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This study was undertaken to identify small molecules that directly bind to <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3 in order to develop pharmacologic interventions for <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3\u2010related diseases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A structure\u2010based virtual screening analysis was performed with ~62,800 compounds to select efficient <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3 inhibitors. The production of caspase 1\u2010p10 and interleukin\u20101\u03b2 (<jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u20101\u03b2) was measured by immunoblotting and enzyme\u2010linked immunosorbent assay to examine <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3 inflammasome activation. Two gouty arthritis models and an air pouch inflammation model induced by monosodium urate monohydrate (<jats:styled-content style=\"fixed-case\">MSU<\/jats:styled-content>) crystal injection were used for in vivo experiments. Primary synovial fluid cells from gout patients were used to determine the relevance of <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3 inflammasome inhibition in human gout.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Beta\u2010carotene (provitamin A) suppressed the <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3 inflammasome activation induced by various activators, including <jats:styled-content style=\"fixed-case\">MSU<\/jats:styled-content> crystals, in mouse bone marrow\u2013derived primary macrophages (<jats:italic>P<\/jats:italic> &lt; 0.05). Surface plasmon resonance analysis demonstrated the direct binding of \u03b2\u2010carotene to the pyrin domain (<jats:styled-content style=\"fixed-case\">PYD<\/jats:styled-content>) of <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3 (<jats:styled-content style=\"fixed-case\">K<jats:sub>D<\/jats:sub><\/jats:styled-content> = 3.41 \u00d7 10<jats:sup>\u22126<\/jats:sup>). Molecular modeling and mutation assays revealed the interaction mode between \u03b2\u2010carotene and the <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3 <jats:styled-content style=\"fixed-case\">PYD<\/jats:styled-content>. Inflammatory symptoms induced by <jats:styled-content style=\"fixed-case\">MSU<\/jats:styled-content> crystals were attenuated by oral administration of \u03b2\u2010carotene in gouty arthritis mouse models (<jats:italic>P<\/jats:italic> &lt; 0.05), correlating with its suppressive effects on the <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3 inflammasome in inflamed tissues. Furthermore, \u03b2\u2010carotene reduced <jats:styled-content style=\"fixed-case\">IL<\/jats:styled-content>\u20101\u03b2 secretion from human synovial fluid cells isolated from gout patients (<jats:italic>P<\/jats:italic> &lt; 0.05), showing its inhibitory efficacy in human gout.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results present \u03b2\u2010carotene as a selective and direct inhibitor of <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3, and the binding of \u03b2\u2010carotene to <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3 <jats:styled-content style=\"fixed-case\">PYD<\/jats:styled-content> as a novel pharmacologic strategy to combat <jats:styled-content style=\"fixed-case\">NLRP<\/jats:styled-content>3 inflammasome\u2013driven diseases, including gouty arthritis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.41245","type":"journal-article","created":{"date-parts":[[2020,3,5]],"date-time":"2020-03-05T06:04:50Z","timestamp":1583388290000},"page":"1192-1202","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":87,"title":["Direct Binding to NLRP3 Pyrin Domain as a Novel Strategy to Prevent NLRP3\u2010Driven Inflammation and Gouty Arthritis"],"prefix":"10.1002","volume":"72","author":[{"given":"Gabsik","family":"Yang","sequence":"first","affiliation":[{"name":"College of Pharmacy The Catholic University of Korea  Bucheon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hye E.","family":"Lee","sequence":"additional","affiliation":[{"name":"College of Pharmacy The Catholic University of Korea  Bucheon Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su\u2010Jin","family":"Moon","sequence":"additional","affiliation":[{"name":"St. Mary's Hospital, Uijeongbu, Republic of Korea, and The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyung M.","family":"Ko","sequence":"additional","affiliation":[{"name":"St. Mary's Hospital, Bucheon, Republic of Korea, and The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung H.","family":"Koh","sequence":"additional","affiliation":[{"name":"St. Mary's Hospital, Bucheon, Republic of Korea, and The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin K.","family":"Seok","sequence":"additional","affiliation":[{"name":"College of Pharmacy The Catholic University of Korea  Bucheon Republic of 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