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The NLRP3 inflammasome is activated by nanoparticles through ATP, ADP and adenosine

The NLR pyrin domain containing 3 (NLRP3) inflammasome is a major component of the innate immune system, but its mechanism of activation by a wide range of molecules remains largely unknown. Widely used nano-sized inorganic metal oxides such as silica dioxide (nano-SiO2) and titanium dioxide (nano-TiO2) activate the NLRP3 inflammasome in macrophages similarly to silica or asbestos micro-sized particles. By investigating towards the molecular mechanisms of inflammasome activation in response to nanoparticles, we show here that active adenosine triphosphate (ATP) release and subsequent ATP, adenosine diphosphate (ADP) and adenosine receptor signalling are required for inflammasome activation. Nano-SiO2 or nano-TiO2 caused a significant increase in P2Y1, P2Y2, A2A and/or A2B receptor expression, whereas the P2X7 receptor was downregulated. Interestingly, IL-1β secretion in response to nanoparticles is increased by enhanced ATP and ADP hydrolysis, whereas it is decreased by adenosine degradation or selective A2A or A2B receptor inhibition. Downstream of these receptors, our results show that nanoparticles activate the NLRP3 inflammasome via activation of PLC-InsP3 and/or inhibition of adenylate cyclase (ADCY)-cAMP pathways. Finally, a high dose of adenosine triggers inflammasome activation and IL-1β secretion through adenosine cellular uptake by nucleotide transporters and by its subsequent transformation in ATP by adenosine kinase. In summary, we show for the first time that extracellular adenosine activates the NLRP3 inflammasome by two ways: by interacting with adenosine receptors at nanomolar/micromolar concentrations and through cellular uptake by equilibrative nucleoside transporters at millimolar concentrations. These findings provide new molecular insights on the mechanisms of NLRP3 inflammasome activation and new therapeutic strategies to control inflammation.

The inflammasome is a major factor of the innate immune system acting as a multiprotein platform to activate caspase-1. We showed recently that nanoparticles of TiO 2 (nano-TiO 2 ) and SiO 2 (nano-SiO 2 ) are sensed by the NLRP3 inflammasome to induce the release of mature IL-1β, 1 as observed previously with the environmental irritants asbestos or silica. 2 Despite the identification and characterisation of numerous sterile or microbial activators, the precise mechanisms mediating NLRP3 inflammasome activation remain to be determined. Here, we investigated whether ATP release and purinergic signalling through ATP, ADP and adenosine may be involved in inflammasome activation by nanoparticles. Intracellular ATP is released after cellular stress and/or activation, and purinergic signalling has been shown to modulate inflammation and immunity. 3,4 In the extracellular space, ATP is rapidly hydrolysed in a stepwise manner to ADP, AMP (adenosine monophosphate) and adenosine by ectoenzymes. 4 Adenosine is then irreversibly hydrolysed to inosine by adenosine deaminase (ADA). Extracellular ATP (eATP) signals through both ATP-gated ion channels P2X and G protein-coupled receptor (GPCR) P2Y membrane receptors, whereas ADP signals through P2Y receptors and adenosine through P1 receptors (or A receptors). 5 P2Y receptors and A receptors may be coupled to the G q protein, which activates phospholipase C-beta (PLC-β), to the stimulatory G (G s) protein, which stimulates adenylate cyclase inducing an increase in cyclic AMP (cAMP) levels, or to the G inhibitory (G i ) protein, which inhibits adenylate cyclase. Extracellular adenosine level is the result of adenosine production from extracellular ATP and ADP, its degradation into inosine and its reuptake by cells. Both ATP and adenosine can be transported outside of the cell via diffusion or active transport, whereas only adenosine can enter the cells through adenosine transporters. 6 Most cells possess equilibrative and 1 concentrative adenosine transporters (respectively, ENTs and CNTs), which allow adenosine to quickly cross the plasma membrane. 7 Intracellular adenosine is converted to ATP via phosphorylation steps mediated by adenosine kinase (AK) and AMP kinase (AMPK). The basal physiological level of extracellular adenosine has been estimated to be in the range of 30-200 nM. 8 ATP-derived adenosine and its subsequent signalling through P1 receptors have beneficial roles in acute disease states. 4,9 However, during tissue injury, elevated adenosine levels participate in the progression to chronic diseases by promoting aberrant wound healing leading to fibrosis in different organs including the lungs, liver, skin and kidney. In these conditions the blockade of adenosine signalling is beneficial. [10][11][12][13][14][15][16] In murine models, ADA-knockout mice present high persistent adenosine levels, which lead to airspace enlargement and fibrosis, cardinal signs of COPD and IPF. 14,17,18 Here we investigate in more detail the critical contribution of purinergic signalling in driving NLRP3 inflammasome activation in response to nanoparticles pointing out the effect of ATP, ADP, as well as adenosine and its receptors. We also identify ATP-derived adenosine as a potential activator of the inflammasome.

Results
Nano-SiO 2 or nano-TiO 2 particles trigger active ATP release and IL-1β secretion through purinergic signalling and pannexin/connexin hemichannel activity. We recently showed that nano-SiO 2 and nano-TiO 2 , but not nano-ZnO, activate the NLRP3 inflammasome in human and murine macrophages. 1 Here we studied whether active ATP release, purinergic signalling and connexin/pannexin channel activity are involved in inflammasome activation by nano-SiO 2 and nano-TiO 2 . Using the ecto-ATPase inhibitor ARL67156 to limit ATP catabolism, 19 we observed that nano-SiO 2 ( Figure 1a) or nano-TiO 2 (Figure 1b), but not nano-ZnO (Figure 1c), causes an active release of endogenous ATP in primed THP1 macrophages, which peaks at 3-4 h and just precedes mature IL-1β secretion. Importantly, nano-TiO 2 , nano-SiO 2 or nano-ZnO did not induce necrosis or apoptosis even after 6 h of stimulation (Figures 1d and e). We confirmed the importance of the inflammasome in IL-1β production in response to nanoparticles using THP1 cells stably expressing short hairpin ribonucleic acid (shRNA) against components of the inflammasome, the NLRP3 protein itself or the adaptor protein apoptosis-associated speck-like protein containing a CARD domain (ASC) (Figure 1f). By investigating the mechanisms of nanoparticle-induced ATP release leading to IL-1β secretion, we observed that specific inhibition of the P2X7 receptor (P2X7R) by A740003 at 10 μM led to partial inhibition of ATP release and IL-1β secretion by nano-SiO 2 and nano-TiO 2 (Figures 1g and h). Among several potential mechanisms of nucleotide release, we focused on the connexin and pannexin families, which are able to form hemichannels. 20,21 The connexin/pannexin channel blockers carbenoxolone (Cbx) and flufenamic acid (FFA) significantly reduced both ATP and IL-1β releases (Figures 1g and h). Although unable to induce IL-1β by themselves, the addition of the nucleotides ATP or ADP or their stable derivatives ATPγS or ADPβS greatly increased IL-1β production by THP1 cells in response to nanoparticles (Figure 1i). Unlike what we observed with THP1 human monocyte/macrophage cell line, we were unable to measure significant ATP increase in the supernatant of stimulated murine bone-marrow-derived macrophages (BMDMs). This might probably be owing to the fastest ATP degradation by these cells as proposed. 22 However, the use of two different P2R antagonists, suramin and periodate-oxidised ATP (oATP), dose-dependently led to the reduction of IL-1β production induced by nano-SiO 2 or nano-TiO 2 (Figure 2a). Cbx and FFA also induced the reduction of IL-1β release (Figure 2b). Western blotting analysis confirmed that nano-SiO 2 or nano-TiO 2 triggers the cleavage of pro-IL-1β into the mature 17 kDa IL-1β form and its secretion in primed BMDMs. The addition of oATP, A740003, Cbx or FFA strongly reduced the secretion of mature IL-1β ( Figure 2c). Similarly, the cleavage of procaspase-1 into the secreted mature p10 subunit was reduced in the presence of oATP, Cbx or FFA (Figure 2d), confirming that NLRP3 inflammasome activation depends on purinergic signalling and connexin/pannexin channels.
Nanoparticles induce IL-1β secretion through metabotropic P2Y receptor signalling. To identify more precisely the purinergic receptors involved, we performed quantitative mRNA expression analysis of P2 purinergic receptors. P2Y2 receptor (for ATP/UTP) mRNA level was increased after nano-SiO 2 or nano-TiO 2 particle stimulation, whereas P2Y1 receptor (ADP) mRNA level was increased only after nano-SiO 2 stimulation (Figure 3a). In contrast, mRNA levels of P2Y7 (ATP), P2Y4 (UTP), P2Y6 (UDP) or P2Y12 (ADP) receptors were slightly reduced after nano-SiO 2 stimulation ( Figure 3a) and also P2Y12 receptor after nano-TiO 2 stimulation. Deficiency in the ATP ionotropic P2X7 or P2X4 did not lead to significant impairment in IL-1β production by BMDMs upon nanoparticle stimulation ( Figure 3b). Deficiency in the ATP/UTP metabotropic P2Y2 receptor, notably involved in cell chemotaxis in response to ATP leakage, 23 promoted a slight decrease in IL-1β production ( Figure 3c). In addition, we found that P2Y1 receptor antagonist MRS2500 (Figure 3d) decreased nano-SiO 2 -but not nano-TiO 2 -induced mature IL-1β secretion, whereas P2Y6 receptor (UDP) antagonist MRS2578 (Figure 3e) and P2Y12 receptor (ADP) antagonist MRS2395 (Figure 3f) had no effect on nanoparticle-induced IL-1β secretion. Altogether, these results suggest that P2Y1 (ADP) and P2Y2 (ATP/UTP) receptors are involved in the activation of the NLRP3 inflammasome by nano-SiO 2.
In contrast, the specific antagonist of A1 receptor (DPCPX) had no effect on IL-1β secretion (Figure 5e). These results identified adenosine as a crucial mediator of IL-1β secretion through the high-affinity A2 A receptor and the low-affinity A2 B and A3 receptors in response to nanoparticle activation in murine macrophages.
Nanoparticles trigger NLRP3 inflammasome through the activation of PLC-InsP3 and inhibition of ADCY-cAMP pathways. We investigated pathways leading to inflammasome activation downstream of purinergic receptors. Both P2Y and P1 receptors belong to the GPCR family acting through numerous signalling cascades and have been linked to inflammation. 24 P2Y1, P2Y2, A3 and A2 B receptors involved in nanoparticle-mediated inflammasome activation can be coupled to the heterotrimeric G proteins of the G q family that activate phospholipase C-β (PLC-β). We show that the inhibitor of PLC-β, U73122, blocked nanoparticle-induced IL-1β secretion (Figure 6a). PLC-β is able to hydrolyse phosphatidylinositol-4, 5-bisphosphate into diacylglycerol (DAG), activating the protein kinase C and the production of the inositol trisphosphate (InsP3), which in turn causes an increase in cytosolic Ca 2+ by binding to InsP3 receptors located in the endoplasmic reticulum. As intracellular Ca 2+ (iCa 2 ) increase was shown to directly activate the NLRP3 inflammasome, 25 we analysed the effect of 2-APB, a molecule chelating and hence blocking the increase of iCa 2+ . We observed that 2-APB strongly reduced nanoparticleinduced IL-1β secretion ( Figure 6b). Moreover, adenosine receptors can also be coupled to the Gs family activating ADCY or the G i/o family inhibiting ADCY with subsequent augmentation or reduction of cyclic AMP (cAMP). As cAMP was shown to bind and suppress NLRP3 inflammasome activation directly, 25 we examined the involvement of ADCY in nanoparticle-induced IL-1β secretion. The addition of the ADCY activator forskolin dose dependently inhibited nanoparticle-induced IL-1β secretion (Figure 6c), whereas the addition of the ADCY inhibitor SQ22536 had no effect (Figure 6d). Collectively, these results indicate that nanoparticles trigger the NLRP3 inflammasome pleonasm through both activation of PLC-InsP3 and inhibition of ADCY-cAMP pathways.
Adenosine induces IL-1β secretion and ATP release in THP1 human macrophages. We observed that high concentrations of adenosine (100 μM), which does not correspond to adenosine receptor affinities, enhanced ATP release and IL-1β secretion on nanoparticles in THP1 macrophages (Figure 7a). Moreover, adenosine at 5 mM was alone able to trigger ATP release and IL-1β secretion, whereas 100 μM adenosine had no effect (Figure 7a). IL-1β secretion induced by nanoparticles plus adenosine (5 mM) or adenosine alone in the presence of the specific caspase-1 inhibitor Z-YVAD-fmk was greatly reduced (Figure 7c). Moreover, IL-1β secretion in response to a high dose of adenosine was not induced in THP1-expressing shNLRP3 or shASC (Figure 7d). Intracellular and extracellular adenosine levels are regulated by equilibrative nucleoside transporters (ENTs) present at the cell membrane. 7 Cellular adenosine uptake may lead to intracellular metabolism of adenosine in ATP by adenosine kinase and subsequent release of ATP and IL-1β secretion. 6 To test these possibilities, we stimulated THP1 macrophages with increasing doses of adenosine, NECA, the non-degradable analogue of adenosine or inosine, the metabolite of adenosine degradation by ADA. We observed that even if high doses of adenosine triggered ATP release and IL-1β secretion, the same doses of NECA had no effect, demonstrating that metabolism of adenosine is necessary for these responses (Figure 7e). One possibility for adenosine to be metabolised is its hydrolysis in inosine by ADA. Nevertheless, high doses of inosine were unable to promote eATP and IL-1β release (Figure 7e). Millimolar doses of adenosine, NECA or inosine did not induce cell death (Figure 7e). The other possibility is an adenosine reuptake through ENTs and intracellular metabolism of adenosine in ATP by adenosine kinase. To test this hypothesis, we measured eATP and IL-1β induced by millimolar concentrations of adenosine in the presence of 5-iodotubercidin, a pharmacological inhibitor of both adenosine kinase and ENTs, and showed that eATP and IL-1β release was reduced (Figure 7f). We used NBMPR, a pharmacological inhibitor of ENTs that is specific for ENT1 (Ki = 0.4 nM) and ENT2 (ki = 2.8 μM) at nM and μM concentrations, respectively. We observed that NBMPR inhibited eATP and IL-1β only at μM doses ( Figure 7g). The mRNA expression of ENT2 was significantly increased by millimolar concentrations of adenosine (Figure 7h). Millimolar concentrations of adenosine significantly increased NLRP3 mRNA expression, supporting the role of adenosine in NLRP3 inflammasome activation (Figure 7i). In addition, intracellular ATP contents were increased after addition of extracellular adenosine at high doses ( Figure 7j). Altogether, these results indicate that extracellular adenosine when present at a high concentration is recaptured by macrophages through ENT2 transporters and metabolised in ATP by adenosine kinase leading to ATP release and NLRP3 inflammasome activation.
Early nanoparticle-induced pulmonary inflammation depends on adenosine. Airway exposure to ultrafine particles is associated with strong infiltration of neutrophils in the airways in humans and mice. 1, 26 We instilled mice with nano-TiO 2 or nano-SiO 2 and visualised the presence of nanoparticle aggregates in lung parenchyma at 24 h (Figure 8a). Similarly to nano-TiO 2 , 1 nano-SiO 2 elicited a considerable neutrophil influx in the BALF at 6 h (Figure 8b), which correlated with the production of the neutrophil chemoattractant KC (Figure 8c) and the metalloproteinase-9 (MMP-9) present in neutrophil β2 gelatinase granules ( Figure 8d). Moreover, myeloperoxidase (MPO) present in neutrophils α azurophilic granules ( Figure 8e) and IL-1β levels ( Figure 8f) were also increased in lung homogenates. As we observed that nano-SiO 2 instillation induced a transient increase of ATP content locally and that ATP is rapidly degraded, adenosine can act as a danger signal involved in lung inflammation. We performed local adenosine depletion experiments in mice by using ADA, which catalyses  These data indicate that adenosine generated in vivo after nanoparticle-induced lung injury has an early pro-inflammatory role, as observed in vitro for macrophages.

Discussion
Despite extensive studies, the mechanisms of NLRP3 inflammasome activation are not well understood. Here we demonstrate that SiO 2 and TiO 2 nanoparticles promote the secretion of mature IL-1β by macrophages through the active release of ATP in the extracellular space. Interestingly, ATP but also its degrading products ADP and adenosine are important signalling molecules that allow NLRP3 inflammasome activation and mature IL-1β secretion in macrophages.
We showed that nano-SiO 2 and nano-TiO 2 , but not nano-ZnO, induced the active release of ATP through connexin and/or pannexin hemichannels leading to IL-1β secretion by macrophages. ATP release and IL-1β secretion depend on purinergic signalling and in particular on the P2X7R for ATP, contrarily to IL-1β secretion. The addition of nucleotides such as ATP or ADP, or their stable derivatives ATPγS or ADPβS, greatly increased IL-1β production by macrophages, indicating that ATP and ADP are involved in nanoparticle-mediated NLRP3 inflammasome activation. Importantly, nano-SiO 2 and/ or nano-TiO 2 increased the mRNA expression of P2Y1 and/or P2Y2, whereas P2Y4, P2Y6, P2Y12 and/or P2X7 receptor mRNAs were downregulated in primed murine macrophages. When CD39, which degrades extracellular ATP into ADP and AMP, was inhibited in THP1 cells using ARL67156, eATP and IL-1β levels were increased. One can hypothesise that it favours IL-1β secretion through the ATP-specific P2Y2 receptor. On the contrary, in the presence of adenosine deaminase (ADA), IL-1β was greatly but not totally reduced, pointing out an additional important role for adenosine as a major ATP-derived signalling nucleoside promoting IL-1β secretion after nano-SiO 2 or nano-SiO 2 macrophage activation. Importantly, nano-SiO 2 and/or nano-TiO 2 increased mRNA expression levels of A2 A , A2 B and slightly of A3 receptors, but not of A1 receptors. In addition, specific A2 A and A2 B inhibitors decreased IL-1β secretion, confirming that adenosine is a crucial mediator of IL-1β secretion essentially through the high-affinity A2 A and the low-affinity A2 B adenosine receptors in response to nanoparticle activation in macrophages. In THP1 cells, adenosine degradation by ADA leads to a decrease of eATP, potentially due to the deficit of conversion of ADP/ATP from adenosine because of the increased degradation of adenosine to inosine. This reduction in ATP, ADP and adenosine allowed greatly reducing IL-1β secretion probably through signalling by P2Y2, P2Y1, A2 A , A2 B and A3 receptors. Downstream of purinergic receptors, which are coupled to G proteins (GPCR), we propose that nanoparticles trigger maturation of IL-1β through activation of PLC-β/InsP3 and inhibition of ADCY-cAMP pathways. This suggests that intracellular Ca 2+ increase and cAMP decrease are second signals required for NLRP3 inflammasome by the nano-SiO 2 and nano-TiO 2. It was shown recently that activation of another GPCR, the calcium-sensing receptor, by CaCl 2 signals through similar pathways. 25 In addition, we report that NECA, the non-degradable pan-adenosine receptor agonist, potentiated nanoparticleinduced IL-1β secretion, strengthening the role of adenosine as an essential danger signal in NLRP3 inflammasome triggering. Our work demonstrates that adenosine, as well as ATP or ADP, participates in inflammasome activation via multiple receptor signalling pathways. . The caspase-1-specific inhibitor Z-YVAD-fmk (5 μM) remarkably reduced adenosine-and/or nanoparticle-induced IL-1β secretion; Z-YVAD-fmk alone had no effect (c). Adenosine-dependent induction of IL-1β secretion was reduced in THP1 sh NLRP3 or THP1 sh ASC but not in unmodified THP1 or THP1 sh CTL (d). PMA-primed THP1 cells were stimulated with increasing doses of adenosine, the non-metabolisable analogue of adenosine NECA or inosine (Ino), the product of adenosine hydrolysis by ADA, and cell supernatants were analyzed to measure eATP, IL-1β and cell death (e). PMA-primed THP1 cells were stimulated with mM doses of adenosine in the presence of 5iodotubercidin (5-Iodo), an inhibitor of both adenosine kinase and ENTs, or in the presence of NBMPR, an inhibitor of ENT1 at nM doses and ENT2 at μM concentrations, and eATP and IL-1β releases were measured at 6 h (f,g). Quantitative PCR analysis of ENT1, ENT2 and NLRP3 expression in PMA-primed THP1 stimulated for 6 h with increasing concentrations of Ado was performed (h,i). Intracellular ATP contents were measured 6 h after stimulation with high concentrations of adenosine (j). Data are representative of 2-3 independent experiments (*P ≤ 0.05, **P ≤ 0.01, ***P ≤ 0.001, ns: not statistically different) As extracellular ATP is degraded in adenosine within minutes, it is more likely that adenosine participates in early steps of NLRP3 inflammation activation rather than in sustained inflammasome activation, as suggested recently. 27 Extracellular adenosine is finely regulated by adenosine degradation and cellular uptake. 28 Nevertheless, adenosine accumulation can lead to chronic inflammation and diseases. 10 Surprisingly, using millimolar concentrations (1-5 mM), we observed that exogenous adenosine alone was able to induce NLRP3 inflammasome activation. Adenosine receptors which affinities to adenosine range between 1 nM to 20 μM are probably desensitized and not involved in response to adenosine 1-5 mM. Indeed, this adenosine receptor-independent effect was not mediated by millimolar doses of the non-degradable adenosine analogue, NECA, indicating that the inflammasome activation depends on adenosine metabolism and/or transport. Here, we show for the first time that exogenous adenosine at millimolar concentrations promoted NLRP3 expression and inflammasome activation and mature IL-1β secretion through cellular uptake and transformation into ATP by macrophages, leading to the increase of intracellular ATP content, subsequent ATP release and IL-1β secretion. Moreover, the functional activity of the nucleotide transporter ENT2 present at the cell membrane and of the intracellular adenosine kinase, which transforms intracellular adenosine into ATP, was required. Indeed, millimolar concentrations of adenosine were shown to efficiently increase intracellular ATP contents in primary lymphocytes and multiple cancer cell lines. 28 In an attempt to summarise our data, we propose a model presented in Figure 9. As we showed very recently that the NLRP3 inflammasome is released as a particulate danger signal and phagocytosed by surrounding macrophages, one can imagine that adenosine uptake by these neighbouring cells may amplify the inflammatory response. 29 Our in vitro results provide a new mechanism by which adenosine accumulation in vivo may sustain inflammasome activation, leading to chronic inflammatory diseases. 30 Adenosine degradation in inosine by ADA could be a good strategy to attenuate adenosine-mediated inflammation via specific receptor signalling and to avoid adenosine accumulation and cellular uptake.
To evaluate the role of adenosine in pulmonary inflammation and the potential anti-inflammatory effect of degradation of adenosine by ADA, we exposed mice to nano-SiO 2 in the presence of ADA. Our results indicate that adenosine produced locally after nanoparticle exposure presents proinflammatory effects and that irreversible degradation of adenosine to inosine by ADA treatment reduced early pulmonary inflammation. Several studies indicated that extracellular adenosine can rise from baseline to high local concentrations in chronic diseases, adenosine being proinflammatory. 8,[10][11][12][13][14][15][16] Our study supports the idea that adenosine can act as a pro-inflammatory mediator in certain circumstances. Moreover, we demonstrate that depending on its microenvironment concentration adenosine acts through different mechanisms, in particular adenosinereceptor signalling or adenosine cellular reuptake. Altogether, this indicates that signalling through adenosine is finely tuned and may be involved in both pro-inflammatory and antiinflammatory processes. Nanoparticles are known to exacerbate respiratory diseases such as asthma and COPD. 31 Their toxicity or inflammatory effects depend on nanoparticle shape and size and the amount of metal ion released. 32 Cobalt-chromium nanoparticles were shown to induce human fibroblast damages without crossing the plasma membrane, through transmission of ATP via hemichannels and pannexin channels and intercellular signalling. 33 Nevertheless, the role of adenosine was never described in nanoparticle-mediated damage or inflammation.
In conclusion, after tissue injury, adenosine may activate the inflammasome through membrane receptor signalling. In case of chronic inflammation, adenosine may accumulate and act via its cellular uptake and conversion into intracellular ATP, allowing amplifying and/or prolonging inflammasome activation. This may explain why sustained high adenosine levels are pro-inflammatory. Our findings may provide new therapeutic approaches to control chronic inflammation by inhibiting nucleotide receptors, nucleoside transporters and/or adenosine kinase activation.
Mice. C57BL/6 wild-type mice were bred in our animal facility (CNRS, Orleans). The animals used were eight to ten weeks old, and they were kept in isolated and ventilated cages. All animal experiments complied with the French Government's ethical and animal experiment regulations.
Lung inflammation model. Nano-SiO 2 or nano-TiO 2 in saline (5 mg/kg) or vehicle alone was administered by intranasal instillation under light ketamine (Imalgène 1000, 1.25 mg/ml) and xylazine (Rompun 0.1%) anaesthesia. Bronchoalveolar lavage (BAL) and lung tissue were assayed after 6 h. The lungs were homogenised in a solution containing 10 mM potassium phosphate and 0.1 mM EDTA (Sigma), centrifuged at 10 000 r.p.m. for 10 min and the supernatants were stored at − 20°C for further analysis. BAL was performed as previously described. 34 Differential cell counts were performed by counting an average of 250 cells on cytospin preparations (Shandon CytoSpin 3, Thermo Scientific, Illkirch, Figure 9 Schematic diagram illustrating the specific cascade and signalling pathway in LPS-primed macrophages stimulated with nanoparticles. LPS priming induces transcription of pro-IL-1β gene upon activation of the transcription factor NF-κB (1). Nanoparticle uptake (2) leads to the active release of intracellular ATP (3) through pannexin/ connexin hemichannels (4). This extracellular ATP (eATP) may activate ATP-gated P2X7 receptor (P2X7) to amplify ATP release in a P2X7-dependent way (5). ATP or its derived catabolism products act through on other P1 or P2 (P2X and P2Y) purinergic receptors. In particular, ATP via P2Y2 and ADP through P2Y1 activate PLC-β, which promotes NLRP3 inflammasome via modulation of cellular Ca 2+ and K + flux (6). Adenosine (Ado), another hydrolysed product of ATP, activates P1 receptors (A2 A , A2 B and A3) leading to NLRP3 inflammasome activation (7). After NLRP3 receptor activation via signalling through multiple purinergic receptors, NLRP3 inflammasome builds up and matures pro-IL-1β (9) into IL-1β, which is secreted by macrophages (10). In case of extracellular Ado accumulation, equilibrative nucleotide transporters (ENTs) regulate adenosine through its cellular reuptake, which may be inhibited by the ENT inhibitors MBMPR and/or 5-Iodotubercidin (a). Metabolisation of intracellular Ado into ATP by adenosine kinase (AK) renews ATP stock (b) and may be inhibited by the AK inhibitor 5-Iodotubercidin. Increased intracellular ATP contents may lead to ATP release (4), NLRP3 inflammasome activation (9) and IL-1β secretion (10) France) after May-Grünwald-Giemsa staining (Diff Quick, Medion Diagnostics, Düdingen, Switzerland) according to the manufacturer's instructions. After BAL and lung perfusion, the large lobe was fixed and 3-μm sections were stained as described previously. 35 ELISA. IL-1β, KC, MMP-9 and MPO levels were determined using ELISA assay kits (Mouse or human DuoSet, R&D system, Minneapolis, MN, USA) according to the manufacturer's instructions.
Cell death was monitored by MTT using a standard protocol. Thiazollyl blue tetrazolium bromide (Sigma) solution was added onto the cells after supernatant collection and incubated for 2 h at 37°C, and a 10% SDS acetic acid solution is then added. MTT reduction to formazan was quantified by an absorbance microplate reader (EL800, BioTek, Colmar, France) at 610nm (KC4 software). Apoptotic and necrotic cell death of primed THP1 cells was also monitored using AnnexinV/PI staining (eBioscience, San Diego, CA, USA). Cells were gently detached using repeated aspiration and expulsion of cold PBS. After centrifugation, cells were resuspended in annexin V binding buffer and stained for 20 min with Annexin V and propidium iodide. Data were collected on a BD FACSCanto and analysed using Flowjo software (Tree Star, OR, USA).
ATP measurement. Extracellular ATP in cell-free medium supernatant was quantified using ATP Lite one step kit (Perkin Elmer, Courtaboeuf, France) according to the manufacturer's instructions, and the luminescence produced was measured (Mithras, Mikrowin 2000 software, Berthold Technologies, Thoiry, France).
BMDM culture and stimulation. Primary BMDMs were obtained from femoral bone marrow as described. 36 In brief, cells from femurs of C57BL/6 mice were isolated and cultured at 10 6 cells/ml for 7 days in Dulbecco's minimal essential medium (DMEM, Sigma) supplemented with 20% horse serum and 30% L929 cellconditioned medium as a source of M-CSF. Three days after washing and culturing in fresh medium, the cell preparation contained a homogeneous population of 495% macrophages (Müller et al. 36 ). The BMDMs were plated in 96-well microculture plates (2.10 5 cells/well) and stimulated with 100 ng/ml LPS during 3 h to induce pro-IL-1β production. Particles were applied for 6 h and cell supernatants were collected after 6 h and stored for further analysis. The absence of cytotoxicity of the different stimuli used was verified by MTT assay using the standard protocol.
Quantitative RT-PCR. BMDM or THP1 cells were plated in six-well microculture plates (at 5 × 10 6 cells/well), stimulated during 3 h with LPS or PMA, respectively, and were washed and stimulated with particles for 4 or 6 h. RNA was extracted using the RNeasy Mini Kit (Qiagen, Courtaboeuf, France) and particles were removed by centrifugation (10 000 g, 10 min, 4°C). All primers were synthesised (Qiagen). The expression levels of A1, A2 A , A2 B , A3, P2X7, P2Y1, P2Y2, P2Y4, P2Y6, P2Y12 and P2Y13 receptor mRNAs, relative to housekeeping 18S mRNA, and expression of ENT1 and ENT2 transporter mRNAs, relative to housekeeping β2m mRNA, were analysed using Quantitect gene expression assays (Qiagen). Reverse transcription was performed by SuperScript III Reverse Transcriptase (Fisher Invitrogen) according to the manufacturer's instructions for amplification. RT-PCR was performed starting from 500 ng of total RNA using a Stratagene Mx3005P real-time PCR system (Agilent Technologies, Massy, France). For all experiments, biological quadruplicates and technical triplicates were performed.
Immunoblotting. BMDM cells were plated in 12-well microculture plates (at 3 × 10 6 cells/well), stimulated with LPS during 3 h and were washed and stimulated with particles during 6 h. Supernatants were collected and stored at − 20°C for further analysis. BMDMs were washed with cold PBS and scraped in lysis buffer solution (150 mM NaCl, 10 mM Tris pH 8, 1 mM EDTA, 0.2% SDS and 1% Nonidet P-40) supplemented with a protease inhibitor cocktail (1%) and pefabloc (0.1 mg/ml) (Roche Applied Science, Meylan, France). Lysis extracts and supernatants were collected and protein content was measured (DC protein assay, Bio-Rad, Munich, Germany). Proteins were denatured by boiling (95°C, 5 min), separated by SDS-PAGE and transferred to nitrocellulose membranes. The membranes were immunoblotted with a primary goat anti-IL-1β antibody (Sigma Aldrich) or rabbit anti-caspase-1 p10 (Santa Cruz Biotechnology) and proteins were detected with appropriate secondary antibody followed by enhanced chemiluminescence (ECL, Fisher, Illkirch, France).
Statistical analysis. Statistical evaluation of differences between the experimental groups was determined by ANOVA followed by Bonferroni's test using the Prism 5.0 software (GraphPad). P-values o0.05 were considered statistically significant.