[HTML][HTML] IL-1 receptor antagonist ameliorates inflammasome-dependent alcoholic steatohepatitis in mice

J Petrasek, S Bala, T Csak, D Lippai… - The Journal of …, 2012 - Am Soc Clin Investig
J Petrasek, S Bala, T Csak, D Lippai, K Kodys, V Menashy, M Barrieau, SY Min
The Journal of clinical investigation, 2012Am Soc Clin Investig
Alcoholic liver disease (ALD) is characterized by steatosis and upregulation of
proinflammatory cytokines, including IL-1β. IL-1β, type I IL-1 receptor (IL-1R1), and IL-1
receptor antagonist (IL-1Ra) are all important regulators of the IL-1 signaling complex, which
plays a role in inflammation. Furthermore, IL-1β maturation is dependent on caspase-1
(Casp-1). Using IL-1Ra–treated mice as well as 3 mouse models deficient in regulators of IL-
1β activation (Casp-1 and ASC) or signaling (IL-1R1), we found that IL-1β signaling is …
Alcoholic liver disease (ALD) is characterized by steatosis and upregulation of proinflammatory cytokines, including IL-1β. IL-1β, type I IL-1 receptor (IL-1R1), and IL-1 receptor antagonist (IL-1Ra) are all important regulators of the IL-1 signaling complex, which plays a role in inflammation. Furthermore, IL-1β maturation is dependent on caspase-1 (Casp-1). Using IL-1Ra–treated mice as well as 3 mouse models deficient in regulators of IL-1β activation (Casp-1 and ASC) or signaling (IL-1R1), we found that IL-1β signaling is required for the development of alcohol-induced liver steatosis, inflammation, and injury. Increased IL-1β was due to upregulation of Casp-1 activity and inflammasome activation. The pathogenic role of IL-1 signaling in ALD was attributable to the activation of the inflammasome in BM-derived Kupffer cells. Importantly, in vivo intervention with a recombinant IL-1Ra blocked IL-1 signaling and markedly attenuated alcohol-induced liver inflammation, steatosis, and damage. Furthermore, physiological doses of IL-1β induced steatosis, increased the inflammatory and prosteatotic chemokine MCP-1 in hepatocytes, and augmented TLR4-dependent upregulation of inflammatory signaling in macrophages. In conclusion, we demonstrated that Casp-1–dependent upregulation of IL-1β and signaling mediated by IL-1R1 are crucial in ALD pathogenesis. Our findings suggest a potential role of IL-1R1 inhibition in the treatment of ALD.
The Journal of Clinical Investigation