Interleukin‐1β blockade improves cardiac remodelling after myocardial infarction without interrupting the inflammasome in the mouse

S Toldo, E Mezzaroma, BW Van Tassell… - Experimental …, 2013 - Wiley Online Library
Experimental physiology, 2013Wiley Online Library
New Findings• What is the central question of this study? The formation of the cryopyrin
inflammasome in the heart induces an intense inflammatory response during acute
myocardial infarction, which mediates further damage and promotes adverse cardiac
remodelling. The present study investigates the role of interleukin‐1β in mediating the
pathological effects of the inflammasome in the heart.• What is the main finding and its
importance? Blockade of interleukin‐1β improves cardiac remodelling after acute …
New Findings
  • • 
    What is the central question of this study?
    The formation of the cryopyrin inflammasome in the heart induces an intense inflammatory response during acute myocardial infarction, which mediates further damage and promotes adverse cardiac remodelling. The present study investigates the role of interleukin‐1β in mediating the pathological effects of the inflammasome in the heart.
  • • 
    What is the main finding and its importance?
    Blockade of interleukin‐1β improves cardiac remodelling after acute myocardial infarction in the mouse by inhibiting apoptosis without affecting the formation or the activity of the inflammasome in the heart. These findings suggest that interleukin‐1β mediates the deleterious effects on the heart during the sterile inflammatory response.
The formation of the cryopyrin inflammasome in the heart induces an intense inflammatory response during acute myocardial infarction (AMI), which mediates further damage and promotes adverse cardiac remodelling. Active interleukin‐1β (IL‐1β) is a key product of the inflammasome, being cleaved by active caspase‐1. The aim of this study was to dissect the role of IL‐1β from that of the inflammasome by using a neutralizing monoclonal antibody directed against IL‐1β and measuring the intensity of the inflammatory response, the activity of caspase‐1 in the inflammasome, cardiomyocyte apoptosis and cardiac remodelling in a mouse model of non‐reperfused AMI. A mouse monoclonal IgG2a antibody directed against IL‐1β (IL‐1β‐AB; 10 mg kg−1) was given i.p. immediately after surgery and repeated 1 week later. Cardiac tissue was analysed at 72 h after surgery in a subgroup of mice for inflammasome aggregates and caspase‐1 activity (inflammasome) and for DNA fragmentation and caspase‐3 activity (apoptosis). All sham‐operated mice were alive at 10 weeks, whereas 40% of the control‐antibody‐treated mice and 30% of the IL‐1β‐AB‐treated mice died during the 4 weeks after surgery. When compared with vehicle, treatment with the IL‐1β‐AB did not affect inflammasome formation or caspase‐1 activation in the heart tissue at 72 h after AMI nor circulating plasma IL‐6 levels, but did inhibit cardiomyocyte apoptosis, limit left ventricular enlargement by 40% (P < 0.01) and improve systolic dysfunction by 17% (P < 0.01) after AMI. These findings suggest that IL‐1β mediates the deleterious effects on the heart during the sterile inflammatory response.
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