Fig. 1.Molecular mechanisms of pyroptosis. The canonical pyroptosis
pathway depends on the inflammasome and GSDMD by caspase-1. Activated
inflammasome promotes the activation of caspase-1, which cleaves the pore-forming
factor GSDMD. Active caspase-1 also cleaves the proinflammatory
cytokines such as IL-1 and IL-18. NLRP1 initiates inflammasome
activation upon anthrax toxin. NLRP3 needs to be primed prior to
activation. The activators of NLRC4 are flagellin and components of
T3SS, the adaptor protein ASC is not necessary for the assembly of NLRC4
inflammasome. The activators of NLRP6 are microbial metabolites and
lipoteichoic acid. Rotavirus infection lead to the activation of NLRP9b.
AIM2 recognizes dsDNA in the cytosol. The non-canonical pyroptosis
pathway requires directly binding of LPS to caspase-11 (murine) or caspase-4/-5
(human) and release of GSDMD N-terminus. Caspase-8 mediates the cleavage
of GSDMC and GSDMD. Chemotherapy drugs and TNF-
promotes the activation of caspase-3, which cleaves the GSDME. Gzm B in
NK cells and cytotoxic T lymphocytes can also directly cleave GSDME. Gzm
A from cytotoxic lymphocytes could cleaves GSDMB. Human pathogen group A
Streptococcus secretes SpeB, which induces GSDMA-dependent pyroptosis. DAMP, damage-associated molecular pattern; PAMP, pathogenassociated molecular patterns; ASC, apoptosis associated speck-like protein containing a caspase recruitment domain; LPS, lipopolysaccharide;
GSDM, Gasdermin.