Background: The interleukin (IL)-1 family member IL-37 is one of the rare anti-inflammatory cytokines, its broad and powerful inflammation-inhibiting properties are well described. However, the mechanisms of action of IL-37 are poorly defined and especially its effects on the inflammasome, a multi-protein complex required for the maturation of the pro-inflammatory IL-1β and IL-18, are not well understood.
Methods: To study how IL-37 affects the expression and inflammasome-dependent maturation of IL‑1β and IL-18, we performed gene expression analyses as well as inflammasome activation assays (ASC oligomerization/speck assays, caspase-1 assays) in bone marrow-derived macrophages (BMDM) of IL-37-transgenic and wild-type mice. Moreover, we investigated the effects of IL-37 on pyroptosis, an inflammatory form of cell death, by gene expression analyses and lactate dehydrogenase release assays in activated BMDM. Employing an endotoxemia model, we also investigated the role of IL-37 in vivo.
Results: IL-37 inhibited IL-1β production by NLRP3 and AIM2 inflammasomes, and IL-18 production by the NLRP3 inflammasome. This inhibition was partially attributable to effects on gene expression: whereas IL-37 did not affect LPS-induced mRNA expression of Il18 or inflammasome components, IL‑37-transgenic BMDM displayed an up to 83% inhibition of baseline and LPS-stimulated Il1b compared to their wild-type counterparts. Importantly, IL‑37 suppressed nigericin- and silica-induced ASC oligomerization/speck formation (a step required for inflammasome activity) and subsequent caspase-1 activation. IL-37 also inhibited pyroptosis (50% reduction); and in mice subjected to endotoxemia, IL-37 reduced the abundance of plasma IL-1β (78% reduction compared to wild-type animals) and IL‑18 (61% reduction).
Conclusion: Our study adds to the portfolio of anti-inflammatory pathways employed by IL-37. We demonstrate that IL-37 uses multiple strategies to suppress the bioactivity of inflammasomes and consequently of IL-1β and IL-18. Moreover, we identify IL-37 as an inhibitor of inflammation-amplifying pyroptosis. Importantly, our results highlight IL-37 as a potential tool for treating inflammasome-driven, hyper-inflammatory diseases.