The Long Non-coding RNAs: Paramount Regulators of the NLRP3 Inflammasome

The NOD LRR pyrin domain containing protein 3 (NLRP3) inflammasome is a cytosolic multi-proteins conglomerate with intrinsic ATPase activity. Their predominant presence in the immune cells emphasizes its significant role in immune response. The downstream effector proteins IL-1β and IL-18 are responsible for the biological functions of the NLRP3 inflammasome upon encountering the alarmins and microbial ligands. Although the NLRP3 inflammasome is essential for host defense during infections, uncontrolled activation and overproduction of IL-1β and IL-18 increase the risk of developing autoimmune and metabolic disorders. Emerging evidences suggest the action of lncRNAs in regulating the activity of NLRP3 inflammasome in various disease conditions. The long non-coding RNA (lncRNA) is an emerging field of study and evidence on their regulatory role in various diseases is grabbing attention. Recent studies emphasize the functions of lncRNAs in the fine control of the NLRP3 inflammasome at nuclear and cytoplasmic levels by interfering in chromatin architecture, gene transcription and translation. Recently, lncRNAs are also found to control the activity of various regulators of NLRP3 inflammasome. Understanding the precise role of lncRNA in controlling the activity of NLRP3 inflammasome helps us to design targeted therapies for multiple inflammatory diseases. The present review is a novel attempt to consolidate the substantial role of lncRNAs in the regulation of the NLRP3 inflammasome. A deeper insight on the NLRP3 inflammasome regulation by lncRNAs will help in developing targeted and beneficial therapeutics in the future.


INTRODUCTION NLRP3 Inflammasome
The inflammasomes are a critical component of the innate immune system (1). They are multimeric intracellular protein complexes that comprises a sensor protein termed pattern recognition receptor (PRR) that oligomerizes and forms a platform to activate the pro-caspase-1 in response to the damage associated and pathogen associated molecular patterns (DAMPs and PAMPs) (2). Among the PRRs, the NOD LRR pyrin domain containing protein 3 (NLRP3) is crucial in host immune defenses against a broad range of infections. The NLRP3 cytosolic receptor is sensitive to a variety of cellular irritants, microbial components and endogenous alert signals such as ionic flux, reactive oxygen species (ROS), mitochondrial dysfunction and lysosomal damage (3). Their interaction with such stimuli results in the assembly and activation of the NLRP3 inflammasome that further activates caspase-1. The activated caspase-1 leads to the maturation and secretion of mature inflammatory mediator interleukin 1β (IL-1β), IL-18 and Gasdermin D. Activation of the NLRP3 inflammasome triggers pyroptosis, a caspase-1 dependent cell death, forces intracellular pathogens out of their replicative niche to the surroundings (4). The exposure of such pathogens triggers further cytokine release from other immune cells leading to the generation of DAMPs that additionally stimulate the immune cells to respond to the infection. The structural components, assembly and activation of the NLRP3 inflammasome have been reviewed in detail elsewhere (1)(2)(3).
The dysregulated NLRP3 inflammasome was associated with the pathogenesis of several autoimmune, autoinflammatory conditions, infections and tumorigenesis (5)(6)(7). The role of NLRP3 inflammasome in various pathogenesis has just begun to be explored. Their role in the development and progression of several diseases has been discussed in detail in Supplementary Table 1. A substantial amount of information on their involvement in diseases still remains to be comprehended. Undoubtedly, further clarified and precise understanding of the molecular mechanism behind the NLRP3 inflammasome regulation will guide the development of new effective therapeutics (8).

Long Non-coding RNAs
The identification of non-protein coding RNAs as the key regulators of eukaryotic gene expression is a recent breakthrough. Approximately 80% of mammalian genome comprises nonprotein coding regions that are transcribed into non-coding RNAs (9). Based on their length, the non-coding RNAs are classified into two categories: short non-coding RNAs (<200 nucleotides), such as microRNAs (miRNAs), and long non-coding RNAs (lncRNAs) (>200 nucleotides) (10). Based on their genomic locations, lncRNAs are grouped as long intergenic lncRNAs (lincRNAs), intronic sense lncRNAs and antisense lncRNAs. The biogenisis of messenger RNAs (mRNAs) and lncRNAs are the same for instance, lncRNAs also include transcripts derived from primary RNA polymerase II transcription (11). They are generally known as unconventional lncRNAs (12). Besides, different isoforms of lncRNA arise from the synonymous locus due to the fact that lncRNAs can also be free of alternative cleavage, splicing and polyadenylation (13)(14)(15).
The stabilization and maturation of such lncRNAs by RNase P generates a triple helix structured lncRNA with matured 3 ′ terminal carrying U-A-U sequence (16,17). In order to prevent exonucleolytic deterioration, lncRNAs also forms circular closed structures through covalent bonding (18,19).
Up until now, the significant role played by lncRNAs in regulating gene expression was unexplored. However, recent advancement in lncRNA research has reported that their involvement in diverse aspects of gene regulation in various cellular and biological processes is the root cause of various pathogenesis. LncRNA can influence the genetic information, for instance, transcription, mRNA availability, and stability, splicing, modulation of chromosomal structures and post-translational modifications (10). They carry out their regulatory functions through specific interactive domains for proteins, mRNAs, miRNAs, and DNA based on the secondary structures and sequences. They accomplish their function by acting as scaffolds, decoys, guides or signals (33).
Although lncRNAs coordinate several pathological events, their dysregulation causes severe pathologies. Various lncRNAs have been reported in the pathogenesis of inflammatory diseases such as arthritis, viral infections, intestinal disorders for instance celiac disease and breast cancer. They suppress or enhance the inflammatory responses in a gene dependent and timedependent manner. Emerging shreds of evidence suggest that lncRNAs have critical involvement in the regulation of the immune system and the advancement of autoimmunity. Their expression in various immune cells such as macrophages, T lymphocytes, neutrophils, B lymphocytes, NK cells, and dendritic cells shows their importance in immune system maintenance. Reports suggest that lncRNAs are also involved in the differentiation and activation of these immune cells (33).
Keeping in view the emerging affirmation about the critical role played by lncRNAs in immune responses, in this review, we try to explore the involvement of lncRNA in regulating the activation and suppression of the NLRP3 inflammasome. We also provide the mode of action for how lncRNA regulates the NLRP3 inflammasome and drugs used to modify the function of lncRNAs in relation to the NLRP3 inflammasome. This is the first attempt being made so far to provide a consolidated review on the contribution of lncRNAs in managing the most important inflammatory machinery, the NLRP3 inflammasome.

Role of LncRNAs in the Development of Immune Cells
The role of lncRNA in molding the immune response is grabbing the attention of researchers globally. Numerous studies put forth the fact that lncRNAs provide profound contribution in the immune cell lineage distribution and commitment (34). Myeloid cells comprising macrophage, monocytes and dendritic cells (DCs) and lymphoid cells comprising natural killer cells (NK cells), T cells and B cells are the two main classes of immune cells that are responsible for molding an immune response. The expression status of various lncRNA is associated with the growth, activation and differentiation of immune cells. Although lncRNAs linked to immune cell differentiation has been discovered, their complete functional profile is not yet elucidated. Based on the inflammatory conditions, lncRNAs has the potential to polarize the immune cells. Proper and in dept understanding of the influence of lncRNA in the differentiation and maturation of these immune cells provides us the benefit of exploiting the lncRNA regulatory potential in designing novel therapeutics and diagnostics. A detailed review on the roles of different lncRNAs in the immune cell differentiation has been explained elsewhere (34)(35)(36)(37)(38). In this review, we describe briefly the role of major NLRP3 inflammasome regulating lncRNAs in activation and differentiation of various myeloid and lymphoid cells (Figure 1).

LncRNAs IN NLRP3 INFLAMMASOME REGULATION
The role of lncRNAs in maintaining immune system homeostasis has largely been unrecognized. NLRP3 inflammasome machinery is critical to defending host cells from foreign infections. However, their unregulated activity results in life-threatening disease conditions as explained in Supplementary Table 1. In the following sections, we discuss the significant role of lncRNAs in regulating the activity of NLRP3 inflammasome under various conditions. Figure 2 describes the contribution of lncRNA in the activation and repression of NLRP3 inflammasome under multiple stimuli. Supplementary Table 2 provides a summary of lncRNAs regulating NLRP3 inflammasome activity.

Positive Regulation of the NLRP3 Inflammasome by LncRNAs
LncRNA NEAT-1 The lncRNA NEAT-1 (nuclear enriched abundant transcript 1) is a nuclear lncRNA composed of transcripts with mainly two isoforms namely, NEAT1v2 of 23 kb and NEAT1v1 of 37 kb. These two isoforms of NEAT 1 are important requirements for the formation of nuclear paraspeckle and assist in their interaction with other paraspeckles proteins (39). NEAT 1 conciliate gene expression by transcription factor recruitment, sequestration, gene expression alteration and amending RNA splicing by interacting with RNA binding proteins (RBP) (40)(41)(42)(43)(44)(45). The significant contribution of NEAT 1 in various neurodegenerative diseases, multiple viral infections and immune responses has been reported recently. Various studies also suggested major NEAT-1 dysregulation as the driving force for various disease progressions (46,47). The link between lncRNA NEAT-1 and NLRP3 inflammasome behind multiple inflammatory responses started to unravel in the recent years. Zhang et al. reported that lncRNA NEAT-1 (nuclear enriched abundant transcript 1) positively regulated the NLRP3 inflammasome assembly and cytokine production. In their study, they identified that NEAT-1 promoted the assembly of the NLRP3 inflammasome and pro-caspase-1 processing in mouse macrophages by stabilizing the mature caspase-1 heterotetramers that assisted and promoted the processing of pro-IL-1β to mature IL-1β thereby causing pyroptosis. The authors observed that NEAT-1 interacted with the p20 domain of caspase-1 and promoted the assembly of NLRP3 inflammasome in IL-6 independent manner. NEAT-1 upregulation was also reported in cases where hypoxic conditions prevailed. Thus, NEAT-1 was also found to have an influence on NLRP3 inflammasome activation during hypoxia. More compelling evidence on the role of NEAT-1 on the NLRP3 inflammasome activation surfaced in 2019 where NEAT-1 deficiency in peritonitis and pneumonia mouse models dramatically reduced the inflammatory responses.
Zhang et al. also demonstrated that knockdown of NEAT-1 led to a prominent reduction in the ASC oligomerization thereby impairing the NLRP3 inflammasome assembly. NEAT-1 also interfered in the Mitogen activated protein kinase (MAPK) signaling pathway and regulated the expression of chemokines and cytokines such as CXCL-10 and IL-6. In the same study, Zhang et al. reported that the stimulating factors for NEAT-1 coincided with the stimuli that activated NLRP3 inflammasome, for instance, ROS, hypoxia-inducible factors (HIFs), viral infections and tumor suppressor p53 (48). LncRNA NEAT-1 activates extracellular signal regulated kinase (ERK)/MAPK pathway in nucleus pulposus cells (NPCs) and induces the degradation of extracellular matrix (ECM) (49,50). Xia et al. also reported the role of NEAT-1 in regulating the inflammatory cytokine expression including IL-1β, TNFα and IL-6. Their study revealed that NEAT-1 significantly contributed in developing neuro pain through inflammatory cytokine expression in rat study model with chronic constriction injury (51). NEAT-1 also plays substantial role in tumor development and proliferation of cells (52) In another study, Zhang et al. demonstrated that the expression of NEAT-1 was enhanced by 1.7-folds in dendritic cells (DCs) when stimulated with LPS for 24 h, and this effect was depending on TLR4-LPS interaction. Notably, NEAT-1 expression remained unchanged after stimulation of DCs with a series of ligands for TLR2, TLR3, TLR7, and TLR8 (53). It is well known that lncRNAs plays a crucial role in the activation and development of DCs (53). During chronic infections, the effective role of NLRP3 is significant for the development of CD11b+ DCs (54). Influenza A virus induced IL-1β and IL-18 secretion through the NLRP3 inflammasome in DCs (55). However, the involvement of NLRP3 inflammasome in tolerogenic DCs is a new area that started gaining more attention recently.
In the study, they determined that tolerogenic DCs were induced by the absence of NEAT-1. The ability of NEAT-1 to induce tolerogenic DC was confirmed by its knockdown in DCs. Such cells showed markedly reduced expression of costimulatory CD80, CD86, and MHC-II, reduced proliferation of T-cells, reduced the secretion of inflammatory cytokines IL-12, IL-17A, IL-1β, and IL-6 and increased number of Treg cells (53).
Tolerance in DC was promoted by the absence of NEAT-1 via regulating the NLRP3/IL-1β axis. NEAT-1 induced the expression of nlrp3 mRNA and protein. The expression levels of NEAT-1 was found to negatively correlate with the expression levels of miRNA, miR-3076-3p. NEAT-1 and NLRP3 was observed to be the direct targets of miR-3076-3p. The expression of nlrp3 mRNA and protein was observed to be reversed by the introduction of miR-3076-3p mimic (53).
It was observed that NEAT-1 sponged miR-3076-3p, inhibited their activity and acted as a ceRNA to modulate the NLRP3 expression. In murine models, NEAT-1 deficient DCs showed reduced inflammatory cell infiltration, decreased proliferation of T-cells and enhanced Treg cells (53).

LncRNA MALAT-1
LncRNA MALAT-1 (metastasis-associated lung adenocarcinoma transcript-1) is very well known for its functional and therapeutic  competence. It is a highly conserved nuclear lncRNA that is confined to the nuclear speckles abundantly. One of the major functions of lncRNA MALAT-1 is to interact with the spliceosomal proteins (30,56). With the half-life of 9-12 h and 3 ′ triple helix structure, MALAT-1 is the longest lncRNA. They are transcriptionally induced by several hormones and growth factors (57)(58)(59)(60). LncRNA MALAT-1 also has a profound effect on NLRP3 inflammasome. Yu  influence of lncRNA MALAT-1 on NLRP3 inflammasome expression in myocardial ischemia reperfusion injury (61). The mechanism by which lncRNA MALAT-1 exerts its influence on NLRP3 inflammasome expression is by acting as a competing endogenous RNA to sponge the inhibitory micro RNAs from inactivating the NLRP3 inflammasome for instance miR-133 and miR-203.
The association of lncRNA MALAT-1 with NLRP3 inflammasome was also successfully studied by Li et al. In their study, an enhanced expression of MALAT-1 was observed in macrophages obtained from diabetic mellitus and diabetic atherosclerotic rats (62). The involvement of MALAT-1 in the cell pyroptosis in the case of diabetic animals was reported by Han et al. (63). Their study demonstrated that overexpression of MALAT-1 improved the cell pyroptosis process, while knockdown of MALAT-1 significantly reduced the cell pyroptosis in macrophages (63). MALAT-1 assisted in enhanced expression of the NLRP3 inflammasome by sponging the miRNA, miR-23C. By sponging miR-23C, MALAT-1 prevented its inhibitory action on the target gene, ELAV1 (embryonic lethal abnormal vision-like 1). ELAV1 is an upstream gene associated with the NLRP3 inflammasome (63).

LncRNA COX-2
LncRNA COX-2 (cyclooxygenase-2) acquired its name due to its location with respect to the cyclooxygenase-2 gene. It is situated upstream 51 kb from the cyclooxygenase−2 gene. Recently there are various reports strongly suggesting the role of lncRNA COX-2 in diverse inflammatory activities and responses (64). Toll like receptors (TLRs) play a profound role in inducing lncRNA COX-2 to activate and inhibit various immune moldulatory genes (65).
In a study conducted by Xue et al. it was reported that lincRNA COX-2 also positively modulated the expression of NLRP3 and the adaptor protein ASC (66). Guttman et al. discovered that lincRNA COX-2 is situated at 51 kb upstream of Cox-2, the protein-coding gene (67). The TLR4 stimulation in CD11c+ bone marrow derived dendritic cells (BMDCs) induced 1,000-fold increase in the expression of lincRNA COX-2 (67). In bone marrow derived macrophages (BMDMs), TLR2 stimulation induced lincRNA COX-2 expression via MyD88 in NF-kB dependent manner (68).
Previously, it was reported that lincRNA COX-2 assists in the expression as well as repression of various immune genes in innate immune cells. However, Xue et al. managed to unravel the relation of lincRNA COX-2 with elevated expression of NLRP3 inflammasome and its associated proteins (66). LincRNA COX-2 assisted in enhancing the transcription of inflammatory genes by promoting the nuclear translocation of NF-κB p65. The translocation of these transcription factors into the nucleus led to the expression of NLRP3 inflammasome associated proteins (66). In macrophages and microglial cells, lincRNA COX-2 deficiency reduced the expression of NLRP3 protein and IL-1β secretion, whereas it enhanced the TRIF mediated autophagy (66). Autophagy removed damaged mitochondria that activated the NLRP3 inflammasome (66). TRIF cleavage is a crucial process that contributed to autophagy and is mediated by active caspase-1. Xue and co-workers showed that knockdown of lincRNA COX-2 reduced the expression of active caspase-1 and thus reduced the TRIF cleavage thereby promoting autophagy (66).

LncRNA ANRIL
Being at p21.3 in the CDKN2A/B human locus, the gene cluster containing lncRNA ANRIL (antisense non-coding RNA in the INK locus) also comprise three protein coding genes (69). RNA polymerase II transcription and tissue specific splicing results in various linear and circular isoforms of lncRNA ANRIL. The major functions of lncRNA ANRIL comprise interaction with histone modifiers especially polycomb repressive complex (PRC), sponging of microRNAs and assisting in RNA-RNA interaction. LncRNA ANRIL also has a profound effect on cellular adhesion, proliferation and apoptosis pathway (70)(71)(72)(73). Recently, several evidences have emerged linking lncRNA ANRIL and NLRP3 inflammasome.
In a study, Hu et al. demonstrated that lncRNA ANRIL positively influenced the expression of NLRP3 inflammasome. ANRIL is a 3.8 kb long non-coding RNA that is highly expressed in mammalian tissues and organs such as the liver and lungs (47,74). High levels of ANRIL expression was observed in the serum samples of uric acid nephropathy (UAN) patients as well as uric acid-treated tubular epithelial cells (HK-2). In these samples, the expression of ANRIL was elevated along with BRCA1 and BRCA2 containing complex subunit 3 (BRCC3). BRCC3 is reported to be a deubiquitinating enzyme that can reduce the level of NLRP3 protein ubiquitination thereby promoting the activation of NLRP3 inflammasome (75). Hence, ubiquitination regulation is considered to be the molecular switch in the activation of the NLRP3 inflammasome. However, in the same serum samples of UAN patients, the level of miRNA, miR-122-5p was simultaneously observed to be low. Hu and co-workers demonstrated that lncRNA ANRIL and BRCC3 shared the same miRNA response element with miR-122-5p (76). It was proved that in UAN pathogenesis, lncRNA ANRIL sponged miR-122-5p thereby inhibiting the negative regulation of BRCC3 by miR-122-5p. Thus, ANRIL positively regulated the activation of NLRP3 inflammasome in UAN conditions by promoting the expression of BRCC3 (76). The influence of ANRIL in renal injury was understood through in vivo studies. In the UAN rat model, the absence of ANRIL resulted in the suppression of renal injury by exhibiting an anti-apoptosis effect (76).

LncRNA KCNQ10T1
LncRNA KCNQ10T1 (KCNQ1 overlapping transcript 1 or KCNQ1 opposite strand anti-sense transcript 1) is one of the functionally well characterized lncRNA that is located in the KCNQ1 locus in humans along with 8-10 protein coding genes. lncRNA KCNQ10T1 assist in gene regulation process that are crucial for development and growth prior birth (77). However, only few studies have been reported on the influence of lncRNA KCNQ10T1 on NLRP3 inflammasome regulation. Jin et al. demonstrated that lncRNA KCNQ10T1 promoted cataractogenesis by enhancing the expression of active caspase-1 (78). Within the Kcnq1 region, KCNQ10T1 modified the expression of imprinted genes in a tissue-specific manner. In cataract formation, imprinted genes positively regulated the process of apoptosis (78). In cataract lens anterior capsule tissue samples and H 2 O 2 treated SRA01/04 cells the expression of lncRNA KCNQ10T1 and active caspase-1 was up-regulated while the expression of miRNA, miR-214 was down-regulated. The expression of KCNQ10T1 correlated with the expression of caspase-1. Jin et al. further determined that KNCQ10T1 and caspase-1-3 ′ UTR shared the same binding region with the miRNA, miR-214. In this study, it was established that the functional target of lncRNA KNCQ10T1 was miR-214 whereas the downstream target of miR-214 was caspase-1 (78). During cataract formation, the lncRNA KCNQ10T1 acted as a competing endogenous miRNA (ceRNA) sponge to miR-214 and interactively suppressed its inhibitory action on caspase-1. KCNQ10T1 subsequently promoted the activation of caspase-1 thereby causing pyroptosis (78). Although, evidences support the positive influence of lncRNA KCNQ10T1 on the activation of NLRP3 inflammasome, more studies needs to be performed to understand their contribution in various inflammatory diseases involving the NLRP3 inflammasome in detail.

LncRNA Gm4419
LncRNA GM4419 is known to promote diabetic nephropathy and cardiac diseases (79). In cerebral oxygenglucose deprived/reoxygenation (OGD/R) condition, neuroinflammation is a prominent feature. Wen et al. reported that lncRNA Gm4419 played a significant role in the activation and progression of neuroinflammation during cerebral OGD/R (80). In microglial cells treated with OGD/R, the expression of Gm4419 was up-regulated along with inflammatory cytokines such as TNFα, IL-1β, and IL-6. NF-kB signaling cascade is crucial for inflammation (80). Gm4419 promoted NF-kB activation during neuroinflammation in microglial cells by assisting the nuclear translocation of the transcription factors p65 and p50. The lncRNA Gm4419 physically associated with IkBα and promoted its phosphorylation. This enhanced the availability of nuclear NF-kB for the transcriptional activation of inflammatory cytokines. Wen et al. also demonstrated that deficiency of Gm4419 contributed to NF-kB inhibition in OGD/R microglial cells (80). Similar effects of lncRNA Gm4419 on the activation of NLRP3 inflammasome during the progression of diabetic nephropathy (DN) were reported by Yi et al. (81). In their study, it was shown that the absence of Gm4419 reduced mesangial cell (MC) proliferation, pro-inflammatory cytokines, and renal fibrosis marker expression even in the presence of a high concentration of glucose. However, the overexpression of Gm4419 reversed these effects in MCs even in the presence of low glucose levels. Gm4419 interacted directly with p50, a subunit of NF-kB that interacted with NLRP3 inflammasome in MCs and promoted the progression of DN (81).

LncRNA MEG-3
LncRNA MEG 3 (maternally imprinted gene 3) is a pituitary cell expressed gene that is maternally imprinted. One of the mechanism by which lncRNA MEG 3 executes its function is by modifying the pathway of p53 (77). LncRNA MEG 3 enhances the protein expression of p53 by protecting it from spontaneous degradation mediated by the ubiquitin proteasome. lncRNA MEG 3 assist in the suppression of MDM2, an E3 ubiquitin liagase thereby blocking the ubiquitination of p53. This in turn encourages the interaction of p53 and target promoters thereby enhancing p53 dependent processes (82,83). The link between lncRNA MEG 3 and NLRP3 inflammasome in various inflammatory conditions started emerging in recent years.
Atherosclerosis (AS) is an inflammatory disease caused by the pyroptosis of aortic endothelial cells. Zhang et al. reported that during AS in human aortic endothelial cell (HAECs) samples, the protein expression of NLRP3, ASC and inflammatory cytokines were relatively high (84). In the same samples, Zhang et al. also observed an up-regulated expression of lncRNA MEG-3 and down-regulated expression of the miRNA, miR-223. MEG-3 is a maternally imprinted lncRNA (84). The study indicated that the lncRNA MEG3 positively influenced NLRP3 inflammasome induced pyroptosis in HAECs during AS. MEG3 functioned as a ceRNA sponge and suppressed the inhibitory activity of miR-223 on NLRP3 inflammasome activation based on sequence complementarity (84). The segment spanning 498-518 in the MEG3 sequence was determined as the core region that interacted with miRNA, miR-223 and sponged its function.
The study also showed that miR-223 overexpression evidently suppressed the pyroptosis of HAECs and the effect of miR-223 on pyroptosis was reversed by the overexpression of lncRNA MEG3 (84).

LncRNA EPS
LncRNA EPS (erythroid prosurvival) is a long intergenic mammalian RNA that was identified in the year 2011. They are mainly associated with erythroid differentiation (85). Besides, they are also known to play a significant role in regulating the immune response gene transcription and positioning of nucleosome. Although they are abundantly expressed, their expression is significantly downregulated by LPS, the microbial ligand (86). Recently, various reports are surfacing in support of the role of lncRNA EPS as a host defense system during infections (87). LncRNA EPS is expressed in macrophage cells to regulate the expression of immune response genes (IRGs). Zhang et al. reported that lncRNA EPS was highly expressed in resting BMDMs while in TLR2 stimulated BMDMs, their expression was significantly down-regulated (84). The RNA levels of cytokines and chemokines such as Cxcl19, Cxcl0, Tnfsf10, Tnfsf8, IL-27, interferon-stimulated genes (ISGs) including Ifit2, Rsad2, Oasl1, and guanylate-binding protein (GBP) family members were altered with LPS stimulation in a time-dependent manner. Thus, lncRNA EPS executed strict control over IRG expression in a temporal manner (84).
The ectopic expression of lncRNA EPS on EPS deficient BMDMs curtailed the expression of IRGs which indicated the possibility of lncRNA EPS as a negative regulator of inflammation in macrophage cells (88). Microbial infections, endogenous danger signals, and environmental toxins lead to the activation of the NLRP3 inflammasome (89). LncRNA EPS expressing BMDMs exhibited impaired expression of IL-1β (88). Using the immunoblotting technique the authors showed that the level of ASC was significantly reduced in EPS expressing BMDMs compared to the control cells whereas the levels of pro-IL-1β, nlrp3, and pro-caspase-1 remained the same. LncRNA EPS regulated the expression of the pro-apoptotic gene, pycard that encoded the protein ASC (apoptosis-associated speck-like protein containing CARD) (88). ASC is a critical adaptor protein necessary for NLRP3 inflammasome assembly following its activation (85). Hence, lncRNA EPS negatively regulated the activation of NLRP3 inflammasome in unstimulated macrophage cells by suppressing the expression of the adaptor protein, ASC (88).

LncRNA Gm15441
LncRNA GM15441 is a transcript enriched in the liver that is suppressed during the progression of various metabolic diseases (90). They are mainly induced during the transition from feeding to fasting. LncRNA GM15441 imbricates Txnip gene. Due to this reason, the lncRNA GM15441 play a crucial role in energy consumption and metabolism (91,92). The contribution of lncRNA GM15441 in regulating the NLRP3 inflammasome machinery in major metabolic disorders would be an interesting platform to explore. Recently, their involvement in NLRP3 inflammasome regulation has also been reported. Brocker et al. demonstrated that the induction of lncRNA Gm15441 attenuated the activation of hepatic NLRP3 inflammasome during metabolic stress through nuclear receptor peroxisome proliferator-activated receptor alpha (PPARA) (93). The process of fasting improves immunity by suppressing inflammation (93). Brocker et al. unraveled the molecular events that inhibited inflammation during restricted calorie intake. The PPARA plays a significant role during fasting by enhancing the consumption of lipids as an alternative energy source (93). The process of fasting activates PPARA which directly enhances the expression of lncRNA Gm15441. The lncRNA Gm15441 further restricts the expression of its antisense transcript, thioredoxin interacting protein (TXNIP). During oxidative and endoplasmic reticulum stress, TXNIP plays a critical role in inflammation by assisting in increasing the intracellular content of reactive oxygen species (ROS) (94)(95)(96). ROS is a well-known inducer and activator of the NLRP3 inflammasome. Thus, the suppression of TXNIP by lncRNA Gm15144 prevents the activation of NLRP3 inflammasome which in turn inhibits active caspase-1 generation and secretion of mature IL-1β, thereby preventing inflammation during fasting. The introduction of PPARA agonist to the Gm15441 knockout mouse model resulted in elevated expression of TXNIP, active caspase-1 as well as active IL-1β. This indicated that lncRNA Gm15441 is a significant negative regulator of the NLRP3 inflammasome by suppressing TXNIP (93).

LncRNA XIST
In mammals, lncRNA XIST (X inactivate-specific transcript) regulates the inactivation of X-chromosome. They also maintain the genome, monitors cancer cell differentiation and proliferation (97). LncRNA XIST functions as an oncogene and is de regulated in numerous non-sex linked tumors (98). Till date, their role in the progression and development of various types of cancers has been explored well (99)(100)(101). However, their association with NLRP3 inflammasome still needs to be elucidated. LncRNA XIST has been reported to play a critical role in the regulation of the NF-kB/NLRP3 inflammasome pathway in a negative manner during inflammation in bovine mammary epithelial cells (102). In the studies conducted by Ma et al. in bovine mastitic tissues and bovine mammary alveolar cell-T (MAC-T) cell models, up-regulated expression of lncRNA XIST was reported (102). Bovine mastitis or mammary gland inflammation is caused by the activated NF-κB which controls the cell proliferation, generation of inflammatory cytokines, for instance, TNF-α, IL-1β, IL-8, IL-6 and cell apoptosis (103,104). The characteristic features of bovine mastitis include altered cell proliferation and migration (105), cell death, cytokine production (106), etc. It is a well-established fact that NF-kB is an upstream activator of the NLRP3 inflammasome. Ma et al. studies demonstrated that the inducing factors of the bovine mastitic conditions such as E. coli and S. aureus infections can, in fact, activate NLRP3 inflammasome and can successfully cause the related inflammatory responses (102).
In the bovine mastitis induced cell models, the expression levels of TNF-α, IL-1β, and IL-6 was also up-regulated along with lncRNA XIST (102). Gene silencing studies in inflammatory MAC-T cells resulted in reduced cell proliferation and elevated cell apoptosis in the absence of lncRNA XIST. The absence of XIST significantly enhanced the activation of NF-kB by promoting the phosphorylation of p65 and IkB as well as nuclear transport of the p65 subunit. Hence, lncRNA XIST suppressed NF-kB activation in inflammatory MAC-T cells (102). In addition, the silencing of XIST also increased the mRNA and protein levels of nlrp3, ASC, caspase-1, IL-18 and IL-1β in bacterial infection-induced inflammatory MAC-T cells. The administration of NF-kB signaling cascade inhibitor, BAY 11-7082 in MAC-T cells significantly reduced the transcriptional activation of lncRNA XIST. Hence, it can be concluded that the expression of lncRNA XIST during bovine mastitis is caused by the activation of NF-kB and lncRNA XIST negatively regulated the expression of NLRP3 inflammasome to prevent excessive inflammation in bovine mastitis (102).

Mechanism of NLRP3 Regulation by lncRNA
LncRNAs are non-protein coding transcripts that exhibit specific regulatory functions, especially during inflammatory responses (21). LncRNAs control the gene expression of neighboring inflammatory protein-coding genes and thus contribute to the total inflammatory mRNA and protein concentration of the cell. LncRNAs have specific domains that can identify and interact with the target proteins and nucleic acid through complementary base pairing (21). This particular structural feature allows a single lncRNA molecule to connect with macromolecules of great diversity. The interaction of lncRNAs with the target proteins is mediated by ribonucleoprotein complexes (21). LncRNAs execute their regulation on inflammatory gene expression from various locations as they are localized within the cytoplasm, mitochondria, nucleus and nucleolus (107,108). The localization of lncRNAs depends on the signature of the motifs for instance, Alu related sequences, protein signal peptides and nuclear-restricted lncRNA BMP/OP responsive gene (BORG) (109,110). Besides localization, the secondary and tertiary structural configurations of lncRNAs are also significant for their mechanism of action (111). Each of these factors is described in detail in the following section.

Regulation at the nucleus
LncRNAs are less conserved evolutionarily, not highly abundant and comprise fewer exons. All these features make lncRNAs different from mRNAs. Due to their high susceptibility to exosomal degradation on chromatin, inefficient polyadenylation and splicing, lncRNAs are mostly localized in the nucleus and they function as important nuclear organizers (9). The nuclear export of lncRNAs is prevented by the presence of cis-elements that are closely associated with nuclear proteins. A primatespecific short interspersed nuclear element (SINE) which is a Crich sequence obtained from the Alu elements actively encourage the nuclear retention of lncRNAs by promoting the interaction with HNRNPK, a nuclear matrix protein. In some cases, the abnormal biogenesis pathways and the presence of specific ciselements cause the nuclear accumulation of lncRNAs which has atypical forms (9).
LncRNAs exert nuclear level regulation on NLRP3 inflammasome activation and the proceeding inflammatory responses in three levels (9). Firstly, they regulate the chromatin architecture and remodeling of inflammatory genes. Secondly, they regulate the transcription process of the inflammatory genes. Thirdly, they exert regulation post the transcription of inflammatory genes (9) (Figure 3). The general ways by which lncRNAs execute the regulation of NLRP3 inflammasome is shown in Figure 4.

Chromatin architecture modification
The highly organized interphase chromosomes provide an excellent platform for the lncRNAs to achieve NLRP3 inflammasome associated gene transcriptional regulation at different levels. The lncRNAs regulate the architecture of the chromosomes (112). The negative regulation of NLRP3 inflammasome by lncRNA XIST has been discussed in the previous section. LncRNA XIST regulates the expression of NLRP3 inflammasome at the chromatin level. Systemic Lupus Erythematosus (SLE) is an inflammatory condition that falls under category of autoimmune disorders. Yang et al. reported that the NLRP3 inflammasome activation and associated cytokine production are highly elevated in the macrophage cells of SLE patients (112). Strickland et al., reported the importance of proper X-chromosome inactivation in females and linked the X-chromosome abnormal inactivation with the high prevalence of SLE in females (113). Strickland and co-workers explained that there is an epigenetic event that silences most of the genes in one of the two X-chromosomes in females. The silenced genes may include DNA methylation, trimethylation, ubiquitylation, and histone deacetylation. However, during some instances, DNA methylation causes the abnormal activation of immune response-related genes in the X-chromosome which is supposed to be epigenetically inactivated. This induces SLE in females (9). LncRNA XIST plays a significant role in the X-chromosome inactivation in female mammals. The lncRNA XIST is transcribed from the X-chromosome which is supposed to be inactivated and their location is restricted across the entire X-chromosome. In order to achieve the stable silencing of the majority of X-chromosome, lncRNA XIST initiates series of signaling events that result in chromosome remodeling. The chromosomal condensation leads to the formation of heterochromatin Barr body of the inactivated X-chromosome which is localized to the nuclear lamina (9). LncRNA XIST is closely associated with the lamin-B-receptors in the nuclear lamina. Studies show that the disruption of lamin B receptor and lncRNA XIST interaction results in the impaired localization of inactivated X-chromosome followed by improper inactivation of the X-chromosome. This causes elevated expression of immune response genes due to DNA methylation which culminates in the activation of NLRP3 inflammasome and associated events in the case of SLE. In this way, lncRNA XIST modulates the chromosome architecture by recruiting the X-chromosome to the nuclear lamina which constrains the mobility of the chromosome. This facilitates the movement of lncRNA XIST and the assisting silencing protein complexes across the X-chromosome (9).

Inter chromosome and intra chromosomal interaction modification
The lncRNAs control the interchromosomal and intrachromosomal interactions to regulate the activation and expression of NLRP3 inflammasome associated genes. LncRNA functional intergenic repeating RNA elements (FIRRE) are transcribed from the X-chromosome and it interacts with the hnRNPU via its 156 repeating nucleotide motifs. Zhang et al. reported the upregulated expression of lncRNA FIRRE in the case of ischemic stroke in cerebral microglial cells through the activation of multiple inflammatory factors (114). The authors demonstrated that the upregulation of lncRNA FIRRE leads to the activation of NF-kB which activated the downstream signaling cascade that finally resulted in the activation of NLRP3 inflammasome (114). In the studies performed by Yao et al. it was shown that the lncRNA FIRRE accumulated near its transcription site (9). Using genome-wide mapping and RNA anti-sense purification in mouse embryonic stem cells, it was analyzed that lncRNA FIRRE established trans chromosomal contacts with additional five autosomal chromosomal loci and modulated the interchromosomal interactions to activate NLRP3 inflammasome by functioning as a scaffold (9).
The lncRNA colorectal cancer associated transcript-1 (CCAT-1) regulates the intra chromatin enhancer-promoter loops (115). In the upstream of the human MYC gene, colorectal cancer-specific super-enhancer is the transcription origin of lncRNA CCAT-1. The major function of lncRNA CCAT-1 is to promote the oncogenic activity and transcription of the MYC gene. Following the accumulation of lncRNA CCAT-1 at the transcription site, they interact with the CCCTC binding  (115). In this study, the authors showed that the activation of NLRP3 inflammasome in lymphoma is caused due to the upregulated expression of the oncogenic MYC gene and their expression is regulated at the nuclear level by lncRNA CCAT-1 (115).
Several studies also reported that the absence of lncRNAs causes unsuccessful gene silencing (124)(125)(126)(127). This emphasizes the importance of lncRNAs in navigating PRCs toward specific target site to perform their silencing. The target gene specificity of PRCs is determined by the type of lncRNA they associate with. For instance, the association of PRCs with lncRNA HOTAIR helps in targeting the locus HOXD (125) while, the interaction of PRC with lncRNA KCNQ10T1 targets the clusters in kcnq1 (128). In another study, it was shown that interaction of lncRNA XIST with PRC target X-chromosome for histone modification (126). Although, PRCs can complex with various lncRNAs, further detailed molecular studies are required to understand in depth about their interacting domains specificity.
The ability of lncRNAs to modify histone and chromatin structure are utmost important in regulating gene expression associated with NLRP3 inflammasome during various inflammatory conditions. In SLE, extensive activation of NLRP3 inflammasome is reported. This is caused due to the accidental expression of the immune genes in the inactivated Xchromosome (9). LncRNA XIST is involved in the establishment of a repressive chromatin state across the X-chromosome that has to be inactivated by recruiting the chromatin modifiers. The transcribed lncRNA XIST interacts with hnRNPU and CIZI and remains closely associated with the X-chromosome that has to be inactivated. Further, this lncRNA directly recruits PRC2 components and assist their deposition at H3K27me3. LncRNA XIST mediates the stepwise recruitment of chromatin modifiers to the X-chromosome to inactivate them. The 4 Kb region present in the downstream of exon-1 of lncRNA XIST interacts with the non-canonical polycomb group RING finger 3/5 (PCGF 3/5)-PRC-1 complex (9). This allows the ubiquitylation of H2AK119u1 followed by the recruitment of other PRC1 complexes and PRC2.
The elevated expression of lncRNA HOX Transcript Antisense Intergenic RNA (HOTAIR) has been reported in the macrophages stimulated with LPS (129). Obaid et al. reported that the lncRNA HOTAIR interacts with the chromatin modifiers such as histone methylase (EZHZ) containing PRC2 complex and histone H3K4 demethylase (LSD1). LncRNA HOTAIR also interacts with PRCs to silence various inflammatory genes (125). They facilitate the gene suppression by recruiting LSD1 and PRC2 to the target genes (129). The lncRNAs have tremendous potential to modify the histones to regulate the expression of inflammatory genes. Tong et al. reported the role of lncRNA COX-2 in regulating gene expression through histone modification. The authors showed that lincRNA COX-2 expression in TNF-α stimulated intestinal epithelial cells, suppressed the expression of Il12b by recruiting the nucleasome remodeling and deacetylase repressor complex, Mi-2-NuRD at Il12b gene promoter region. Tong et al. further noted that lincRNA COX-2 assisted in histone modification epigenetically by reducing the methylation of H3K27 and enhancing the acetylation of H3K27 and H3K9. Their study also demonstrated that the histone modification events at Il12b gene promoter were attenuated by the knockdown of lincRNA COX-2 (117).
Once lincRNA COX-2 is induced in macrophages upon LPS stimulation, they are assembled on switch/sucrose nonfermentable (SW1/SNF) complex. In this way lincRNA COX-2 assist in chromatin remodeling and modulate the primary response gene transcription process when the cells encounter a microbial attack or when cells are stimulated with LPS (118). In a study, Pandey et al. reported the interaction of G9a HMT with PRC2 and lncRNA KCNQ10T1 (128). Similarly, Terranova et al. observed that PRC1/2 complex members and lncRNA KCNQ10T1 shared close proximity (130). Imprinting studies performed on mouse extra embryonic placental tissues revealed PRC2-G9a HMT induced repression on histones, K3K9me3 and H3K27me in kcnq1 and Igf2r imprinted gene clusters (128,131).
In many instances, the lncRNAs can restrict the recruitment of chromatin modifiers and inhibit the interaction between the specific DNA loci with the chromatin modifier. In such cases, the lncRNAs function as decoys (9). Several lncRNAs whose function has been explored as decoys have been reported, for instance, lncRNA Mhrt and lncRNA PRESS1 (9). However, the role of lncRNAs as decoys of chromatin modifiers in NLRP3 inflammasome regulation has to be explored further to conquer thorough understanding.

Interfering transcriptional events
In addition to the regulation on chromatin architecture, lncRNAs also regulate the expression of NLRP3 inflammasome and associated proteins at the transcription level (132). They form R-loop structures that assist in the recruitment of the respective transcription factors. R-loops are formed by the hybridization of RNA with the DNA duplex thereby forming a triple-stranded structure of nucleic acid (132). The R-loop structure secures the lncRNA in cis to the target gene thereby promoting the binding of transcription factors with the target gene promoter region. For instance, the transcription of lncRNA KHPS1 is in an antisense direction to that of the sphingosine kinase-1 (SPHK1) gene. SPHK1 is a proto-oncogene that catalyzes the phosphorylation of sphingosine to sphingosine-1-phosphate (132). Frevert et al. showed that the expression of SPHK1 enhanced the production of inflammatory cytokines CCL5 and CCL2 (132). However, studies reported that the expression of SPHK1 negatively regulated the expression of NLRP3 inflammasome and associated secretion of mature IL-1β by decreasing the availability of the DAMP, sphingosine. LncRNA KHPS1 plays a significant role in the activation of SPHK1 (132). The R-loop structure formed between the lncRNA KHPS1 and SPHK1 tethers KHPS1 in the upstream of the SPHK1 transcription start site (TSS). This recruits the histone acetyltransferases p300/CBP through lncRNA KHPS1 to the promoter region of SPHK1 thereby enhancing the chromatin accessibility for the binding of E2F1 (9). These events lead to the expression of SPHK1. Thus, lncRNA KHPS1 assists in the negative regulation of NLRP3 inflammasome by restricting the availability of sphingosine at the transcription level.
Another classical example of lncRNAs regulating the NLRP3 inflammasome expression in the transcription level is the expression of human gene vimentin (9). Vimentin is a type III intermediate filament protein that plays a critical role in intracellular architecture stabilization. Vimentin is also involved in enhanced cell invasion by improving cell migration (9). Santos et al. demonstrated the regulatory role of vimentin in the expression and activation of NLRP3 inflammasome (133). Vimentin assisted the build-up of NLRP3 inflammasome machinery as a scaffold and facilitated the maturation of IL-1β in pulmonary fibrosis and lung inflammation (133). Vim gene accommodates an anti-sense lncRNA VIM-AS1. Near the TSS of vimentin, an R-loop is formed by the lncRNA VIM-AS1 that promoted the transcription of vimentin by favoring the interaction between promoter and the transcription factor, NF-kB induced by local chromatin decondensation (9). Thus, lncRNA VIM-AS1 positively regulated vimentin expression which further promoted the NLRP3 inflammasome activation.
At the targeted gene loci, the lncRNAs interfere with the pol II transcription complexes to execute their control on the gene transcription (134). The lncRNAs impede with the Pol II complex and regulate the process of transcription elongation. The 7SK RNA is a pol III transcribed lncRNA that obstructs the pol IImediated elongation by binding to p-TEFb, a positive elongation factor (134). The interaction between lncRNA 7SK-RNA and p-TEFb reduces its kinase activity that is critical for the positive elongation process during transcription. p-TEFb is a positive regulator of NF-kB (134). Upon NF-kB activation, p-TEFb causes the phosphorylation of pol II that assists in the dissociation of DSIF from the TATA rich promoter region of the NF-kB target gene. This switches the fate of NF-kB from DSIF to p-TEFb. The activated NF-kB positively regulates the expression of numerous immune response genes including NLRP3, pro-IL-1β, and pro-caspase-1 (134). Hence, the lncRNA 7SK-RNA controls the availability and activation of p-TEFb which is necessary for the activation and expression of NF-kB dependent immune genes during inflammation.
The lncRNAs also regulate the pol I assisted transcription process (135). Pol I transcribes the ribosomal RNA (rRNA) from rDNA. rRNA is involved in the cellular protein synthesis that is important in various stages of cell growth processes. Several disorders with an unusual translational pattern are caused by uncontrolled pol I transcription (135). Several studies show that the functions of the ribosome when suppressed have the potential to activate the NLRP3 inflammasome (136). The inhibition of ribosomal translation triggers a stimulus for the activators of NLRP3 inflammasome. In addition, the suppressed translational process acts as a converging center for the signals released from pathogens, toxins and metabolic irregularities that trigger the activation of NLRP3 inflammasome and releases the mature IL-1β. Hence, regulated transcription of ribosomal components by pol I is highly necessary to ensure controlled inflammatory responses via NLRP3 inflammasome (136). The nucleolus localized lncRNA SLERT (snoRNA-ended lncRNA enhances preribosomal RNA transcription) regulates the function of pol I transcription machinery. Under demanding conditions, the lncRNA SLERT interacts with the RNA helicases DDX21, causing a conformational change in DDX21 that releases pol I from its inhibitory action. This enhances the pol I based transcription of rDNA. Thus, lncRNA SLERT indirectly regulates the activation of the NLRP3 inflammasome by repressing pol I from DDX21inhibitory action (136).

Interfering post-transcriptional events
LncRNAs regulate the expression of NLRP3 inflammasome associated genes at the post-transcriptional level as well. LncRNAs form membrane-less, dynamic nuclear bodies by forming complexes with proteins thereby controlling their coherence and functions (9). In the nuclear bodies, lncRNAs function as architectural and non-architectural RNAs to execute their function (9). Architectural lncRNAs act as the core of nuclear bodies by forming scaffolds. Nuclear bodies contain numerous paraspeckles that are formed and maintained predominantly by lncRNA NEAT 1. According to electron and structured illumination microscopic analysis, paraspeckles are spheroidally organized structures that are present in the interchromatin region which require the activity of both NEAT 1 and NEAT 2 (9). The inner core of the paraspeckles is made up of the middle region of NEAT 2 while the outer shell comprises the 5' end of NEAT 1 and both termini of NEAT 2. The stressinduced expression of lncRNA NEAT-1 dictates the morphology and count of the paraspeckles formed (9).
LncRNA NEAT-1 can regulate the activity of NLRP3 inflammasome in both nuclear and cytoplasmic levels. The cytoplasmic regulation of NLRP3 inflammasome by lncRNA NEAT-1 will be explained in the subsequent section. In the paraspeckles, lncRNA NEAT-1 sequesters >40 proteins, many of which have significant immune functions. For instance, the protein splicing factor proline/glutamine-rich (SFPQ) is sequestered in the paraspeckles. Hirose et al. showed that stress-induced expression of lncRNA NEAT-1 leads to specific protein sequestration in the paraspeckles to facilitate the target gene transcription (137). The inhibitory interaction of SFPQ with the target gene promoter is prevented by its sequestration in the paraspeckles. SFPQ inhibits the transcription and expression of IL-8 by binding to its promoter region and blocking its transcription (137). However, stress-induced expression of lncRNA NEAT-1 enhances the expression of IL-8 by relocating and binding SFPQ in the paraspeckles thereby facilitating the access of IL-8 promoter region to the transcription machinery (41,138). IL-8 is one of the inflammatory cytokines secreted by the active caspase-1targets, IL-1β and IL-18 (41,138). Thus, lncRNA NEAT-1 indirectly promotes the inflammatory environment prevailing in the host which is generated by the active NLRP3 inflammasome target cytokines, IL-1β and IL-18.
In the nuclear bodies, lncRNAs also contribute to the regulation of NLRP3 inflammasome activity in a nonarchitectural manner (9). As mentioned in section LncRNA MALAT-1, lncRNA MALAT-1 positively regulated the expression of NLRP3 inflammasome. In the nuclear bodies, the region with an abundance of pre-mRNA is called nuclear speckles. The mature lncRNA MALAT-1 is a stable 7,500 nucleotide triple helical structure containing a 61 nucleotide mascRNA (MALAT-1 associated small cytoplasmic RNA) which is formed after an RNase P mediated processing of its 3 ′ end (9). The periphery of the nuclear speckles contains small nuclear RNAs (snRNAs) and MALAT-1 whereas its central region comprises SON and SC35 proteins. In the nuclear speckles, the interaction of MALAT-1 with RNA exporting and RNA splicing SR proteins help them to execute their regulatory function by impacting the process of splicing. After being recruited to the nuclear speckles, MALAT-1 interacts with the pre-mRNAs that are alternatively spliced via a protein mediator. MALAT-1 promotes protein-protein, protein-DNA, and protein-RNA interaction by acting as a scaffold within the nuclear speckles (9).

Regulation at the cytoplasm
LncRNAs are also translocated into the cytoplasm to directly or indirectly regulate the activity of NLRP3 inflammasome. In the cytoplasm, they supervise the stability of mRNA, inflect the process of translation and intervene with the events of posttranslational modifications (PTMs) (Figure 3).

Modifying the mRNA stability
There are several ways by which lncRNAs regulate the stability of NLRP3 inflammasome associated mRNAs. They function as competitive endogenous RNAs (ceRNAs) and sponge the miRNA by competing for their binding sites (9). By sponging miRNAs, the ceRNAs derepresses the targets of miRNA (9). LncRNA Cyrano sponges the activity of miR-7 and releases the nlrp3 mRNA from its inhibitory effect (139). miR-7 inhibits the translation of nlrp3 protein by occupying the UTR domain of the nlrp3 mRNA. The 5' UTR and 3 ′ UTR regions play a significant role in the translation of mRNA (139). The termination of transcription and post-transcriptional gene expression heavily rely on the 3 ′ UTR region of an mRNA whereas 5' UTR is the leader sequence in which the first codon for translation is present (139). Hence, blocking the UTR region in an mRNA intervenes with the effective translation process. LncRNA Cyrano acts as a ceRNA and facilitates the tailing and trimming of the 3 ′ end of miR-7 which leads to miR-7 degradation (139). Thus, lncRNA Cyrano stabilizes the mRNA of nlrp3 and promotes the NLRP3 inflammasome mediated inflammatory action.
LncRNA NEAT-1 assists in the activation of NLRP3 inflammasome in mouse macrophages. They aid in NLR3 inflammasome assembly, processing and stabilization of caspase-1thereby promoting IL-1β triggered pyroptosis (48). Upon receiving NLRP3 inflammasome stimulating signals such as LPS and Nigercin, the nuclear paraspeckles containing lncRNA NEAT-1 is weakened and disrupted to export NEAT-1 to the cytoplasm. There they support the assembly of the NLRP3 inflammasome by colocalizing with the adaptor molecule ASC. They interact with caspase-1 p20 domain and stabilizes the (p20:p10)2 hetero-tetramer (48). Hence, lncRNA NEAT-1 exert their regulatory function on NLRP3 inflammasome dependent inflammatory responses in both nuclear and cytoplasmic level.
The lncRNA, non-coding RNA activated by DNA damage (NORAD) regulates mRNA stability by acting as molecular decoys (9). mRNA degradation occurs by the interaction of PUMILIO 1 and PUMILIO 2 (PUM1/2) protein with the 3 ′ UTR region of the target mRNA. This results in decapping and deadenylation of the target mRNA which ultimately hinders the translation process (9). During replication stress and DNA damage, lncRNA NORAD enhances the genomic stability by binding and sequestering PUM1/2 in the cytoplasm. This restricts their availability to degrade the target mRNAs (140). The targets of PUM1/2 are mainly mRNAs that are crucial for DNA replication, mitosis, and DNA damage repair. Numerous studies have reported the direct link between DNA damage and activation of NLRP3 inflammasome. The stimulation of NLRP3 inflammasome activity by DNA damage results in p53 activation and associated innate cell apoptosis (141). The study conducted by Chaudary and Lal sheds light on the effect of p53 activation in lncRNA NORAD (142). The authors reported the activation of several lncRNAs by p53 during DNA damage however; lncRNA NORAD is not a direct target of activated p53 (142). NLRP3 inflammasome promotes p53 mediated cell death by the annihilation of DNA repair (143). However, a direct relation between lncRNA NORAD and NLRP3 inflammasome activation during cell stress-induced DNA damage has not yet been explored.

Interfering translational events
LncRNAs do not exhibit translational capacity however; they are involved in regulating the process of translation (144). LncRNAs play crucial role in promoting mRNA translation of inflammatory genes. They can regulate immune gene expression at translational as well as post-translational levels. Direct interaction of lncRNAs with multiple proteins enables their regulatory function. They modulate mRNA translation by binding to the translation ignition complex (145). LncRNAs also significantly modulate post translational events including protein acetylation, phosphorylation and ubiquitination.
The protein production in a cell is always affected directly by the mRNA abundance. In general, the decay rate and transcription rate of mRNA indicates the mRNA abundance in the cell (145). Recently, several studies on lncRNAs have reported their potential role in executing mRNA decay (146). Besides mRNA decay, lncRNAs also regulate methylation and stability of mRNAs. The polypeptide coding and relocalization of proteins also comes under the influence of lncRNAs (146). The potential of lncRNAs to modulate translation and post translation events has been reviewed in detail elsewhere (145,147,148). To avoid redundancy, in this review we focus on lncRNAs ability to regulate translation of genes related to NLRP3 inflammasome.
The lncRNA MEG3 present in human chromosome 14q32.3 at locus Dlk1-Gtl2 plays important role in mRNA decay. The LC-MS and RNA pull down studies performed by Zhou et al. showed that lncRNA MEG3 regulates complete metabolism of mRNA by interacting with polypyrimidine tract binding protein 1 (PTBP1). The lncRNA bound PTBP1 binds to the mRNA small heterodimer partner (SHP) at the CDS region. This resulted in the decay of SHP mRNA (149,150). In another study, Yoon et al. showed that LincRNA-p21 binds to an RNA binding protein, HuR and inhibits its effective functioning in mRNA stabilization (144). The association of lincRNA-p21 and HuR triggers the entry of miRNA let-7 and the protein argonaute-2 (Ago-2) which synergistically acts on the lincRNA-p21-HuR complex and dissociates lincRNA p-21. The released lincRNA-p21 further binds and suppresses the translation of CTNNB1 and JUNB mRNAs via repressor Rck (144). JUN B is a transcription factor that plays a critical role in macrophage immune activation. In LPS activated macrophages, JUN B is required for the complete expression of the interleukin-1 family of cytokines (151). Hence, lincRNA-p21 alleviates IL-1β mediated inflammatory responses at the translational level and indirectly controls the NLRP3 inflammasome induced responses in the host.
Similar to their role in preventing translation, lncRNAs also play a vital role in promoting translation (152). LncRNA antisense to uchl 1 (AS-Uchl1) promotes the translation of Uchl1 (ubiquitin carboxyterminal hydrolase L1) mRNA by active polysome generation in the mRNA. Within the 5' terminus of Uchl1 mRNA, the presence of a 73 nucleotide region complementary to the SINE B2 region assists in enhancing the lncRNA AS-Uchl1 mediated translation process (152). Uchl1 protein is involved in neurodegeneration in mice model. NLRP3 inflammasome activation is a significant factor in the onset and progression of the neurodegenerative conditions (152). Although a direct relationship between lncRNA AS-Uchl1 and NLRP3 inflammasome has not been discovered so far, with the available resources until now, it can be said that lncRNA AS-Uchl1 indirectly assist NLRP3 inflammasome mediated development of the neurodegenerative condition in the translation level (152).
There are several lncRNAs regulating the events in posttranslation modification (PTM) to execute their function in various cellular processes such as DC differentiation and breast cancer metastasis reduction. However, only limited studies has been reported so far explaining lncRNAs regulatory action on NLRP3 inflamamsome via translation and PTMs. In conclusion, it can be stated that the versatile roles played by lncRNAs in regulating NLRP3 inflammasome activity mainly rely on their structure, interacting partners and subcellular localization.

NLRP3 INFLAMMASOME REGULATORS TAKING ADVANTAGE OF LncRNAs
NLRP3 inflammasome is a multicomponent inflammatory machinery that is mainly responsible for storming inflammatory cytokines. They are the most explored inflammasome mainly due to their ability to be activated by various stimuli (153). Gross et al. reported that recative oxygen species (ROS) can be a potent activator of NLRP3 inflammasome. Thioredoxin interacting protein (TXNIP) detects the difference in the concentration of ROS. Later, TXNIP dissociates from thioredoxin (TRX) to bind and activate NLRP3 inflammasome (154,155).
Another potential stimulus regulating the NLRP3 inflamamsome activation is adenosine tri phosphate (ATP). In one of the studies by Bartlett (160).
Lysosomal rupture can also act as a potential NLRP3 inflammasome activation regulator. Upon encounter with DAMPs and PAMPs, phagocytosis occurs and lysosomes loses their integrity. NLRP3 inflammasome is activated upon their interaction with cytoplasmic hydrolysed lysosomal components (161,162). Autophagy and mitochondrial autophagy are also important regulators of NLRP3 inflammasome. Yuan et al. reported that the dysfunction of Lysosome induced by CD38 knockout and inhibition of V-ATPase resulted in autophagy disorder which activated NLRP3 inflammasome (163).
Although various NLRP3 inflammasome regulators have been studied and reported, specific role of lncRNAs in assisting these regulators to activate and suppress NLRP3 inflammasome is still not completely explored. More studies are required to understand how lncRNAs are involved and utilized by these regulators to perform their functions. Supplementary Table 3 shows details on available lncRNAs influencing the regulators of NLRP3 inflammasome.

POTENTIAL DRUGS TARGETING LncRNAs INVOLVED IN THE NLRP3 INFLAMMASOME REGULATION
LncRNAs are non-coding RNAs that can regulate gene expression in diverse ways to execute cellular function. They carry out their role in gene expression modulation by interacting with various proteins, RNA and DNA counterparts. The abnormal presence of lncRNAs in various diseases and the emerging evidences on their functional implications in multiple biological pathways emphasizes the need to target them in modern medicine. Till date, lncRNAs are linked with multiple diseases and it is possible to target them as therapeutic strategy for instance, lncRNA H1F1A and MIAT during cardiovascular diseases (171), lncRNA HYMA1 and PINK1-AS during diabetes (172), lncRNA FMR4, HELLPAR, KCNQ10T1 and DBET during numerous genetic disorders (173), lncRNA TUNA, naPINK1, DISC2 and BACE1-AS for neurological disorders (174), lncRNA HOTAIR, H19, GAS5, MALAT-1 and XIST during various types of cancers and inflammatory conditions (175). During therapies, it is possible to target the complex structural residue formed between lncRNAs and the multi-component molecular structures (176).
Generally, there are several ways to target lncRNAs such as siRNA treatment (177), use of natural antisense transcript (NATs) (178), anti-sense oligonucleaotide (ASO) treatment (179), targeting lncRNAs with locked nucleic acid nucleotides (180), use of catalytic degraders for instance, ribozymes and deoxyribozymes (181), peptide aptamers (182), use of small molecule inhibitors that has the potential to mask lncRNA binding site (183), use of RNA destabilizing elements (RDEs) (184) and synthetic mimics (185). The role of each of these inhibitors in blocking the activity of lncRNAs are reviewed in detail elsewhere (176). In this review we focus mainly on the drugs that has the potential to control lncRNA function related to NLRP3 inflammasome involved inflammatory conditions. Long non-coding RNA is an emerging field of study and their involvement in inducing or inhibiting inflammatory responses via regulating NLRP3 inflammasome activity is not completely understood. Not only NLRP3 inflammasome inhibitors, but lncRNA regulators also prove as an attractive strategy to control NLRP3 inflammasome activity. Herbal derivatives or phytochemicals have been reported to be effective in regulating the activity of several lncRNAs in different types of cancers (186). However, lncRNA regulating phytochemicals directly affecting NLRP3 inflammasome activity has not yet been reported. Phytochemicals are components obtained from a variety of plants, vegetables, and fruits. They are non-nutritive, antioxidant, anti-inflammatory chemical constituents with reduced side effects. They are known to execute their function by altering several signaling pathways and by targeting specific molecular points (186).
The first report on NLRP3 inflammasome controlling lncRNA regulating compound was reported recently by Han et al. (63). In their study, the authors demonstrated the potential of sinapic acid (SA) in controlling the pyroptotic death of BMDMs in the inflammatory condition, diabetic atherosclerosis (DA) (63). Sinapic acid (4-hydroxy-3,5-two methoxy cinnamic acid) is abundantly available in Sinalbin and Yellow mustard seeds. SA is considered a potential Chinese medicine due to its anti-inflammatory, anti-oxidative and analgesic properties (63). The administration of 50 mg/kg sinapic acid in DA induced rat models reduced the levels of IL-1β, endothelin (ET-1), caspase-1, ASC and NLRP3 in the serum. The dose-dependent reduction of blood glucose, inflammation, and associated pyroptosis in response to SA was reported in DA rat models (62). In the study conducted by Han et al. it was shown that sinapic acid reduces the inflammatory condition in diabetic atherosclerosis (DA) by suppressing the activity of lncRNA MALAT-1 (63). In Section LncRNA MALAT-1 described above, we explained the role of lncRNA MALAT-1 in promoting the inflammatory responses in macrophages by enhancing the expression of NLRP3 inflammasome. The upregulated expression of lncRNA MALAT-1 observed in macrophages derived from DA rats was reduced significantly after the administration of 1 µM SA. LncRNA MALAT-1 promoted the expression of the NLRP3 inflammasome by inhibiting the activity of miR-23C (Section LncRNA MALAT-1). The introduction of 1 µM SA released miR-23C from the inhibitory action of MALAT-1. Thus, the SA promoted levels of miR-23C exhibited its inhibitory action on NLRP3 inflammasome thereby, reducing the incidence of pyroptosis (63). The response of MALAT-1 levels to different doses of SA was coinciding with the SA induced reduction in cell pyroptosis. Hence, it was concluded that in DA induced BMDMs, SA altered the levels of oxidative stress marker, lactate dehydrogenase (LDH) and reduced pyroptosis by alleviating the activity of lncRNA MALAT-1 in a dose-dependent pattern (63).
Such abundant knowledge in regulating the action of lncRNAs by phyto compounds can be applied to develop novel strategies to target NLRP3 inflammasome activity at various levels to control a range of inflammatory conditions. However, due to certain limitations of phytochemicals such as restricted efficacy and reduced bioavailability, their modification with nanoparticles, liposomes or certain adjuvants is necessary to improve their application in targeting lncRNAs.

FUTURE PROSPECTS OF LncRNA STUDIES
Despite the complexities involved in understanding the consolidated mechanism underlying the activation, NLRP3 inflammasome is the most comprehensively probed inflammasome in the recent past. Numerous lncRNAs critically participate in the controlled function of NLRP3 inflammasome in a variety of disease progression. The dynamic and precise regulation of NLRP3 inflammasome associated gene expression during inflammatory responses makes lncRNAs suitable candidates to target. The flexibility offered by lncRNAs in their expression, shapes, sizes, locations and functional diversity benefit their interaction with the target molecules. With rising genomic research advancement, the identification of novel lncRNAs having significant function enhances our understanding of immune defense mechanisms at the molecular level. The effect of lncRNAs on NLRP3 inflammasome acts as an additional layer of gene expression regulation in transcriptional, post-transcriptional, translational and post-translation level. Even with the available technologies and methodologies, the complete regulatory function of lncRNAs on NLRP3 inflammasome has not been elucidated. Future investigations are required to have a revamped knowledge of lncRNA biology, molecular action, and targets to aid in the identification of unique and innovative therapeutic targets in restraining the activity of NLRP3 inflammasome. The possibility of controlling lncRNA expression and function by phytochemicals provide a novel insight on altering their effect in immune disorders. The rapid pace of lncRNA research worldwide ensures the unraveling of novel lncRNAs and their interacting targets in the field of molecular immunology in the near future.

AUTHOR CONTRIBUTIONS
K-FH is the guarantor of the article and conceived and designed the study. MM and K-FH wrote and finished the manuscript. All authors contributed to the article and approved the submitted version.