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The Role of the Interleukin-1 Family in Complications of Prematurity
Elys A Green1,2,3, Steven P Garrick1,2, Briana Peterson1,2
1Ritchie Centre, Hudson Institute of Medical Research, Melbourne, VIC 3168, Australia.
Insights
Inflammation, driven by interleukin-1 family cytokines, significantly impacts preterm infant health. Targeting these inflammatory pathways offers potential for new treatments to reduce complications from premature birth.
Area of Science:
- Neonatal Medicine
- Immunology
- Perinatal Research
Background:
- Preterm birth leads to significant neonatal morbidity and mortality.
- Complications include bronchopulmonary dysplasia, pulmonary hypertension, white matter injury, retinopathy, necrotizing enterocolitis, and sepsis.
- Inflammation and mediator imbalance are key drivers of these conditions.
Purpose of the Study:
- To review the role of the interleukin (IL)-1 family in perinatal inflammation.
- To discuss the clinical implications of IL-1 family involvement in preterm infant diseases.
- To explore the potential of IL-1 family cytokines as therapeutic targets.
Main Methods:
- Literature review focusing on interleukin (IL)-1 family cytokines.
- Analysis of the role of inflammation in preterm birth complications.
- Examination of clinical implications and therapeutic potential.
Main Results:
- The interleukin (IL)-1 family plays a crucial role in perinatal inflammation.
- Imbalance in pro- and anti-inflammatory mediators is central to preterm infant disease pathophysiology.
- IL-1 family cytokines are implicated in conditions like BPD, NEC, and sepsis.
Conclusions:
- The interleukin (IL)-1 family is a significant factor in the inflammatory processes affecting preterm infants.
- Targeting IL-1 family cytokines presents a promising therapeutic strategy.
- Developing safe and effective treatments for early life inflammatory diseases is a key goal.
Abstract:
Preterm birth is a major contributor to neonatal morbidity and mortality. Complications of prematurity such as bronchopulmonary dysplasia (BPD, affecting the lung), pulmonary hypertension associated with BPD (BPD-PH, heart), white matter injury (WMI, brain), retinopathy of prematurity (ROP, eyes), necrotizing enterocolitis (NEC, gut) and sepsis are among the major causes of long-term morbidity in infants born prematurely. Though the origins are multifactorial, inflammation and in particular the imbalance of pro- and anti-inflammatory mediators is now recognized as a key driver of the pathophysiology underlying these illnesses. Here, we review the involvement of the interleukin (IL)-1 family in perinatal inflammation and its clinical implications, with a focus on the potential of these cytokines as therapeutic targets for the development of safe and effective treatments for early life inflammatory diseases.
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