European Journal of Neurodegenerative Diseases 2025; 14(1) January-April: 14-15
THE IMPACT OF IL-1 IN NEUROLOGICAL FUNCTIONING
Letter to the Editor
G. D’Amario*
Department of Neuroscience, Catholic University of the Sacred Heart, Rome, Italy.
*Correspondence to:
Giulia D’Amario,
Department of Neuroscience,
Catholic University of the Sacred Heart,
00168 Rome, Italy.
e-mail: giuliadamario@gmail.com
KEYWORDS: IL-1, interleukin, cytokine, inflammation, neuroinflammation, CNS, neurological
INTRODUCTION
IL-1 is a regulator of both physiological and pathological processes, and its dysregulation can cause neuroinflammation and neurodegeneration. The interleukin-1 (IL-1) family primarily includes IL-1α, IL-1β and IL-1 receptor antagonist (IL-1Ra), an endogenous inhibitor. In general, IL-1 is involved in inflammatory reactions, infections, and neurological disorders (1,2). IL-1 is a pro-inflammatory cytokine that plays a key role in the immune response and has significant effects on the brain. It has multiple effects on the central nervous system (CNS) and can be inhibited by specific antagonists of the IL-1 receptor (3). IL-1 is primarily produced by activated macrophages, microglia, and astrocytes in the CNS and can exert various effects on brain physiology and pathology.
DISCUSSION
The cytokine IL-1 plays different roles in the brain, where it mediates inflammatory responses and modulates neuronal function. IL-1 is involved in slow-wave sleep, neuroendocrine responses, appetite suppression, fever, and neuroinflammation (4). This cytokine also affects memory and neuroplasticity and has been associated with neurodegenerative disorders such as Alzheimer’s and Parkinson’s diseases (5).
In vivo studies in mice have shown that IL-1 can interact with GABA receptors to induce sleep and depression (6). IL-1 binds to the IL-1 receptor type 1 (IL-1R1) on the surface of target cells and interacts with the IL-1 receptor accessory protein (IL-1RAcP) to form a signaling complex. At the transductional level, IL-1 recruits myeloid differentiation primary response 88 (MyD88) as an adaptor protein. IL-1 activates kinases including IL-1 receptor-associated kinase (IRAK) and TNF receptor-associated factor 6 (TRF-6).
IL-1 stimulates the NF-κB and mitogen activated protein kinase (MAPK) signaling pathways and activates the inflammasome (7). The NLRP3 inflammasome is important for the processing of pro-IL-1β into its mature and active form via caspase-1. IL-1 is regulated by IL-1Ra which competitively inhibits the binding of IL-1 to IL-1R1 while the IL-1 receptor type 2 (IL-1R2) acts as a decoy receptor, controlling the effect of IL-1.
IL-1 is involved in brain pathophysiology, including neuroinflammation. It mediates infectious and neurodegenerative responses by recruiting immune cells to the site and amplifying the inflammatory reaction. It has been reported that IL-1 can increase the vascular permeability of the blood-brain barrier (BBB) to allow the passage of immune cells into brain tissue and contribute to neurodegeneration (8). Among the effects of IL-1 on the brain, it is important to highlight its action on the hypothalamus with the induction of fever by mediating effects such as increased body temperature with systemic inflammation, anorexia, and lethargy. At low levels, IL-1 helps maintain normal synaptic plasticity and regulates cognitive function, while its excessive increase causes neurodegeneration. In fact, by stimulating the production of amyloid-β and phosphorylation of tau, IL-1 participates in neurodegenerative diseases such as Alzheimer’s and Parkinson’s disease. It activates microglia, causing damage and neuronal disorders (9). IL-1 can influence neurogenesis in the hippocampus, altering the mood of the individual. Its inflammatory effect on the brain can cause depression, anxiety and other mental disorders. It has been seen that IL-1 also plays a role in the development of the embryo, interrupting normal brain maturation, which could be linked to diseases such as autism in which the cause is still unknown. Thus, it could be proposed that inhibiting IL-1 with specific cytokines could improve its pathological effects. IL-1 inhibition may be an important therapeutic strategy for neurodegenerative diseases and other brain pathologies.
CONCLUSIONS
IL-1 is a cytokine that, when elevated above physiological limits, is highly inflammatory. This cytokine is produced by macrophages and by microglia in the brain. IL-1 binds to IL-1R1, can interact with GABA receptors to induce sleep and depression, and is implicated in Alzheimer’s disease and Parkinson’s disease. Inhibiting IL-1 with IL-1 receptor antagonists or anti-inflammatory cytokines may be a valid and novel therapy for neurodegenerative diseases.
Conflict of interest
The author declares that they have no conflict of interest.
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