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| Module | Role in the review | Evidence strength in review (qualitative) | Key counterpoints stated by the review |
|---|---|---|---|
| K+ efflux | Proposed common denominator for NLRP3 activation; decrease in intracellular K+ linked to activation | High (presented as necessary/sufficient across many stimuli) | Mechanistic link to molecular conformational change βpoorly understoodβ; special cases (e.g., activating mutation) suggest K+ drop may not be the sole trigger for all modes |
| NEK7 | Essential regulator downstream of K+ efflux; controls NLRP3 oligomerization/ASC-caspase-1 axis | High (explicitly supported by multiple independent studies) | Upstream mechanistic βhowβ remains unresolved (requires model of conformational changes); kinase activity dispensable in the reviewβs summary |
| Ca2+ signaling | Discussed as implicated via ER/IP3R/PLC axis and MCP-like Ca sensing; can promote mitochondrial dysfunction | Moderateβlow (explicit controversy) | Review notes a study suggesting NLRP3 activation largely independent of Ca2+, and BAPTA effects not fully attributable to Ca inhibition |
| ROS / mitochondria | Long-debated; ROS/mtDNA/cardiolipin/MAVS discussed | Lowβmoderate (context-dependent and artifact-prone inhibitors) | ROS inhibitor off-target effects; evidence that NADPH oxidase/mitochondrial perturbations can be dispensable; timing and downstream mtDNA release vs upstream trigger disputed |
| Lysosomal leakage / cathepsins | Particulate matter β lysosome damage β cathepsin release; inhibition with cathepsin B inhibitors | Moderate (but mechanistic redundancy invoked) | Cathepsin B knockout modestly defective; suggests off-targets or cathepsin redundancy; mechanistic link to K+ efflux still unclear |
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