Emerging Role of the NLRP3 Inflammasome and Interleukin-1β in Neonates

Neonatology. 2020;117(5):545-554. doi: 10.1159/000507584. Epub 2020 Oct 19.

Abstract

Infection and persistent inflammation have a prominent role in the pathogenesis of brain injury and cerebral palsy, as well as other conditions associated with prematurity such as bronchopulmonary dysplasia. The NLRP3 inflammasome-interleukin (IL)-1β pathway has been extensively studied in adults and pre-clinical models, improving our understanding of innate immunity and offering an attractive therapeutic target that is already contributing to clinical management in many auto-inflammatory disorders. IL-1 blockade has transformed the course and outcome of conditions such as chronic infantile neurological, cutaneous, articular (CINCA/NOMID) syndrome. Inflammasome activation and upregulation has recently been implicated in neonatal brain and lung inflammatory disease and may be a novel therapeutic target.

Keywords: Hypoxic-ischaemic encephalopathy; Inflammasome; Inflammation; Interleukin-1β; Neonates.

Publication types

  • Review

MeSH terms

  • Adult
  • Brain Injuries*
  • Cerebral Palsy*
  • Humans
  • Immunity, Innate
  • Infant, Newborn
  • Inflammasomes*
  • Interleukin-1beta* / metabolism
  • NLR Family, Pyrin Domain-Containing 3 Protein*

Substances

  • Inflammasomes
  • Interleukin-1beta
  • NLR Family, Pyrin Domain-Containing 3 Protein