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IL-18 cleavage triggers cardiac inflammation and fibrosis upon β-adrenergic insult

Xiao, Han, Li, Hao, Wang, Jing-Jing, Zhang, Jian-Shu, Shen, Jing, An, Xiang-Bo, Zhang, Cong-Cong, Wu, Ji-Min, Song, Yao, Wang, Xin-Yu, Yu, Hai-Yi, Deng, Xiang-Ning, Li, Zi-Jian, Xu, Ming, Lu, Zhi-Zhen, Du, Jie, Gao, Wei, Zhang, Ai-Hua, Feng, Yue, Zhang, You-Yi·2018·European Heart Journal

Abstract

Aims: Rapid over-activation of β-adrenergic receptor (β-AR) upon stress leads to cardiac inflammation, a prevailing factor that underlies heart injury. However, mechanisms by which acute β-AR stimulation induce cardiac inflammation still remain unknown. Here, we set out to identify the crucial role of inflammasome/interleukin (IL)-18 in initiating and maintaining cardiac inflammatory cascades upon β-AR insult. Methods and results: Male C57BL/6 mice were injected with a single dose of β-AR agonist, isoproterenol (ISO, 5 mg/kg body weight) or saline subcutaneously. Cytokine array profiling demonstrated that chemokines dominated the initial cytokines upregulation specifically within the heart upon β-AR insult, which promoted early macrophage infiltration. Further investigation revealed that the rapid inflammasome-dependent activation of IL-18, but not IL-1β, was the critical up-stream regulator for elevated chemokine expression in the myocardium upon ISO induced β1-AR-ROS signalling. Indeed, a positive correlation was observed between the serum levels of norepinephrine and IL-18 in patients with chest pain. Genetic deletion of IL-18 or the up-stream inflammasome component NLRP3 significantly attenuated ISO-induced chemokine expression and macrophage infiltration. In addition, IL-18 neutralizing antibodies selectively abated ISO-induced chemokines, proinflammatory cytokines and adhesion molecules but not growth factors. Moreover, blocking IL-18 early after ISO treatment effectively attenuated cardiac inflammation and fibrosis. Conclusion: Inflammasome-dependent activation of IL-18 within the myocardium upon acute β-AR over-activation triggers cytokine cascades, macrophage infiltration and pathological cardiac remodelling. Blocking IL-18 at the early stage of β-AR insult can successfully prevent inflammatory responses and cardiac injuries.

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Metadata

Authors
Xiao, H., Li, H., Wang, J.-J., Zhang, J.-S., Shen, J., An, X.-B., Zhang, C.-C., Wu, J.-M., Song, Y., Wang, X.-Y., Yu, H.-Y., Deng, X.-N., Li, Z.-J., Xu, M., Lu, Z.-Z., Du, J., Gao, W., Zhang, A.-H., Feng, Y., & Zhang, Y.-Y.
Venue
European Heart Journal
Published
2017-05-26
Volume
39
Issue
1
Pages
60-69
ISSN
  • 0195-668X (ISSN-L)
  • 1522-9645
OpenAlex
W2617615685
Cited by
305
References
19
FWCI
15.04
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: IL-18 cleavage triggers cardiac inflammation and fibrosis upon β-adrenergic insult. https://app.cochat.ai/papers/10.1093/eurheartj/ehx261
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Xiao, H., Li, H., Wang, J.-J., Zhang, J.-S., Shen, J., An, X.-B., Zhang, C.-C., Wu, J.-M., Song, Y., Wang, X.-Y., Yu, H.-Y., Deng, X.-N., Li, Z.-J., Xu, M., Lu, Z.-Z., Du, J., Gao, W., Zhang, A.-H., Feng, Y., & Zhang, Y.-Y. (2018). IL-18 cleavage triggers cardiac inflammation and fibrosis upon β-adrenergic insult. European Heart Journal. https://doi.org/10.1093/eurheartj/ehx261

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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