Inflammation is a critical factor for development of hypoxic-ischemic (HI)
brain injury.
Interleukin-18 (IL-18) is a proinflammatory
cytokine expressed in microglia and processed by caspase-1. Our aim was to characterize the expression of
IL-18 and its receptor in relation to caspase-1 and IL-1beta after HI and to evaluate to what extent
IL-18 contributes to HI
brain injury. Seven-day-old rats were subjected to HI, and brain tissue was sampled at different time points (3 hr to 14 d) after insult. The
mRNA for
IL-18 and caspase-1 were analyzed with
reverse transcriptase PCR,
protein was analyzed by Western blot (IL-18, caspase-1) or ELISA (IL-1beta), and the regional distribution was assessed by immunohistochemistry. HI was also induced in C57BL/6 mice, and
brain injury in IL-18-deficient animals was compared with that in wild-type animals. The expression of
mRNA/
protein for caspase-1 and
IL-18 in brain homogenates increased progressively at 12 hr to 14 d after HI, whereas IL-1beta peaked at 8 hr. A widespread expression of caspase-1 and
IL-18 protein in microglia was found in the HI hemisphere. The
IL-18 receptor was expressed on neurons of the cerebral cortex and thalamus. IL-1beta was primarily found in microglia in the habenular nucleus of the thalamus. The
infarct volume was reduced by 21% (p = 0.01), and the neuropathology score was significantly decreased in the cerebral cortex (-35%), hippocampus (-22%), striatum (-18%), and thalamus (-17%) in mice with
IL-18 deficiency compared with wild-type mice. In conclusion, we found that
IL-18 expression in microglia was markedly increased after HI and that
IL-18 appears to be important for the development of HI
brain injury.