid accumulation is due to vasogenic edema, rather than cerebrospinal fluid entering through blood vessels.
  • The study identifies that both fluid and molecules are rapidly drained from the brain to deep cervical lymph nodes via specific pathways; blocking these lymphatics hinders fluid drainage and affects the effectiveness of anti-malarial treatment.
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Inflammation is a key contributor to stroke pathogenesis and exacerbates brain damage leading to poor outcome. Interleukin-1 (IL-1) is an important regulator of post-stroke inflammation, and blocking its actions is beneficial in pre-clinical stroke models and safe in the clinical setting. However, the distinct roles of the two major IL-1 receptor type 1 agonists, IL-1α and IL-1β, and the specific role of IL-1α in ischemic stroke remain largely unknown.

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  • Robotic surgery for removing parts of the pancreas has become more popular because it's less invasive than traditional methods, which can be risky.
  • In a study done in Australia, 62 patients had robotic pancreas surgery between 2014 and 2020, and they were mostly older adults.
  • The results showed that while some patients had complications, the robotic surgery was safe, and it might lead to better recovery for patients in the future.
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Hyperinflammatory disease is associated with an aberrant immune response resulting in cytokine storm. One such instance of hyperinflammatory disease is known as macrophage activation syndrome (MAS). The pathology of MAS can be characterised by significantly elevated serum levels of interleukin (IL)-18 and interferon (IFN)-γ.

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Excessive or aberrant NLRP3 inflammasome activation has been implicated in the progression and initiation of many inflammatory conditions; however, currently no NLRP3 inflammasome inhibitors have been approved for therapeutic use in the clinic. Here we have identified that the natural product brazilin effectively inhibits both priming and activation of the NLRP3 inflammasome in cultured murine macrophages, a human iPSC microglial cell line and in a mouse model of acute peritoneal inflammation. Through computational modeling, we predict that brazilin can adopt a favorable binding pose within a site of the NLRP3 protein which is essential for its conformational activation.

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The NLRP3 inflammasome is a component of the inflammatory response to infection and injury, orchestrating the maturation and release of the pro-inflammatory cytokines interleukin-1β (IL-1β), IL-18, and triggering pyroptotic cell death. Appropriate levels of NLRP3 activation are needed to avoid excessive tissue damage while ensuring host protection. Here we report a role for symmetrical diarylsquaramides as selective K efflux-dependent NLRP3 inflammasome enhancers.

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Bilateral vestibular schwannoma is the hallmark of -related schwannomatosis, a rare tumour predisposition syndrome associated with a lifetime of surgical interventions, radiotherapy and off-label use of the anti-angiogenic drug bevacizumab. Unilateral vestibular schwannoma develops sporadically in non--related schwannomatosis patients for which there are no drug treatment options available. Tumour-infiltrating immune cells such as macrophages and T-cells correlate with increased vestibular schwannoma growth, which is suggested to be similar in sporadic and -related schwannomatosis tumours.

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  • NF2-schwannomatosis is the leading genetic syndrome linked to meningioma, causing significant health issues due to the presence of multiple tumors like schwannomas and ependymomas.
  • Managing meningiomas in NF2-schwannomatosis is complex, requiring careful consideration of treatment options and their risks, focusing on conservative management until patients become symptomatic.
  • Effective treatment involves surgery for symptomatic tumors and collaboration with specialized teams, while approaches like radiotherapy and medications (e.g., bevacizumab) have specific roles and limitations in this context.
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  • Inflammation caused by DNA sensors plays a significant role in various diseases, and new inhibitors targeting the AIM2 sensor have been identified.
  • The study reveals that 4-sulfonic calixarenes are effective inhibitors of AIM2, preventing AIM2 from binding to DNA, and also have some effect on other sensors like cGAS and TLR9.
  • The findings suggest that these inhibitors could be useful in treating conditions like post-stroke immunosuppression, and the existing drug suramin may also serve as a potential treatment for DNA-driven inflammatory diseases due to its similar structure.
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Monocytes contribute to the pro-inflammatory immune response during the blood stage of a Plasmodium falciparum infection, but their precise role in malaria pathology is not clear. Besides phagocytosis, monocytes are activated by products from P. falciparum infected erythrocytes (IE) and one of the activation pathways is potentially the NLR family pyrin domain containing 3 (NLRP3) inflammasome, a multi-protein complex that leads to the production of interleukin (IL)-1β.

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Sensorineural hearing loss is the most common type of hearing loss in adults and occurs due to damage of the inner ear caused by a range of factors including ageing, excessive noise, toxins, and cancer. Auto-inflammatory disease is also a cause of hearing loss and there is evidence that inflammation could contribute to hearing loss in other conditions. Within the inner ear there are resident macrophage cells that respond to insults and whose activation correlates with damage.

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Inflammation driven by the NLRP3 inflammasome is coordinated through multiple signaling pathways and is regulated by subcellular organelles. Here, we tested the hypothesis that NLRP3 senses disrupted endosome trafficking to trigger inflammasome formation and inflammatory cytokine secretion. NLRP3-activating stimuli disrupted endosome trafficking and triggered localization of NLRP3 to vesicles positive for endolysosomal markers and for the inositol lipid PI4P.

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Background: There is evidence that macrophage infiltration in the tumor microenvironment promotes vestibular schwannoma (VS) growth. Efficacy of bevacizumab in NF2-associated VS demonstrates the value of therapies targeting the microvascular tumor microenvironment, and tumor-associated macrophages (TAMs) may represent another druggable target.

Objective: To characterize the relationship between growth, TAM infiltration, and circulating monocyte chemokines in a large cohort of patients with VS.

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Dysregulated inflammasome activity, particularly of the NLRP3 inflammasome, is associated with the development of several inflammatory diseases. The study of molecules directly targeting NLRP3 is an emerging field in the discovery of new therapeutic compounds for the treatment of inflammatory disorders. Friedelane triterpenes are biologically active phytochemicals having a wide range of activities including anti-inflammatory effects.

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  • * The small-molecule inhibitor C101248 selectively blocks THIK-1 in both mouse and human cells, demonstrating effective inhibition of K+ currents in microglia without affecting other potassium channels.
  • * Inhibiting THIK-1 with C101248 also reduces the NLRP3-dependent release of IL-1β from microglia, highlighting its potential as a therapeutic target for managing neuroinflammation in Alzheimer's disease.
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Inflammasomes and the interleukin (IL)-1 family of cytokines are key mediators of both inflammation and immunothrombosis. Inflammasomes are responsible for the release of the pro-inflammatory cytokines IL-1β and IL-18, as well as releasing tissue factor (TF), a pivotal initiator of the extrinsic coagulation cascade. Uncontrolled production of inflammatory cytokines results in what is known as a "cytokine storm" leading to hyperinflammatory disease.

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The NLRP3 (NLR family, pyrin domain containing 3) inflammasome is a multi-protein complex responsible for the activation of caspase-1 and the subsequent cleavage and activation of the potent proinflammatory cytokines IL-1β and IL-18, and pyroptotic cell death. NLRP3 is implicated as a driver of inflammation in a range of disorders including neurodegenerative diseases, type 2 diabetes, and atherosclerosis. A commonly reported mechanism contributing to NLRP3 inflammasome activation is potassium ion (K ) efflux across the plasma membrane.

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