Administration of exogenous
interleukin-1 receptor antagonist (IL-1ra) is effective in reducing the severity of disease in animal models of acute
inflammation. However, the function of endogenous
IL-1ra in this process, is not yet known. We investigated the pathophysiological role of
IL-1ra in a rabbit model of
formalin-
immune complex colitis. This model has previously been shown to be
IL-1 mediated and a reduction in disease severity is observed with exogenous
IL-1ra treatment. Colonic
IL-1ra was found to be elevated subsequent to
IL-1, and exceeded
IL-1 levels 10-fold. Peak levels of
IL-1ra preceded both the resolution of
colitis and a significant decrease in
IL-1 production. Administration of specific
neutralizing antibodies against rabbit
IL-1ra increased mortality and prolonged intestinal inflammatory responses. A significant increase in
IL-1 alpha colonic tissue levels was also measured as a result of exogenous anti-IL-1ra treatment. These studies are the first demonstration that endogenous
IL-1ra may play an important role in regulating the host's inflammatory response by counteracting the deleterious and possibly lethal effects of
IL-1 produced during acute
inflammation.