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Journal of Nippon Medical School

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Interleukin-1beta Inhibition Attenuates Vasculitis in a Mouse Model of Kawasaki Disease

Yoshiaki Hashimoto1, Ryuji Fukazawa1, Noriko Nagi-Miura2, Naohito Ohno2, Nobuko Suzuki1, Yasuhiro Katsube1, Mitsuhiro Kamisago1, Miharu Akao1, Makoto Watanabe1, Koji Hashimoto1, Kanae Tsuno1, Ryosuke Matsui1 and Yasuhiko Itoh1

1Department of Pediatrics, Nippon Medical School
2Laboratory for Immunopharmacology of Microbial Products, Tokyo University of Pharmacy and Life Sciences


Background: Kawasaki disease (KD), a systemic vasculitis, is suspected to be related to abnormalities in innate immunity. Based on the important role of IL-1 signaling in innate immunity, we investigated the effects of an anti-IL-1β antibody using a Candida albicans water-soluble fraction (CAWS)-induced mouse model of KD.
Methods: CAWS (0.5 mg/mouse) was injected intraperitoneally into 5-week-old DBA/2 mice on five consecutive days. An anti-Murine IL-1β antibody (01BSUR) was administered at various doses (2.5, 5.0, and 10.0 mg/kg) and time points (2 days before, same day, and 2, 5, 7, and 14 days after CAWS administration). After 4 weeks, vasculitis in the aortic root was investigated histologically. Cytokines including IL-1β, -6, -10, and TNF-α were also measured.
Results: Groups administered 01BSUR at all doses showed a significant reduction in the area of vasculitis. In addition, 01BSUR inhibited vasculitis until 7 days after CAWS administration. In the analysis of various time points, the level of IL-6 was lower in all groups compared to the CAWS only group, but the levels of IL-1β, TNFα, and IL-10 were lower when 01BSUR was administered before CAWS. On the other hand, TNFα and IL-10 levels were restored when 01BSUR was administered after CAWS, suggesting that 01BSUR may have additional effects beyond blocking IL-1β signaling.
Conclusions: The anti-IL-1β antibody significantly attenuated CAWS-induced vasculitis. The mechanism of inhibiting vasculitis is thought to include inhibition of the IL-1β pathway and additional effects beyond blocking IL-1β signaling.

J Nippon Med Sch 2019; 86: 108-116

Keywords
Kawasaki disease, interleukin-1beta, Kawasaki disease model mouse, cytokine profile, interleukin-10

Correspondence to
Ryuji Fukazawa, Department of Pediatrics, Nippon Medical School, 1-1-3 Sendagi, Bunkyo-ku, Tokyo 113-8602, Japan
oraora@nms.ac.jp

Received, December 6, 2018
Accepted, January 10, 2019