General Information of Drug Off-Target (DOT) (ID: OTAIA3NA)

DOT Name NLR family CARD domain-containing protein 4 (NLRC4)
Synonyms CARD, LRR, and NACHT-containing protein; CED-4-like protein Clan; Caspase recruitment domain-containing protein 12; Ice protease-activating factor; Ipaf
Gene Name NLRC4
Related Disease
Periodic fever-infantile enterocolitis-autoinflammatory syndrome ( )
Acute coronary syndrome ( )
Advanced cancer ( )
Alzheimer disease ( )
Anthrax ( )
Astrocytoma ( )
Autoinflammatory syndrome ( )
Bacillary dysentery ( )
Bacterial infection ( )
Breast carcinoma ( )
Chorioamnionitis ( )
CINCA syndrome ( )
Colitis ( )
Colorectal carcinoma ( )
Cystic fibrosis ( )
Diabetic kidney disease ( )
Familial cold autoinflammatory syndrome 4 ( )
Glioma ( )
Hereditary periodic fever syndrome ( )
Hyperglycemia ( )
Influenza ( )
Melioidosis ( )
Multiple sclerosis ( )
Neoplasm ( )
Non-alcoholic fatty liver disease ( )
Pneumonia ( )
Pneumonitis ( )
Relapsing-remitting multiple sclerosis ( )
Salmonella infection ( )
Systemic lupus erythematosus ( )
Tuberculosis ( )
Urinary tract infection ( )
Arthritis ( )
Enterocolitis ( )
Hepatocellular carcinoma ( )
Keratitis ( )
Obesity ( )
Vulvovaginal Candidiasis ( )
Crohn disease ( )
Familial cold autoinflammatory syndrome ( )
Glaucoma/ocular hypertension ( )
Inflammation ( )
Melanoma ( )
Periodontal disease ( )
Periodontitis ( )
Streptococcal pneumonia ( )
Stroke ( )
UniProt ID
NLRC4_HUMAN
3D Structure
Download
2D Sequence (FASTA)
Download
3D Structure (PDB)
Download
PDB ID
6K8J; 6MKS; 6N1I
Pfam ID
PF00619 ; PF05729 ; PF17889
Sequence
MNFIKDNSRALIQRMGMTVIKQITDDLFVWNVLNREEVNIICCEKVEQDAARGIIHMILK
KGSESCNLFLKSLKEWNYPLFQDLNGQSLFHQTSEGDLDDLAQDLKDLYHTPSFLNFYPL
GEDIDIIFNLKSTFTEPVLWRKDQHHHRVEQLTLNGLLQALQSPCIIEGESGKGKSTLLQ
RIAMLWGSGKCKALTKFKFVFFLRLSRAQGGLFETLCDQLLDIPGTIRKQTFMAMLLKLR
QRVLFLLDGYNEFKPQNCPEIEALIKENHRFKNMVIVTTTTECLRHIRQFGALTAEVGDM
TEDSAQALIREVLIKELAEGLLLQIQKSRCLRNLMKTPLFVVITCAIQMGESEFHSHTQT
TLFHTFYDLLIQKNKHKHKGVAASDFIRSLDHCGDLALEGVFSHKFDFELQDVSSVNEDV
LLTTGLLCKYTAQRFKPKYKFFHKSFQEYTAGRRLSSLLTSHEPEEVTKGNGYLQKMVSI
SDITSTYSSLLRYTCGSSVEATRAVMKHLAAVYQHGCLLGLSIAKRPLWRQESLQSVKNT
TEQEILKAININSFVECGIHLYQESTSKSALSQEFEAFFQGKSLYINSGNIPDYLFDFFE
HLPNCASALDFIKLDFYGGAMASWEKAAEDTGGIHMEEAPETYIPSRAVSLFFNWKQEFR
TLEVTLRDFSKLNKQDIRYLGKIFSSATSLRLQIKRCAGVAGSLSLVLSTCKNIYSLMVE
ASPLTIEDERHITSVTNLKTLSIHDLQNQRLPGGLTDSLGNLKNLTKLIMDNIKMNEEDA
IKLAEGLKNLKKMCLFHLTHLSDIGEGMDYIVKSLSSEPCDLEEIQLVSCCLSANAVKIL
AQNLHNLVKLSILDLSENYLEKDGNEALHELIDRMNVLEQLTALMLPWGCDVQGSLSSLL
KHLEEVPQLVKLGLKNWRLTDTEIRILGAFFGKNPLKNFQQLNLAGNRVSSDGWLAFMGV
FENLKQLVFFDFSTKEFLPDPALVRKLSQVLSKLTFLQEARLVGWQFDDDDLSVITGAFK
LVTA
Function
Key component of inflammasomes that indirectly senses specific proteins from pathogenic bacteria and fungi and responds by assembling an inflammasome complex that promotes caspase-1 activation, cytokine production and macrophage pyroptosis. The NLRC4 inflammasome is activated as part of the innate immune response to a range of intracellular bacteria.
Tissue Specificity
Isoform 2 is expressed ubiquitously, although highly expressed in lung and spleen. Isoform 1 is highly expressed in lung, followed by leukocytes especially monocytes, lymph node, colon, brain, prostate, placenta, spleen, bone marrow and fetal liver. Isoform 4 is only detected in brain.
KEGG Pathway
NOD-like receptor sig.ling pathway (hsa04621 )
Shigellosis (hsa05131 )
Salmonella infection (hsa05132 )
Legionellosis (hsa05134 )
Yersinia infection (hsa05135 )
Reactome Pathway
The IPAF inflammasome (R-HSA-844623 )
TP53 Regulates Transcription of Caspase Activators and Caspases (R-HSA-6803207 )

Molecular Interaction Atlas (MIA) of This DOT

47 Disease(s) Related to This DOT
Disease Name Disease ID Evidence Level Mode of Inheritance REF
Periodic fever-infantile enterocolitis-autoinflammatory syndrome DISCVB63 Definitive Autosomal dominant [1]
Acute coronary syndrome DIS7DYEW Strong Biomarker [2]
Advanced cancer DISAT1Z9 Strong Altered Expression [3]
Alzheimer disease DISF8S70 Strong Biomarker [4]
Anthrax DISFPT78 Strong Biomarker [5]
Astrocytoma DISL3V18 Strong Altered Expression [3]
Autoinflammatory syndrome DISCMCGL Strong Genetic Variation [6]
Bacillary dysentery DISFZHKN Strong Biomarker [7]
Bacterial infection DIS5QJ9S Strong Biomarker [8]
Breast carcinoma DIS2UE88 Strong Genetic Variation [9]
Chorioamnionitis DISL1D9U Strong Altered Expression [10]
CINCA syndrome DISU6RZC Strong Genetic Variation [11]
Colitis DISAF7DD Strong Biomarker [12]
Colorectal carcinoma DIS5PYL0 Strong Biomarker [13]
Cystic fibrosis DIS2OK1Q Strong Biomarker [14]
Diabetic kidney disease DISJMWEY Strong Biomarker [15]
Familial cold autoinflammatory syndrome 4 DISNPGTL Strong Autosomal dominant [16]
Glioma DIS5RPEH Strong Altered Expression [3]
Hereditary periodic fever syndrome DISS9RWQ Strong Biomarker [1]
Hyperglycemia DIS0BZB5 Strong Posttranslational Modification [17]
Influenza DIS3PNU3 Strong Biomarker [18]
Melioidosis DISB13HR Strong Genetic Variation [19]
Multiple sclerosis DISB2WZI Strong Genetic Variation [20]
Neoplasm DISZKGEW Strong Altered Expression [21]
Non-alcoholic fatty liver disease DISDG1NL Strong Altered Expression [22]
Pneumonia DIS8EF3M Strong Biomarker [19]
Pneumonitis DIS88E0K Strong Biomarker [19]
Relapsing-remitting multiple sclerosis DISSXFCF Strong Biomarker [23]
Salmonella infection DISTJ434 Strong Altered Expression [24]
Systemic lupus erythematosus DISI1SZ7 Strong Biomarker [25]
Tuberculosis DIS2YIMD Strong Genetic Variation [26]
Urinary tract infection DISMT6UV Strong Biomarker [27]
Arthritis DIST1YEL moderate Altered Expression [16]
Enterocolitis DISYACTL moderate Genetic Variation [28]
Hepatocellular carcinoma DIS0J828 moderate Altered Expression [29]
Keratitis DISMFOEI moderate Biomarker [30]
Obesity DIS47Y1K moderate Altered Expression [21]
Vulvovaginal Candidiasis DISRCR6D moderate Biomarker [31]
Crohn disease DIS2C5Q8 Disputed Genetic Variation [32]
Familial cold autoinflammatory syndrome DISAPE70 Limited Genetic Variation [33]
Glaucoma/ocular hypertension DISLBXBY Limited Biomarker [34]
Inflammation DISJUQ5T Limited Biomarker [35]
Melanoma DIS1RRCY Limited Genetic Variation [36]
Periodontal disease DISJQHVN Limited Biomarker [37]
Periodontitis DISI9JOI Limited Biomarker [37]
Streptococcal pneumonia DIS2EKMJ Limited Biomarker [38]
Stroke DISX6UHX Limited Biomarker [39]
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⏷ Show the Full List of 47 Disease(s)
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This DOT
4 Drug(s) Affected the Gene/Protein Processing of This DOT
Drug Name Drug ID Highest Status Interaction REF
Ciclosporin DMAZJFX Approved Ciclosporin increases the expression of NLR family CARD domain-containing protein 4 (NLRC4). [40]
Tretinoin DM49DUI Approved Tretinoin increases the expression of NLR family CARD domain-containing protein 4 (NLRC4). [41]
Arsenic trioxide DM61TA4 Approved Arsenic trioxide decreases the expression of NLR family CARD domain-containing protein 4 (NLRC4). [43]
Menthol DMG2KW7 Approved Menthol decreases the expression of NLR family CARD domain-containing protein 4 (NLRC4). [44]
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3 Drug(s) Affected the Post-Translational Modifications of This DOT
Drug Name Drug ID Highest Status Interaction REF
Arsenic DMTL2Y1 Approved Arsenic affects the methylation of NLR family CARD domain-containing protein 4 (NLRC4). [42]
Benzo(a)pyrene DMN7J43 Phase 1 Benzo(a)pyrene affects the methylation of NLR family CARD domain-containing protein 4 (NLRC4). [45]
Bisphenol A DM2ZLD7 Investigative Bisphenol A decreases the methylation of NLR family CARD domain-containing protein 4 (NLRC4). [46]
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References

1 Mutation of NLRC4 causes a syndrome of enterocolitis and autoinflammation. Nat Genet. 2014 Oct;46(10):1135-1139. doi: 10.1038/ng.3066. Epub 2014 Sep 14.
2 NLRC4 Inflammasome Is an Important Regulator of Interleukin-18 Levels in Patients With Acute Coronary Syndromes: Genome-Wide Association Study in the PLATelet inhibition and patient Outcomes Trial (PLATO).Circ Cardiovasc Genet. 2015 Jun;8(3):498-506. doi: 10.1161/CIRCGENETICS.114.000724. Epub 2015 Mar 6.
3 Upregulation of the NLRC4 inflammasome contributes to poor prognosis in glioma patients.Sci Rep. 2019 May 27;9(1):7895. doi: 10.1038/s41598-019-44261-9.
4 Involvement of NLRC4 inflammasome through caspase-1 and IL-1 augments neuroinflammation and contributes to memory impairment in an experimental model of Alzheimer's like disease.Brain Res Bull. 2020 Jan;154:81-90. doi: 10.1016/j.brainresbull.2019.10.010. Epub 2019 Nov 9.
5 Inflammasomes: guardians of cytosolic sanctity.Immunol Rev. 2009 Jan;227(1):95-105. doi: 10.1111/j.1600-065X.2008.00730.x.
6 A Disease-associated Mutant of NLRC4 Shows Enhanced Interaction with SUG1 Leading to Constitutive FADD-dependent Caspase-8 Activation and Cell Death.J Biol Chem. 2017 Jan 27;292(4):1218-1230. doi: 10.1074/jbc.M116.763979. Epub 2016 Dec 14.
7 Nlrc4/Ipaf/CLAN/CARD12: more than a flagellin sensor.Int J Biochem Cell Biol. 2010 Jun;42(6):789-91. doi: 10.1016/j.biocel.2010.01.003. Epub 2010 Jan 11.
8 IRF8 Regulates Transcription of Naips for NLRC4 Inflammasome Activation.Cell. 2018 May 3;173(4):920-933.e13. doi: 10.1016/j.cell.2018.02.055. Epub 2018 Mar 22.
9 Genome-wide association study of germline variants and breast cancer-specific mortality.Br J Cancer. 2019 Mar;120(6):647-657. doi: 10.1038/s41416-019-0393-x. Epub 2019 Feb 21.
10 A Role for the Inflammasome in Spontaneous Labor at Term with Acute Histologic Chorioamnionitis.Reprod Sci. 2017 Jun;24(6):934-953. doi: 10.1177/1933719116675058. Epub 2016 Nov 16.
11 Identification of a High-Frequency Somatic NLRC4 Mutation as a Cause of Autoinflammation by Pluripotent Cell-Based Phenotype Dissection.Arthritis Rheumatol. 2017 Feb;69(2):447-459. doi: 10.1002/art.39960.
12 Cytosolic flagellin receptor NLRC4 protects mice against mucosal and systemic challenges.Mucosal Immunol. 2012 May;5(3):288-98. doi: 10.1038/mi.2012.8. Epub 2012 Feb 8.
13 NOD-like receptor C4 Inflammasome Regulates the Growth of Colon Cancer Liver Metastasis in NAFLD.Hepatology. 2019 Nov;70(5):1582-1599. doi: 10.1002/hep.30693. Epub 2019 May 23.
14 IL-1 receptor antagonist ameliorates inflammasome-dependent inflammation in murine and human cystic fibrosis.Nat Commun. 2016 Mar 14;7:10791. doi: 10.1038/ncomms10791.
15 Involvement of the NLRC4-Inflammasome in Diabetic Nephropathy.PLoS One. 2016 Oct 5;11(10):e0164135. doi: 10.1371/journal.pone.0164135. eCollection 2016.
16 An inherited mutation in NLRC4 causes autoinflammation in human and mice. J Exp Med. 2014 Nov 17;211(12):2385-96. doi: 10.1084/jem.20141091. Epub 2014 Nov 10.
17 Hyperglycemia-induced inflamm-aging accelerates gingival senescence via NLRC4 phosphorylation.J Biol Chem. 2019 Dec 6;294(49):18807-18819. doi: 10.1074/jbc.RA119.010648. Epub 2019 Nov 1.
18 The NLRP3 inflammasome mediates in vivo innate immunity to influenza A virus through recognition of viral RNA.Immunity. 2009 Apr 17;30(4):556-65. doi: 10.1016/j.immuni.2009.02.005. Epub 2009 Apr 9.
19 NLRC4 and TLR5 each contribute to host defense in respiratory melioidosis.PLoS Negl Trop Dis. 2014 Sep 18;8(9):e3178. doi: 10.1371/journal.pntd.0003178. eCollection 2014 Sep.
20 Variants in NLRP3 and NLRC4 inflammasome associate with susceptibility and severity of multiple sclerosis.Mult Scler Relat Disord. 2019 Apr;29:26-34. doi: 10.1016/j.msard.2019.01.023. Epub 2019 Jan 11.
21 Obesity-associated inflammation promotes angiogenesis and breast cancer via angiopoietin-like 4.Oncogene. 2019 Mar;38(13):2351-2363. doi: 10.1038/s41388-018-0592-6. Epub 2018 Dec 5.
22 NLRC4 inflammasome activation regulated by TNF- promotes inflammatory responses in nonalcoholic fatty liver disease.Biochem Biophys Res Commun. 2019 Apr 9;511(3):524-530. doi: 10.1016/j.bbrc.2019.02.099. Epub 2019 Feb 27.
23 NLRP3 inflammasome is associated with the response to IFN- in patients with multiple sclerosis.Brain. 2015 Mar;138(Pt 3):644-52. doi: 10.1093/brain/awu388. Epub 2015 Jan 12.
24 SopB activates the Akt-YAP pathway to promote Salmonella survival within B cells.Virulence. 2018;9(1):1390-1402. doi: 10.1080/21505594.2018.1509664.
25 Polimorphisms in inflammasome genes are involved in the predisposition to systemic lupus erythematosus.Autoimmunity. 2012 Jun;45(4):271-8. doi: 10.3109/08916934.2011.637532. Epub 2012 Feb 7.
26 A Common NLRC4 Gene Variant Associates With Inflammation and Pulmonary Function in Human Immunodeficiency Virus and Tuberculosis.Clin Infect Dis. 2020 Aug 14;71(4):924-932. doi: 10.1093/cid/ciz898.
27 Involvement of NLRP3 and NLRC4 Inflammasome in Uropathogenic E. coli Mediated Urinary Tract Infections.Front Microbiol. 2019 Sep 3;10:2020. doi: 10.3389/fmicb.2019.02020. eCollection 2019.
28 Rapamycin as an Adjunctive Therapy for NLRC4 Associated Macrophage Activation Syndrome.Front Immunol. 2018 Sep 24;9:2162. doi: 10.3389/fimmu.2018.02162. eCollection 2018.
29 Association of Inflammasome Components in Background Liver with Poor Prognosis After Curatively-resected Hepatocellular Carcinoma.Anticancer Res. 2017 Jan;37(1):293-300. doi: 10.21873/anticanres.11320.
30 NLRC4 regulates caspase-1 and IL-1beta production in a CD11blowLy6Glow population of cells required for resistance to Pseudomonas aeruginosa keratitis.PLoS One. 2017 Sep 29;12(9):e0185718. doi: 10.1371/journal.pone.0185718. eCollection 2017.
31 Targeting the Aryl Hydrocarbon Receptor With Indole-3-Aldehyde Protects From Vulvovaginal Candidiasis via the IL-22-IL-18 Cross-Talk.Front Immunol. 2019 Oct 11;10:2364. doi: 10.3389/fimmu.2019.02364. eCollection 2019.
32 A crucial function of SGT1 and HSP90 in inflammasome activity links mammalian and plant innate immune responses.Nat Immunol. 2007 May;8(5):497-503. doi: 10.1038/ni1459. Epub 2007 Apr 15.
33 HSC70 regulates cold-induced caspase-1 hyperactivation by an autoinflammation-causing mutant of cytoplasmic immune receptor NLRC4.Proc Natl Acad Sci U S A. 2019 Oct 22;116(43):21694-21703. doi: 10.1073/pnas.1905261116. Epub 2019 Oct 9.
34 Inflammasomes, the eye and anti-inflammasome therapy.Eye (Lond). 2018 Mar;32(3):491-505. doi: 10.1038/eye.2017.241. Epub 2017 Nov 24.
35 NAIP/NLRC4 inflammasome activation in MRP8(+) cells is sufficient to cause systemic inflammatory disease.Nat Commun. 2017 Dec 20;8(1):2209. doi: 10.1038/s41467-017-02266-w.
36 Streptococcus mutans activates the AIM2, NLRP3 and NLRC4 inflammasomes in human THP-1 macrophages.Int J Oral Sci. 2018 Aug 6;10(3):23. doi: 10.1038/s41368-018-0024-z.
37 NLRC4 inflammasome has a protective role on inflammatory bone resorption in a murine model of periodontal disease.Immunobiology. 2020 Jan;225(1):151855. doi: 10.1016/j.imbio.2019.10.004. Epub 2019 Nov 30.
38 Sublingual flagellin protects against acute pneumococcal pneumonia in a TLR5-dependent and NLRC4-independent fashion.Future Microbiol. 2016 Sep;11:1167-77. doi: 10.2217/fmb-2016-0045. Epub 2016 Aug 22.
39 Extracellular ASC exacerbated the recurrent ischemic stroke in an NLRP3-dependent manner.J Cereb Blood Flow Metab. 2020 May;40(5):1048-1060. doi: 10.1177/0271678X19856226. Epub 2019 Jun 19.
40 Integrating multiple omics to unravel mechanisms of Cyclosporin A induced hepatotoxicity in vitro. Toxicol In Vitro. 2015 Apr;29(3):489-501.
41 Transcriptional and Metabolic Dissection of ATRA-Induced Granulocytic Differentiation in NB4 Acute Promyelocytic Leukemia Cells. Cells. 2020 Nov 5;9(11):2423. doi: 10.3390/cells9112423.
42 Prenatal arsenic exposure and the epigenome: identifying sites of 5-methylcytosine alterations that predict functional changes in gene expression in newborn cord blood and subsequent birth outcomes. Toxicol Sci. 2015 Jan;143(1):97-106. doi: 10.1093/toxsci/kfu210. Epub 2014 Oct 10.
43 AS3MT facilitates NLRP3 inflammasome activation by m(6)A modification during arsenic-induced hepatic insulin resistance. Cell Biol Toxicol. 2023 Oct;39(5):2165-2181. doi: 10.1007/s10565-022-09703-7. Epub 2022 Feb 28.
44 Repurposing L-menthol for systems medicine and cancer therapeutics? L-menthol induces apoptosis through caspase 10 and by suppressing HSP90. OMICS. 2016 Jan;20(1):53-64.
45 Effect of aflatoxin B(1), benzo[a]pyrene, and methapyrilene on transcriptomic and epigenetic alterations in human liver HepaRG cells. Food Chem Toxicol. 2018 Nov;121:214-223. doi: 10.1016/j.fct.2018.08.034. Epub 2018 Aug 26.
46 DNA methylome-wide alterations associated with estrogen receptor-dependent effects of bisphenols in breast cancer. Clin Epigenetics. 2019 Oct 10;11(1):138. doi: 10.1186/s13148-019-0725-y.