Impaired IL-18 processing protects caspase-1-deficient mice from ischemic acute renal failure

V Y Melnikov1, T Ecder, G Fantuzzi

  • 1Department of Medicine, University of Colorado School of Medicine, Denver, Colorado 80262, USA.

Insights

Mice lacking caspase-1 (a protein that activates IL-18) showed reduced kidney damage from ischemic acute renal failure (ARF). Blocking IL-18 also protected against ARF, suggesting IL-18 contributes to kidney injury.

Area of Science:

  • Renal Physiology
  • Inflammation Biology
  • Molecular Medicine

Background:

  • Ischemic acute renal failure (ARF) is a significant clinical challenge.
  • The role of inflammatory mediators like caspase-1 and IL-18 in ARF pathogenesis is not fully understood.

Purpose of the Study:

  • To investigate the protective effect of caspase-1 deficiency against ischemic ARF in mice.
  • To determine the contribution of IL-18 to the development of ischemic ARF.

Main Methods:

  • Comparison of renal function and histology in caspase-1 deficient (caspase-1(-/-)) mice versus wild-type mice subjected to ischemic ARF.
  • Measurement of blood urea nitrogen (BUN) and serum creatinine levels.
  • Assessment of IL-18 precursor to mature form conversion in kidney tissue.
  • Administration of IL-18 neutralizing antiserum to wild-type mice prior to ischemic insult.
  • Evaluation of myeloperoxidase (MPO) activity and neutrophil infiltration in kidney tissue.

Main Results:

  • Caspase-1(-/-) mice exhibited significantly reduced renal dysfunction and histological damage compared to wild-type mice following ischemic ARF.
  • ARF induced a marked increase in kidney IL-18 levels and processing of its precursor in wild-type mice, which was absent in caspase-1(-/-) mice.
  • Neutralization of IL-18 provided similar protection against ARF as observed in caspase-1(-/-) mice.
  • Myeloperoxidase activity and neutrophil infiltration were significantly reduced in both caspase-1(-/-) and IL-18 antiserum-treated mice.

Conclusions:

  • Caspase-1 deficiency confers protection against ischemic ARF.
  • IL-18 plays a critical role in the development of ischemic ARF, potentially mediated through increased neutrophil infiltration.
  • Targeting the caspase-1/IL-18 pathway may represent a therapeutic strategy for preventing or treating ischemic ARF.