The PYD and CARD domains belong to the six-helix bundle death domain-fold superfamily, which mediates the assembly of large signaling complexes in the inflammatory and apoptotic pathways via the activation of caspases.
In normal cells, the apoptosis-associated speck-like protein containing a caspase recruit domain (ASC) is localized in the cytoplasm; in cells undergoing apoptosis, however, it forms globular aggregates near the nuclear periphery.
The ASC protein has a function as a key mediator in apoptosis and inflammation. Thus, it promotes caspase-mediated apoptosis, in which mainly caspase-8 and also caspase-9 are involved in a probably cell type-specific manner. It is involved in the activation of the mitochondrial apoptosis pathway, promotes caspase-8-dependent proteolytic maturation of BID independent of FADD in certain cell types and also mediates mitochondrial translocation of BAX and activates BAX-dependent apoptosis coupled to the activation of caspase-9, -2 and -3.
ASC is involved in macrophage pyroptosis, a caspase-1-dependent form of cell death, and is the major component of the ASC pyroptosome, which forms upon potassium deprivation and rapidly recruits and activates caspase-1.
In the innate immune response, ASC functions as an integral adaptor in the assembly of the inflammasome, which activates caspase-1, leading to the processing and secretion of pro-inflammatory cytokines (IL-1b, IL-8) (Guan Ket al. 2015). The function as an activating adaptor in different types of inflammasomes is mediated by the pyrin and CARD domains and their homotypic interactions.
ASC is required for the recruitment of caspase-1 to inflammasomes containing certain pattern recognition receptors, such as NLRP2, NLRP3, NLRP6, AIM2 and probably IFI16 (Agostini Let al. 2004; Shen C et al. 2021).
In the NLRP1 and NLRC4 inflammasomes, the adaptor function of ASC does not appear to be required, but facilitates the processing of procaspase-1 (see caspases below).
In cooperation with NOD2, ASC is involved in an inflammasome activated by bacterial muramyl dipeptide. This process leads to the activation of caspase-1.
In association with AIM2, a protein that recognizes cytosolic double-stranded DNA, ASC is probably also involved in caspase-1-independent cell death, in which caspase-8 is involved.
In adaptive immunity, ASC may be involved in the maturation of dendritic cells to stimulate T cell immunity and in cytoskeletal remodeling coupled to chemotaxis and antigen uptake, as well as in the post-transcriptional regulation of the guanine nucleotide exchange factor DOCK2.
ASC is also involved in the transcriptional activation of cytokines and chemokines independent of the inflammasome; this function may involve AP-1, NF-kappa-B, MAPK and caspase-8 signaling pathways.
Regarding the regulation of NF-kappa-B, activating and inhibitory functions have been reported. ASC modulates host resistance to DNA viral infections, probably by inducing cleavage and inactivation of CGAS in the presence of cytoplasmic double-stranded DNA (Wang Y et al. 2017).