Obesity and the
metabolic syndrome are characterized by chronic, low-grade
inflammation mainly originating from expanding adipose tissue and resulting in inhibition of
insulin signaling and disruption of
glycemic control. Transgenic mice expressing human
interleukin 37 (IL-37), an anti-inflammatory
cytokine of the
IL-1 family, are protected against
metabolic syndrome when fed a high-fat diet (HFD) containing 45% fat. Here, we examined whether treatment with recombinant IL-37 ameliorates established
insulin resistance and
obesity-induced
inflammation. WT mice were fed a HFD for 22 weeks and then treated daily with IL-37 (1 μg/mouse) during the last 2 weeks. Compared with vehicle only-treated mice, IL-37-treated mice exhibited reduced
insulin in the plasma and had significant improvements in
glucose tolerance and in
insulin content of the islets. The IL-37 treatment also increased the levels of circulating
IL-1 receptor antagonist. Cultured adipose tissues revealed that IL-37 treatment significantly decreases spontaneous secretions of IL-1β,
tumor necrosis factor α (TNFα), and CXC motif
chemokine ligand 1 (CXCL-1). We also fed mice a 60% fat diet with concomitant daily IL-37 for 2 weeks and observed decreased secretion of IL-1β, TNFα, and
IL-6 and reduced intracellular levels of IL-1α in the liver and adipose tissue, along with improved plasma
glucose clearance. Compared with vehicle treatment, these IL-37-treated mice had no apparent
weight gain. In human adipose tissue cultures, the presence of 50 pm IL-37 reduced spontaneous release of TNFα and 50% of
lipopolysaccharide-induced TNFα. These findings indicate that IL-37's anti-inflammatory effects can ameliorate established metabolic disturbances during
obesity.