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Published on: March 2, 2011
Interleukin-1 in the central nervous system: from physiology to pathology
G Tringali1, C Dello Russo, P Preziosi
1Institute of Pharmacology, Catholic University Medical School, Rome, Italy.
Insights
Interleukin-1 (IL-1) affects the central nervous system over different time scales. This cytokine contributes to acute responses and chronic conditions like Alzheimer's disease, influencing disease progression.
Area of Science:
- Neuroimmunology
- Neuroinflammation
- Cytokine signaling
Background:
- Interleukin-1 (IL-1) exhibits diverse effects on the central nervous system (CNS).
- IL-1 plays a role in both acute responses and chronic neurological disorders.
- Understanding the temporal dynamics of IL-1 actions is crucial for CNS research.
Purpose of the Study:
- To propose a time-course classification for IL-1's pleiotropic actions in the CNS.
- To distinguish between short-term (minutes-to-days) and long-term (days-to-years) effects.
- To review IL-1's involvement in acute-phase responses, stress, and chronic CNS diseases.
Main Methods:
- Classification based on time-course effects of IL-1.
- Review of existing literature on IL-1's role in CNS disorders.
- Analysis of IL-1's contribution to disease maintenance.
Main Results:
- Two time-frames identified: minutes-to-days (acute responses) and days-to-years (chronic disorders).
- Short-term effects include fever, altered intake, sleepiness, and neuroendocrine changes.
- Long-term effects involve IL-1's contribution to ischemia, Alzheimer's disease, HIV dementia, and MS.
Conclusions:
- IL-1 is a key mediator in acute CNS responses to immune stimuli.
- Sustained IL-1 elevation contributes significantly to the pathology of various chronic CNS disorders.
- Modulating IL-1 offers potential therapeutic strategies for neurological diseases.
Abstract:
A classification on the basis of time-course effect is proposed to describe the pleiotropic actions of interleukin-1 (IL-1) on the central nervous system (CNS); two main time-frames, minutes-to-days and days-to-years, are distinguished. The former includes the central aspects of acute-phase response with fever, altered food and water intake, sleepiness, sickness behaviour and neuroendocrine changes. Apart from stress response triggered by immune-inflammatory stimuli, the concept that IL-1 mediates other types of stress is also reviewed, showing that the cytokine may have a role in mediating hypothalamic responses to restrain stress and nociceptive stimuli. The days-to-years time-frame includes several CNS disorders accompanied by inappropriate and/or sustainedly elevated IL-beta production: ischaemia, Alzheimer's disease, HIV-related dementia and experimental allergic encephalomyelitis-multiple sclerosis. In all cases, IL-beta is not envisioned as an aetiological factor, but it contributes significantly to the maintenance of disease state. Current and perspective therapeutic approaches involving the modulation of IL-beta production and effects are briefly discussed.
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