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. Author manuscript; available in PMC: 2016 Jul 1.
Published in final edited form as: Nat Rev Rheumatol. 2015 Dec 10;12(1):49–62. doi: 10.1038/nrrheum.2015.169

Table 2.

Inhibitors of TNFR signalling

Inhibitor Description Mechanisms
Regulators of ubiquitination
A20 • OTU-domain DUB
• Inducible by TNF, via a GSK-3β-dependent mechanism76
• Interacts with partners, such as Itch, TAX1BP1, RNF11, protein Ymer and ABINs, to form ubiquitin-editing complexes36,131-133
• Polymorphisms or mutations of the gene encoding A20 (TNFAIP3) are associated with inflammatory diseases such as RA, SLE, psoriasis, and IBD134
• DUB: cleaves Lys63-linked ubiquitin chains from RIPK1 and NEMO135
• E3 ubiquitin ligase: conjugates Lys48-linked ubiquitin chains to RIPK1, UbcH5c and Ubc13, inducing their proteasomal degradation135
• Antagonistic ubiquitin binder: antagonizes the binding of LUBAC, NEMO, and E2 ubiquitin-conjugating enzymes32,33
• Targets signalling effectors for lysosomal degradation37
Cezanne • OTU-domain DUB
• Inducible by TNF
DUB: cleaves primarily Lys11-linked ubiquitin chains from targets such as RIPK1 (REF. 136)
Ubiquitin thioesterase otulin • OTU-domain DUB
• Not inducible by TNF
• Has high specificity for inhibiting events related to linear ubiquitination
• DUB: cleaves linear ubiquitin chains from RIPK1 and NEMO, destabilizing complex I137
• Antagonistic ubiquitin binder: antagonizes the binding of NEMO to Met1-linked ubiquitin chains34
• Regulator: interacts directly with HOIP, regulating its ligase-activity138,139
Ubiquitin carboxyl-terminal hydrolase CYLD • USP-family DUB
• Interacts with partners, such as Itch, p62, HOIP and optineurin35
• Individuals with mutations of CYLD are predisposed to cylindromatosis140
Cleaves primarily Lys63-linked ubiquitin chains and secondarily linear chains from NEMO, TRAF2 and TAK1 (REF. 141)
USP4 USP-family DUB • Cleaves Lys63-linked ubiquitin chains from TRAF2, RIPK1 and TAK1 (REF. 142)
USP11 USP-family DUB • Cleaves Lys48-linked ubiquitin chains from IκBs, preventing their proteasomal degradation and the release of NFκB28
USP15 USP-family DUB • Cleaves Lys48-linked ubiquitin chains from IκBs, preventing their proteasomal degradation and the release of NFκB28
USP21 USP-family DUB • Cleaves Lys63-linked ubiquitin chains from TRAF2, RIPK1 and TAK1 (REF. 28)
USP31 USP-family DUB • Upstream: cleaves Lys63-linked chains from TRAF2 (REF. 28)
• Downstream: cleaves ubiquitin chains from p65 modifying its transcriptional activity28
MCPIP1 • Unclassified DUB
• Inducible by TNF
• Interaction with diverse adaptor proteins can instruct MCPIP1 to function as either RNase or DUB
• Upstream DUB: cleaves Lys63-linked chains from TRAF2 and RIPK1 (REF. 143)
• Downstream DUB: cleaves Lys48-linked chains from IκBα143
• RNase: promotes degradation of inflammatory mRNAs144
Itch • E3 ubiquitin ligase
• Interacts with A20 or CYLD to form ubiquitin-editing complexes35,36
Conjugates Lys48-linked ubiquitin chains to substrates, inducing their proteasomal degradation35,36
Optineurin • Antagonistic ubiquitin binder inducible by TNF
• Mutations in OPTN have been identified in patients with POAG and ALS29, including ALS-associated mutations that disrupt the ubiquitin-binding capacity of optineurin and abolish its inhibitory functions in TNFR signalling29
Antagonizes the binding of NEMO to polyubiquitinated RIPK1 (REFS 29,30)
p47 Antagonistic ubiquitin binder Binds to polyubiquitinated NEMO directing its lysosomal degradation31
Phosphatases
PP1 Phosphatase • Targets IKK-complex39
• Binding to IKK-complex is directed by the adaptor protein CUEDC2 (REF. 39)
PPP2CA-PPP2R1A-PPP2R5C (PP2A holoenzyme) Phosphatase Targets TRAF2
PPP2CB-PPP2R1A (PP2A core enzyme) Phosphatase Targets IKK-complex
PPP2CA-PPP2R1B (PP2A core enzyme) Phosphatase Removes Ser536-phosphorylation from p65, modifying its transcriptional activity
PP2Cα (PP1A) Phosphatase Targets IKK-complex
PP2CP (PP1B) Phosphatase • Targets TAK1; binding to TAK1 is directed by the adaptor protein 14-3-3E40
• Targets IKK-complex
WIP1 (PP1D) Phosphatase Removes Ser536-phosphorylation from RelA/p65, modifying its transcriptional activity41
Inhibitors of NFκB
IκBα Rapidly inducible by TNF43 Newly synthesized IκBα enters the nucleus, dissociates NFκB dimers from chromatin, and exports NFκB to the cytoplasm42
IκBε Inducible by TNF with slower kinetics (compared with IκBα)43,44 Functions as a back-up or fail-safe mechanism43,44
IκBδ (p100) Inducible by TNF with delayed and sustained kinetics43 Sequesters NFκB subunits in cytoplasm

ABIN, A20-binding inhibitor of NFκB activation; ALS, amyotropic lateral sclerosis; CUEDC2, CUE domain-containing protein 2; DUB, deubiquitinating enzyme; GSK-3β, glycogen synthase kinase 3β; HOIP, HOIL-1-interacting protein (E3 ubiquitin-protein ligase RNF31); IBD, inflammatory bowel disease; IκB, inhibitor of κB; IKK, IκB kinase; LUBAC, linear ubiquitin chain assembly complex; MCPIP1, MCP-induced protein 1 (ribonuclease ZC3H12A); NEMO, NFκB essential modulator; NFκB, nuclear factor κB; OTU, ovarian tumour; POAG, primary open-angle glaucoma; RA, rheumatoid arthritis; RIPK1, receptor-interacting serine/threonine-protein kinase 1; RNF11, RING finger protein 11; SLE, systemic lupus erythematosus; TAK, transforming growth factor (TGF)-β-activated kinase 1; TAX1BP1, Tax1-binding protein 1; TNFR, TNF receptor; TRAF, TNFR-associated factor; USP, ubiquitin specific peptidase.