Fig. 1Roles of the orphan nuclear receptor small heterodimer partner (SHP) in the toll-like receptor 4 (TLR4)-mediated inflammatory response and NLRP3 (NACHT, LRR and PYD domains-containing protein 3) inflammasome activity. The orphan nuclear receptor SHP plays an important role in the negative regulation of lipopolysaccharide (LPS)-meditated inflammation and NLRP3 inflammasome activation. First, TLR4 engagement strongly acts to generate proinflammatory cytokines including tumor necrosis factor α (TNF-α), interleukin 6 (IL-6), IL-1β, and IL-12p40 through TNF receptor-associated factor 6 (TRAF6) ubiquitination and nuclear factor κB (NF-κB) p65 nuclear translocation. Moreover, the generation of mitochondrial reactive oxygen species (ROS) in macrophages is enhanced during LPS stimulation, which is closely associated with activation of the inflammatory response. The mitochondrial anion carrier protein uncoupling protein 2 (UCP2) is an essential component of mitochondrial ROS and inflammation modulation. Our previous studies indicated that endogenous SHP inhibits the TLR4-induced upregulation of proinflammatory responses through the modulation of TRAF6 polyubiquitination and UCP2 expression. Second, inflammasome activation results in the maturation of pro-IL-1β and pro-IL-18 and the secretion of these mature cytokines into the extracellular environment. SHP deficiency causes enhanced secretion of mature IL-1β and IL-18. On the other hand, overexpression of SHP effectively attenuates NLRP3 activation and secretion of IL-1β and IL-18 through direct interaction with NLRP3 protein. Third, treatment with fenofibrate or macrophage-stimulating factor (MSP) activates SHP gene expression through liver kinase B1 (LKB1)-dependent AMP-activated protein kinase activation and recruitment of upstream stimulatory factor-1 (USF1) to the human SHP promoter. In addition, in vivo administration of SHP-inducing drugs effectively protects against LPS-induced lethal shock and folic acid-induced acute tubular necrosis. MD2, lymphocyte antigen 96; TRAM, Trif-related adaptor molecule; TRIF, Toll/IL-1 receptor domain-containing adaptor inducing β; RON, recepteur d'origine nantais; NBD, nucleotide-binding domain; CARD, caspase activation and recruitment domains; PYD, pyrin domain; ASC, adaptor protein apoptosis-associated speck-like protein containing a caspase recruitment domain; IRAK1, interleukin-1 receptor-associated kinase 1; IKK, IκB kinase.