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The Glia-Derived Alarmin IL-33 Orchestrates the Immune Response and Promotes Recovery following CNS Injury
Open accessAbstract
Inflammation is a prominent feature of CNS injury that heavily influences neuronal survival, yet the signals that initiate and control it remain poorly understood. Here we identify the nuclear alarmin, interleukin (IL)-33, as an important regulator of the innate immune response after CNS injury. IL-33 is expressed widely throughout the healthy brain and is concentrated in white mater due to predominant expression in post-mitotic oligodendrocytes. IL-33 is released immediately after CNS injury from damaged oligodendrocytes, acting on local astrocytes and microglia to induce chemokines critical for monocyte recruitment. Mice lacking IL-33 have impaired recovery after CNS injury, which is associated with reduced myeloid cell infiltrates and decreased induction of M2 genes at the injury site. These results demonstrate a novel molecular mediator contributing to immune cell recruitment to the injured CNS and may lead to new therapeutic insights in CNS injury and neurodegenerative diseases.
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“However, recent data indicate that microglia and astrocytes coordinate their functions in many ways, both in the healthy and diseased brain [14–21].”
From Crosstalk between astrocytes and microglia results in increased degradation of α-synuclein and amyloid-β aggregates (2021) · cites this paper as [15]
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Schmitz, J., Owyang, A. M., Oldham, E. R., Song, Y., Murphy, E., McClanahan, T. K., Zurawski, G., Moshrefi, M., Qin, J., Li, X., et al. (2005) · Immunity · doi:10.1016/j.immuni.2005.09.015 · Cited by 3,773 · cited 3×
“A potential explanation of these dual aspects is macrophage phenotype, with the alternative (M2) and classical (M1) polarization correlating with beneficial or detrimental responses, respectively (Kigerl et al., 2009; Kroner et al., 2014; Schmitz et al., 2005; Shechter et al., 2009, 2013).”
Cahoy, J. D., Emery, B., Kaushal, A., Foo, L. C., Zamanian, J. L., Christopherson, K. S., Xing, Y., Lubischer, J. L., Krieg, P. A., Krupenko, S. A., et al. (2008) · The Journal of Neuroscience · doi:10.1523/jneurosci.4178-07.2008 · Cited by 3,129 · cited 2×
“Costaining of IL-33 with the astrocyte marker ALDH1L1 (Cahoy et al., 2008) demonstrated that these cells were astrocytes, which express IL-33 in gray matter regions (i.e., neocortex) but not in white matter (i.e., corpus callosum ; Figures 1F and 1G).”
Kigerl, K. A., Gensel, J. C., Ankeny, D. P., Alexander, J. K., Donnelly, D. J., & Popovich, P. G. (2009) · The Journal of Neuroscience · doi:10.1523/jneurosci.3257-09.2009 · Cited by 2,130 · cited 2×
“A potential explanation of these dual aspects is macrophage phenotype, with the alternative (M2) and classical (M1) polarization correlating with beneficial or detrimental responses , respectively (Kigerl et al., 2009; Kroner et al., 2014; Schmitz et al., 2005; Shechter et al., 2009, 2013).”
Basso, D., Fisher, L., Anderson, A., Jakeman, L., McTigue, D. M., & Popovich, P. (2006) · Journal of Neurotrauma · doi:10.1089/neu.2006.23.635 · Cited by 1,615 · cited 2×
“Error bars represent mean ± SEM; *p % 0.05; **p % 0.01; ***p % 0.001. relative to WT counterparts after SCI, as assessed by Basso mouse scale (Basso et al., 2006 ) (Figure 3E).”
InfluentialDisease-associated functions of IL-33: the new kid in the IL-1 family
Liew, F. Y., Pitman, N. I., & McInnes, I. B. (2010) · Nature reviews. Immunology · doi:10.1038/nri2692 · Cited by 1,020 · cited 2×
“Interleukin (IL)-33 is a nuclear alarmin of the IL-1 cytokine family released by cell damage and is well characterized as an immune activator in conditions such as asthma (Liew et al., 2010), allergy (Oboki et al., 2010), and sepsis (Alves-Filho et al., 2010).”
Neuronal and Glial Apoptosis after Traumatic Spinal Cord Injury
Liu, X. Z., Xu, X. M., Hu, R., Du, C., Zhang, S. X., McDonald, J. W., Dong, H. X., Wu, Y. J., Fan, G. S., Jacquin, M. F., et al. (1997) · The Journal of Neuroscience · doi:10.1523/jneurosci.17-14-05395.1997 · Cited by 770 · cited 1×
“Neurons and glia directly damaged by the initial insult die, both necrotically and apoptotically (Grossman et al., 2001; Liu et al., 1997; Lytle and Wrathall, 2007), followed by secondary degeneration—a spread of damage through apoptotic death of initially uninjured neurons (Dusart and Schwab,…”
Shechter, R., London, A., Varol, C., Raposo, C., Cusimano, M., Yovel, G., Rolls, A., Mack, M., Pluchino, S., Martino, G., et al. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000113 · Cited by 770 · cited 1×
“A potential explanation of these dual aspects is macrophage phenotype, with the alternative (M2) and classical (M1) polarization correlating with beneficial or detrimental responses, respectively (Kigerl et al., 2009; Kroner et al., 2014; Schmitz et al., 2005; Shechter et al., 2009, 2013).”
BackgroundKurowska‐Stolarska, M., Stolarski, B., Kewin, P., Murphy, G., Corrigan, C. J., Ying, S., Pitman, N. I., Mirchandani, A. S., Rana, B. M. J., van Rooijen, N., et al. (2009) · The Journal of Immunology · doi:10.4049/jimmunol.0901575 · Cited by 747 · cited 1×
“Given previous reports showing that IL-33 can polarize toward an ‘‘M2’’ (IL-4-activated) macrophage skew (Kurowska-Stolarska et al., 2009) and that M2 macrophages promote neuronal survival (Kigerl et al.”
BackgroundShechter, R., Miller, O., Yovel, G., Rosenzweig, N., London, A., Ruckh, J., Kim, K.-W., Klein, E., Kalchenko, V., Bendel, P., et al. (2013) · Immunity · doi:10.1016/j.immuni.2013.02.012 · Cited by 683 · cited 2×
“The overall impact of this immune response remains debated, as it has potential to drive both beneficial (Shechter et al., 2013; Walsh et al., 2015; Walsh et al., 2014) and detrimental (Evans et al., 2014; Kroner et al., 2014) effects on recovery.”
Suppression of Interleukin-33 Bioactivity through Proteolysis by Apoptotic Caspases
Lüthi, A. U., Cullen, S. P., McNeela, E. A., Duriez, P. J., Afonina, I. S., Sheridan, C., Brumatti, G., Taylor, R. C., Kersse, K., Vandenabeele, P., et al. (2009) · Immunity · doi:10.1016/j.immuni.2009.05.007 · Cited by 677 · cited 1×
“Upon release from necrotically dying cells (Lüthi et al., 2009), IL-33 binds IL-33R, a heterodimer of IL-1RAcP and ST2, and initiates an intracellular cascade involving MyD88 and NFkB (Liew et al.”
IL-33 is a crucial amplifier of innate rather than acquired immunity
Oboki, K., Ohno, T., Kajiwara, N., Arae, K., Morita, H., Ishii, A., Nambu, A., Abe, T., Kiyonari, H., Matsumoto, K., et al. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1003059107 · Cited by 670 · cited 1×
“Interleukin (IL)-33 is a nuclear alarmin of the IL-1 cytokine family released by cell damage and is well characterized as an immune activator in conditions such as asthma (Liew et al., 2010), allergy (Oboki et al., 2010), and sepsis (Alves-Filho et al., 2010).”
Kroner, A., Greenhalgh, A. D., Zarruk, J. G., Passos dos Santos, R., Gaestel, M., & David, S. (2014) · Neuron · doi:10.1016/j.neuron.2014.07.027 · Cited by 655 · cited 2×
“The overall impact of this immune response remains debated, as it has potential to drive both beneficial (Shechter et al., 2013; Walsh et al., 2015; Walsh et al., 2014) and detrimental (Evans et al., 2014; Kroner et al., 2014) effects on recovery.”
Secondary Cell Death and the Inflammatory Reaction After Dorsal Hemisection of the Rat Spinal Cord
Dusart, I., & Schwab, M. (1994) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.1994.tb00983.x · Cited by 567 · cited 1×
“…and glia directly damaged by the initial insult die, both necrotically and apoptotically (Grossman et al., 2001; Liu et al., 1997; Lytle and Wrathall, 2007), followed by secondary degeneration—a spread of damage through apoptotic death of initially uninjured neurons (Dusart and Schwab, 1994).”
Interleukin-33 attenuates sepsis by enhancing neutrophil influx to the site of infection
Alves-Filho, J. C., Sônego, F., Souto, F. O., de Freitas, A., Verri, W. A., Jr., Auxiliadora‐Martins, M., Basile-Filho, A., McKenzie, A. N. J., Xu, D., Cunha, F. Q., et al. (2010) · Nature Medicine · doi:10.1038/nm.2156 · Cited by 485 · cited 2×
“, 2010), and sepsis (Alves-Filho et al., 2010).”
Jiang, H., Milovanović, M., Allan, D., Niedbała, W., Besnard, A., Fukada, S. Y., Alves-Filho, J. C., Togbe, D., Goodyear, C. S., Linington, C., et al. (2012) · European Journal of Immunology · doi:10.1002/eji.201141947 · Cited by 319 · cited 2×
“Other studies have alluded to the importance of IL-33 in other CNS pathologies: IL-33 treatment mitigates pathology of EAE (Jiang et al., 2012) and human Alzheimer’s”
Temporal–Spatial Pattern of Acute Neuronal and Glial Loss after Spinal Cord Contusion
Grossman, S. D., Rosenberg, L. J., & Wrathall, J. R. (2001) · Experimental Neurology · doi:10.1006/exnr.2001.7628 · Cited by 310 · cited 1×
“Neurons and glia directly damaged by the initial insult die, both necrotically and apoptotically (Grossman et al., 2001; Liu et al., 1997; Lytle and Wrathall, 2007), followed by secondary degeneration—a spread of damage through apoptotic death of initially uninjured neurons (Dusart and Schwab,…”
Yoles, E., & Schwartz, M. (1998) · Experimental Neurology · doi:10.1006/exnr.1998.6811 · Cited by 228 · cited 2×
“To address the role of IL-33 in recovery from CNS trauma, we subjected IL-33 –/– and wild-type (WT) mice to an optic nerve crush injury (Yoles and Schwartz, 1998), a model that is dependent on immune assistance for optimal neuronal survival (Kipnis et al., 2004; Walsh et al., 2015).”
Production and functions of IL-33 in the central nervous system
Yasuoka, S., Kawanokuchi, J., Parajuli, B., Jin, S., Doi, Y., Noda, M., Sonobe, Y., Takeuchi, H., Mizuno, T., & Suzumura, A. (2011) · Brain Research · doi:10.1016/j.brainres.2011.02.045 · Cited by 222 · cited 1×
“Astrocytes have been suggested as the cellular source of IL-33 (Yasuoka et al., 2011), but this remains poorly characterized in vivo.”
Evans, T. A., Barkauskas, D. S., Myers, J., Hare, E. G., You, J., Ransohoff, R. M., Huang, A. Y.-C., & Silver, J. (2014) · Experimental Neurology · doi:10.1016/j.expneurol.2014.01.013 · Cited by 217 · cited 1×
“The overall impact of this immune response remains debated, as it has potential to drive both beneficial (Shechter et al., 2013; Walsh et al., 2015; Walsh et al., 2014) and detrimental (Evans et al., 2014; Kroner et al., 2014) effects on recovery.”
MHCII-independent CD4+ T cells protect injured CNS neurons via IL-4.
Walsh, J. T., Hendrix, S., Boato, F., Smirnov, I., Zheng, J., Lukens, J. R., Gadani, S. P., Hechler, D., Gölz, G., Rosenberger, K., et al. (2015) · Journal of Clinical Investigation · doi:10.1172/jci76210 · Cited by 208 · cited 4×
“The overall impact of this immune response remains debated, as it has potential to drive both beneficial (Shechter et al., 2013; Walsh et al., 2015; Walsh et al., 2014) and detrimental (Evans et al., 2014; Kroner et al., 2014) effects on recovery.”
InfluentialSelf-citationTrivedi, A. A., Olivas, A. D., & Noble‐Haeusslein, L. J. (2006) · Clinical Neuroscience Research · doi:10.1016/j.cnr.2006.09.007 · Cited by 207 · cited 2×
“The immune system detects and rapidly responds to injury with a cascade of peripheral effectors and soluble molecules (Trivedi et al., 2006).”
Transcriptomic and genetic studies identify IL-33 as a candidate gene for Alzheimer's disease
Chapuis, J., Hot, D., Hansmannel, F., Kerdraon, O., Ferreira, S., Hubans, C., Maurage, C. A., Huot, L., Bensemain, F., Laumet, G., et al. (2009) · Molecular Psychiatry · doi:10.1038/mp.2009.10 · Cited by 201 · cited 2×
“Error bars represent mean ± SEM; *p% 0.05; **p% 0.01; ***p% 0.001). disease is correlated with decreased CNS IL-33 expression (Chapuis et al., 2009).”
BackgroundInfluentialTraumatic brain injury induces macrophage subsets in the brain
Hsieh, C. L., Kim, C. C., Ryba, B. E., Niemi, E. C., Bando, J. K., Locksley, R. M., Liu, J., Nakamura, M. C., & Seaman, W. E. (2013) · European Journal of Immunology · doi:10.1002/eji.201243084 · Cited by 185 · cited 1×
“It has previously been reported that the majority of Arg1 + cells entering the CNS injury site are infiltrating monocytes (Hsieh et al., 2013), and we confirmed by immunofluorescent analysis of the 1DPI injury site that there are fewer Arg1 + cells in IL-33 –/– animals relative to WT (Figures 4F…”
Dual effect of CD4 + CD25 + regulatory T cells in neurodegeneration: A dialogue with microglia
Kipnis, J., Avidan, H., Caspi, R. R., & Schwartz, M. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0404842101 · Cited by 163 · cited 2×
“To address the role of IL-33 in recovery from CNS trauma, we subjected IL-33 and wild-type (WT) mice to an optic nerve crush injury (Yoles and Schwartz, 1998), a model that is dependent on immune assistance for optimal neuronal survival (Kipnis et al., 2004; Walsh et al., 2015).”
Self-citationGlial cell loss, proliferation and replacement in the contused murine spinal cord
Lytle, J. M., & Wrathall, J. R. (2007) · European Journal of Neuroscience · doi:10.1111/j.1460-9568.2007.05390.x · Cited by 132 · cited 1×
“Neurons and glia directly damaged by the initial insult die, both necrotically and apoptotically (Grossman et al., 2001; Liu et al., 1997; Lytle and Wrathall, 2007), followed by secondary degeneration—a spread of damage through apoptotic death of initially uninjured neurons (Dusart and Schwab,…”
Ortín-Martínez, A., Nadal-Nicolás, F., Jiménez-López, M., Alburquerque-Bejar, J., Nieto-López, L., García-Ayuso, D., Villegas-Pérez, M., Vidal-Sanz, M., & Agudo-Barriuso, M. (2014) · PLoS ONE · doi:10.1371/journal.pone.0102392 · Cited by 131 · cited 1×
“RGCs are distributed unevenly across themouse retina, becoming less dense further away from the optic disk (Ortı́n-Martı́nez et al., 2014).”
Ma, M., Wei, T., Boring, L. F., Charo, I. F., Ransohoff, R. M., & Jakeman, L. B. (2002) · Journal of Neuroscience Research · doi:10.1002/jnr.10269 · Cited by 118 · cited 1×
“To reaffirm the critical role of monocyte recruitment in contributing to impairment in IL-33 –/– mice, we sought to enhance recruitment by delivering CCL2, a major chemokine for recruitment of peripheral monocytes into tissues including the CNS (Ma et al., 2002).”
Kempuraj, D., Khan, M. M., Thangavel, R., Xiong, Z., Yang, E., & Zaheer, A. (2013) · Journal of Neuroimmune Pharmacology · doi:10.1007/s11481-013-9439-7 · Cited by 81 · cited 1×
“Previous studies have shown that cultured glia produce the chemokine CCL2 (MCP1) in response to IL-33 stimulation (Kempuraj et al., 2013).”
BackgroundImmune‐related mechanisms participating in resistance and susceptibility to glutamate toxicity
Schori, H., Yoles, E., Wheeler, L., Raveh, T., Kimchi, A., & Schwartz, M. (2002) · European Journal of Neuroscience · doi:10.1046/j.1460-9568.2002.02134.x · Cited by 55 · cited 1×
“To assess whether IL-33-expressing cells must be actually damaged for IL-33 to have an effect, we used a second retinal injury model, intraocular glutamate injection (Schori et al., 2002).”
T cells in the central nervous system: messengers of destruction or purveyors of protection?
Walsh, J. T., Watson, N., & Kipnis, J. (2014) · Immunology · doi:10.1111/imm.12187 · Cited by 51 · cited 2×
“The overall impact of this immune response remains debated, as it has potential to drive both beneficial (Shechter et al., 2013; Walsh et al., 2015; Walsh et al., 2014) and detrimental (Evans et al., 2014; Kroner et al., 2014) effects on recovery.”
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4 of the 34 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Levkovitch-Verbin, 2000, RGC death in mice after optic nerve crush injury: oxidative stress and neuroprotection, Invest. Ophthalmol. Vis. Sci., 41, 4169
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The far-reaching scope of neuroinflammation after traumatic brain injury
Simon, D. W., McGeachy, M. J., Bayır, H., Clark, R. S. B., Loane, D. J., & Kochanek, P. M. (2017) · Nature Reviews Neurology · doi:10.1038/nrneurol.2017.13 · Cited by 1,190
Interleukin-33 in health and disease
Liew, F. Y., Girard, J., & Turnquist, H. R. (2016) · Nature reviews. Immunology · doi:10.1038/nri.2016.95 · Cited by 1,178
Interleukin‐33 ( IL ‐33): A nuclear cytokine from the IL ‐1 family
Cayrol, C., & Girard, J. (2017) · Immunological Reviews · doi:10.1111/imr.12619 · Cited by 913
The Biology of Regeneration Failure and Success After Spinal Cord Injury
Tran, A. P., Warren, P. M., & Silver, J. (2018) · Physiological Reviews · doi:10.1152/physrev.00017.2017 · Cited by 903
“Soon thereafter, they adopt an amoeboid shape (415) before migrating to the lesion area in response to alarmins such as IL-33, IL-1B, and TNF- released as soon as 15 min after the lesion (127, 323).”
BackgroundResultInfluential
Metadata
- Authors
- Gadani, S. P., Walsh, J. T., Smirnov, I., Zheng, J., & Kipnis, J.
- Affiliations
- University of Virginia (US)
- University of Virginia Medical Center (US)
- Corresponding author
- Gadani, Sachin P.
- Kipnis, Jonathan
- Venue
- Neuron
- Publisher
- Elsevier BV
- Published
- 2015-02
- Volume
- 85
- Issue
- 4
- Pages
- 703-709
- ISSN
- 0896-6273 (ISSN-L)
- PMC
- PMC12064979
- OpenAlex
- W2033591334
- Cited by
- 359
- References
- 34
- Citations by year
- 2026: 20 · 2025: 33 · 2024: 28 · 2023: 35 · 2022: 35 · 2021: 46 · 2020: 39 · 2019: 32 · 2018: 37 · 2017: 24 · 2016: 18 · 2015: 11
- FWCI
- 16.03
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Neuron (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of General Medical Sciences (T32GM007267)
- National Institute of Neurological Disorders and Stroke (NS061973, R01NS061973)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Immunology and Microbiology › Immunology › IL-33, ST2, and ILC Pathways
- Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Keywords
- IL-33, central nervous system injury, neuroinflammation, oligodendrocytes, astrocytes, microglia, monocyte recruitment, chemokines, myeloid cell infiltration, M2 macrophages, functional recovery, innate immune response
- MeSH terms
- Interleukin-33, Interleukin-1 Receptor-Like 1 Protein, CX3C Chemokine Receptor 1, Animals, Animals, Newborn, Cells, Cultured, Central Nervous System Diseases, Disease Models, Animal, Female, Gene Expression Regulation, Interleukins, Male, Mice, Inbred C57BL, Mice, Transgenic, Nerve Tissue Proteins, Neuroglia, Neurons, Retinal Ganglion Cells, Receptors, Interleukin, Ki-67 Antigen, Receptors, Chemokine, Recovery of Function, Green Fluorescent Proteins, Mice, In Vitro Techniques
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