Caspase-1–processed interleukins in hyperoxia-induced cell death in the developing brain



Infants born prematurely may develop neurocognitive deficits without an obvious cause. Oxygen, which is widely used in neonatal medicine, constitutes one possible contributing neurotoxic factor, because it can trigger neuronal apoptosis in the developing brain of rodents. We hypothesized that two caspase-1–processed cytokines, interleukin (IL)–1β and IL-18, are involved in oxygen-induced neuronal cell death. Six-day-old Wistar rats or C57/BL6 mice were exposed to 80% oxygen for various time periods (2, 6, 12, 24, and 48 hours). Neuronal cell death in the brain, as assessed by Fluoro-Jade B and silver staining, peaked at 12 to 24 hours and was preceded by a marked increase in mRNA and protein levels of caspase 1, IL-1β, IL-18, and IL-18 receptor α (IL-18Rα). Intraperitoneal injection of recombinant human IL-18–binding protein, a specific inhibitor of IL-18, attenuated hyperoxic brain injury. Mice deficient in IL-1 receptor–associated kinase 4 (IRAK-4), which is pivotal for both IL-1β and IL-18 signal transduction, were protected against oxygen-mediated neurotoxicity. These findings causally link IL-1β and IL-18 to hyperoxia-induced cell death in the immature brain. These cytokines might serve as useful targets for therapeutic approaches aimed at preserving neuronal function in the immature brain, which is exquisitely sensitive to a variety of iatrogenic measures including oxygen. Ann Neurol 2005;57:50–59