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The Journal of Neuroscience, July 15, 2002, 22(14):5910-5919

Interleukin-18 Involvement in Hypoxic-Ischemic Brain Injury

Maj Hedtjärn1, Anna-Lena Leverin1, Kristina Eriksson2, Klas Blomgren1, 3, Carina Mallard1, and Henrik Hagberg1, 4

Departments of 1 Physiology and Pharmacology, 2 Medical Microbiology and Immunology, 3 Pediatrics, and 4 Obstetrics and Gynecology, Perinatal Center, Göteborg University, 405 30 Göteborg, Sweden

Inflammation is a critical factor for development of hypoxic-ischemic (HI) brain injury. Interleukin-18 (IL-18) is a proinflammatory cytokine expressed in microglia and processed by caspase-1. Our aim was to characterize the expression of IL-18 and its receptor in relation to caspase-1 and IL-1beta after HI and to evaluate to what extent IL-18 contributes to HI brain injury. Seven-day-old rats were subjected to HI, and brain tissue was sampled at different time points (3 hr to 14 d) after insult. The mRNA for IL-18 and caspase-1 were analyzed with reverse transcriptase PCR, protein was analyzed by Western blot (IL-18, caspase-1) or ELISA (IL-1beta ), and the regional distribution was assessed by immunohistochemistry. HI was also induced in C57BL/6 mice, and brain injury in IL-18-deficient animals was compared with that in wild-type animals. The expression of mRNA/protein for caspase-1 and IL-18 in brain homogenates increased progressively at 12 hr to 14 d after HI, whereas IL-1beta peaked at 8 hr. A widespread expression of caspase-1 and IL-18 protein in microglia was found in the HI hemisphere. The IL-18 receptor was expressed on neurons of the cerebral cortex and thalamus. IL-1beta was primarily found in microglia in the habenular nucleus of the thalamus. The infarct volume was reduced by 21% (p = 0.01), and the neuropathology score was significantly decreased in the cerebral cortex (-35%), hippocampus (-22%), striatum (-18%), and thalamus (-17%) in mice with IL-18 deficiency compared with wild-type mice. In conclusion, we found that IL-18 expression in microglia was markedly increased after HI and that IL-18 appears to be important for the development of HI brain injury.

Key words: IL-18; caspase-1; IL-1beta ; neonatal; inflammation; microglia


Copyright © 2002 Society for Neuroscience  0270-6474/02/22145910-10$05.00/0


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