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Publication : Genetic and pharmacologic disruption of interleukin-1β signaling inhibits experimental aortic aneurysm formation.

First Author  Johnston WF Year  2013
Journal  Arterioscler Thromb Vasc Biol Volume  33
Issue  2 Pages  294-304
PubMed ID  23288154 Mgi Jnum  J:216899
Mgi Id  MGI:5609916 Doi  10.1161/ATVBAHA.112.300432
Citation  Johnston WF, et al. (2013) Genetic and pharmacologic disruption of interleukin-1beta signaling inhibits experimental aortic aneurysm formation. Arterioscler Thromb Vasc Biol 33(2):294-304
abstractText  OBJECTIVE: Abdominal aortic aneurysms (AAAs) are common, but their exact pathogenesis remains unknown and no specific medical therapies are available. We sought to evaluate interleukin-1beta (IL-1beta) and interleukin-1 receptor (IL-1R) in an experimental AAA model to identify novel therapeutic targets for AAA treatment. METHODS AND RESULTS: IL-1beta mRNA and protein levels were significantly elevated in abdominal aortas of 8- to 12-week-old male C57Bl/6 mice after elastase aortic perfusion (wild-type [WT]) compared with saline perfusion. Mice with genetic deletion of IL-1beta (IL-1beta knockout [KO]) or IL-1R (IL-1R KO) that underwent elastase perfusion demonstrated significant protection against AAA formation, with maximal aortic dilations of 38.0+/-5.5% for IL-1beta KO and 52.5+/-4.6% for IL-1R KO, compared with 89.4+/-4.0% for WT mice (P<0.005). Correspondingly, IL-1beta KO and IL-1R KO aortas had reduced macrophage and neutrophil staining with greater elastin preservation compared with WT. In WT mice pretreated with escalating doses of the IL-1R antagonist anakinra, there was a dose-dependent decrease in maximal aortic dilation (R=-0.676; P<0.0005). Increasing anakinra doses correlated with decreasing macrophage staining and elastin fragmentation. Lastly, WT mice treated with anakinra 3 or 7 days after AAA initiation with elastase demonstrated significant protection against AAA progression and had decreased aortic dilation compared with control mice. CONCLUSIONS: IL-1beta is critical for AAA initiation and progression, and IL-1beta neutralization through genetic deletion or receptor antagonism attenuates experimental AAA formation. Disrupting IL-1beta signaling offers a novel pathway for AAA treatment.
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