Interleukin-37 (IL-37), also known as IL-1 family member 7 (IL-1F7), is a human-specific anti-inflammatory cytokine discovered in 2000 through bioinformatics analysis . It belongs to the IL-1 family but exhibits distinct regulatory properties, primarily acting as a "brake" on excessive inflammation and immune responses . Unlike other IL-1 family members, IL-37 lacks a mouse homolog, necessitating transgenic models for preclinical studies . Its dual functionality—acting intracellularly and extracellularly—sets it apart as a critical modulator of innate and adaptive immunity .
The IL-37 gene is located on chromosome 2q14 in humans and undergoes alternative splicing to generate five isoforms (IL-37a–e), which differ in exon composition and tissue expression .
Isoform | Exons | Tissue Expression | Biological Function |
---|---|---|---|
IL-37a | 3,4,5,6 | Brain, thymus, bone marrow | Anti-inflammatory (functional) |
IL-37b | 1,2,4,5,6 | Heart, kidney, blood, skin | Most studied; inhibits cytokine genes |
IL-37c | 1,2,5,6 | Kidney, lung, colon | Non-functional (misfolded) |
IL-37d | 1,4,5,6 | Bone marrow, testis | Anti-inflammatory (limited data) |
IL-37e | 1,5,6 | Testis | Tissue-specific role (unexplored) |
IL-37b is the longest and most biologically active isoform, sharing structural homology with IL-1 family members but lacking a signal peptide .
IL-37 is constitutively expressed in immune cells (monocytes, NK cells, B lymphocytes) and epithelial tissues (keratinocytes, intestinal epithelial cells) . Its expression is upregulated by pro-inflammatory stimuli, including:
Precursor Form: IL-37 is synthesized as an inactive precursor in the cytosol.
Cleavage: Caspase-1 processes the precursor into mature IL-37 during inflammasome activation .
Secretion: Both precursor and mature forms are secreted via non-classical pathways (exact mechanism undefined) .
IL-37 exerts anti-inflammatory effects through intracellular and extracellular pathways .
Mature IL-37 binds phosphorylated Smad3, forming a complex that translocates to the nucleus.
Directly inhibits transcription of pro-inflammatory cytokines (IL-1β, TNF-α, IFN-γ) and chemokines .
Forms a complex with IL-18Rα and IL-1R8 (Sigirr) on cell surfaces.
Blocks NF-κB and p38 MAPK signaling, reducing cytokine production (e.g., IL-6, CXCL8) .
IL-37 binding induces GSK3β activation, promoting Sigirr degradation via ubiquitination .
IL-37’s role in human diseases is context-dependent, with therapeutic potential in inflammation-driven disorders.
Cancer Dichotomy: IL-37 exhibits tumor-suppressive effects in solid tumors (e.g., renal cell carcinoma via IL-6/STAT3 inhibition) but may promote hematological malignancies like AML by modulating IL-6 signaling .
Bibliometric Analysis:
Emerging Hotspots:
The lyophilization of IL37 was carried out from a 0.2 µM filtered solution containing 20mM PB (phosphate buffer), 150mM NaCl (sodium chloride), and 2mM DTT (dithiothreitol) at a pH of 7.4.
The purity of the IL37 is greater than 95.0%, as determined by SDS-PAGE analysis.
IL-37 is a member of the IL-1 family (also previously known as IL-1F7) discovered by computational cloning in 2000. It functions primarily as an immunosuppressive cytokine that inhibits innate immunity and inflammatory responses. IL-37 suppresses the production of pro-inflammatory cytokines (including IL-6, IL-1α, and TNF-α) in innate immune cells and inhibits the maturation of dendritic cells . Unlike most IL-1 family members that promote inflammation, IL-37 serves as a fundamental negative regulator of inflammation, making it a critical modulator in various inflammatory and autoimmune conditions.
Period | Number of Publications | Notable Research Focus |
---|---|---|
2001-2012 | 22 | Initial discovery and characterization |
2013-2016 | ~150 | Receptor identification and signaling |
2017-2021 | >350 | Disease associations and mechanisms |
Unlike most IL-1 family cytokines that are primarily pro-inflammatory, IL-37 exhibits distinct anti-inflammatory properties. Structurally, IL-37 maintains the β-trefoil fold characteristic of the IL-1 family, but its unique receptor requirements and signaling pathways set it apart functionally. IL-37 specifically requires IL-18Rα and IL-1R8 (SIGIRR) receptors to execute its anti-inflammatory program . Furthermore, IL-37 demonstrates both intracellular and extracellular mechanisms of action, with extracellular forms requiring the IL-1 family decoy receptor IL-1R8 . This dual functionality gives IL-37 a more complex regulatory role compared to other IL-1 family members.
IL-37 exerts its immunosuppressive effects through multiple signaling pathways. The primary mechanism involves binding to IL-18Rα and IL-1R8 (SIGIRR) receptors, which initiates anti-inflammatory signaling cascades . This receptor engagement is critical for IL-37's ability to suppress NF-κB activation, as evidenced by the high centrality of "NF-κB" in keyword co-occurrence analysis . Intracellularly, IL-37 can translocate to the nucleus and influence gene expression. The extracellular forms of IL-37 inhibit innate inflammation but require the IL-1 family decoy receptor IL-1R8, highlighting the complexity of IL-37 signaling networks in modulating immune responses through multiple pathways.
IL-37 expression varies significantly across tissues and is dynamically regulated in different disease states. Bibliometric analysis shows that "expression" is one of the most important terms associated with IL-37 research, with 165 co-occurrences . Increased levels of circulating IL-37 have been documented in patients with rheumatoid arthritis, multiple sclerosis, and systemic lupus erythematosus . In rheumatoid arthritis patients specifically, there is elevated expression of synovial IL-1R8, which is essential for IL-37's anti-inflammatory effects. The regulation of IL-37 appears to be particularly responsive to inflammatory stimuli, suggesting a feedback mechanism where IL-37 increases during inflammation to help limit immune responses and prevent excessive tissue damage.
When quantifying IL-37 in human clinical samples, researchers should consider multiple complementary approaches to ensure reliable results. For protein detection, enzyme-linked immunosorbent assay (ELISA) remains the gold standard, though western blotting provides information about protein processing forms. For transcriptional analysis, quantitative PCR (qPCR) offers sensitive detection of IL-37 mRNA. Immunohistochemistry and flow cytometry are valuable for assessing cellular sources of IL-37 within tissues or blood samples.
Method | Application | Strengths | Limitations |
---|---|---|---|
ELISA | Serum/plasma levels | Quantitative, high-throughput | Cannot distinguish isoforms |
qPCR | mRNA expression | Highly sensitive, isoform-specific | Doesn't confirm protein expression |
Flow Cytometry | Cellular sources | Single-cell resolution | Requires cell isolation |
IHC/IF | Tissue localization | Preserves anatomical context | Semi-quantitative |
Mass Spectrometry | Protein modifications | Identifies PTMs, high specificity | Complex sample preparation |
The bibliometric analysis indicates that "differential expression" (cluster #2) has been a significant research focus in IL-37 studies , highlighting the importance of comparative expression analysis between healthy and diseased states.
Designing experiments to assess IL-37's immunosuppressive functions requires careful consideration of multiple factors. In vitro approaches should include:
Dose-response experiments with recombinant IL-37 on relevant human immune cells (monocytes, macrophages, dendritic cells)
Time-course studies to determine optimal pre-treatment or co-treatment schedules with inflammatory stimuli
Comparison of effects on multiple inflammatory mediators (cytokines, chemokines, surface markers)
Receptor blocking experiments to confirm IL-18Rα and IL-1R8 dependency
Knockdown/knockout studies using siRNA or CRISPR-Cas9
For in vivo studies, transgenic mouse models expressing human IL-37 have proven valuable, as evidenced by the high citation of research showing protection from colitis in IL-37-expressing mice . When designing these experiments, researchers must include appropriate controls and consider how the timing of IL-37 administration relative to inflammatory stimuli affects outcomes.
The selection of appropriate models for IL-37 research depends on the specific disease context and research question. For cellular models, primary human monocytes, macrophages, and dendritic cells are preferred as they express the necessary receptors (IL-18Rα and IL-1R8) . The keyword analysis showing "dendritic cell" with high co-occurrence confirms their importance in IL-37 research .
For disease-specific studies, researchers should consider:
Rheumatoid arthritis: Fibroblast-like synoviocytes (IL-37 induces apoptosis in these cells)
Inflammatory bowel disease: Intestinal epithelial cells and colitis models
Cardiovascular disease: Vascular endothelial cells and atherosclerosis models
When investigating IL-37 genetic variations across populations, researchers should implement a comprehensive analytical framework:
Study design considerations:
Genotyping approaches:
Targeted sequencing of IL-37 and receptor genes
Genome-wide association studies for broader genetic context
Haplotype analysis to identify linked polymorphisms
Functional validation:
Reporter assays to assess promoter variants
Expression quantitative trait loci (eQTL) analysis
In vitro testing of variant IL-37 proteins
Data analysis:
Control for multiple testing using Bonferroni or false discovery rate methods
Conduct gene-environment interaction analysis
Perform meta-analysis across cohorts
The focus on "pathogenesis" and "disease" in keyword co-occurrence suggests that genetic variation in IL-37 may significantly contribute to disease susceptibility or progression, warranting rigorous analytical approaches.
IL-37 operates within a complex cytokine network to maintain immune homeostasis through multiple mechanisms:
Counter-regulation of pro-inflammatory cytokines: IL-37 suppresses the production of key inflammatory mediators including IL-6, IL-1α, TNF-α, and other cytokines
Receptor cross-talk: The requirement for IL-18Rα suggests competitive inhibition with IL-18 signaling pathways, representing an important checkpoint in inflammation
Cell-specific regulatory effects: IL-37 modulates dendritic cell maturation and function, affecting downstream T cell responses and adaptive immunity
Feedback inhibition loops: Inflammatory stimuli that activate NF-κB pathways induce IL-37 expression, which then suppresses further NF-κB activation, creating a negative feedback loop
The co-citation analysis showing "related cytokine" as cluster #5 highlights the academic interest in understanding IL-37's position within broader cytokine networks. Researchers investigating this area should employ systems biology approaches that can capture the dynamic interplay between multiple cytokines simultaneously, rather than studying IL-37 in isolation.
IL-37 plays complex roles in autoimmune disease pathogenesis, often serving as an endogenous brake on inflammation:
The elevated IL-37 levels in these conditions suggest activation of endogenous anti-inflammatory mechanisms attempting to control disease progression. This has led researchers to investigate IL-37 supplementation as a potential therapeutic strategy. The keyword co-occurrence showing "rheumatoid arthritis" as a significant term confirms the importance of this autoimmune condition in IL-37 research.
Methodologically, researchers studying IL-37 in autoimmune diseases should examine both systemic and local expression patterns, while also investigating how genetic variations in IL-37 or its receptors might influence disease susceptibility or severity.
Post-translational modifications (PTMs) critically influence IL-37's biological activity through several mechanisms:
Proteolytic processing: Like many IL-1 family members, IL-37 requires specific proteolytic cleavage for full bioactivity. The processing of IL-37 by caspase-1 has been shown to enhance its anti-inflammatory properties.
Phosphorylation: Potential phosphorylation sites may regulate IL-37's interaction with signaling components or influence its intracellular trafficking.
Glycosylation: Glycosylation could affect IL-37's stability, receptor binding affinity, and circulation half-life.
Nuclear localization: Modifications affecting nuclear translocation may determine IL-37's ability to influence gene transcription directly.
The co-citation of papers discussing "extracellular forms of IL-37" suggests that processing of IL-37 is important for its function. Researchers investigating IL-37 PTMs should employ mass spectrometry-based approaches to identify modification sites, followed by site-directed mutagenesis to assess functional consequences. Additionally, researchers should consider how inflammatory environments might alter the PTM profile of IL-37, potentially affecting its anti-inflammatory properties in disease states.
Developing IL-37-based therapeutic interventions presents several challenges that researchers must address:
Delivery and formulation challenges:
Recombinant IL-37 has limited stability in circulation
Targeted delivery to specific tissues requires novel formulation approaches
Optimal dosing regimens remain undetermined
Mechanistic considerations:
Safety concerns:
Potential immunogenicity of recombinant IL-37
Risk of compromising immune responses to pathogens
Differential effects across various autoimmune conditions
Strategies to overcome these challenges include developing stabilized IL-37 variants, receptor-specific agonists, gene therapy approaches, and small molecule enhancers of endogenous IL-37 expression. The keyword analysis showing "inhibitor" as a term with high centrality suggests research interest in how IL-37 inhibits inflammatory processes, which could inform therapeutic strategies targeting similar pathways.
Contradictory findings regarding IL-37 expression across diseases represent a significant challenge requiring systematic resolution approaches:
Methodological assessment:
Evaluate differences in sample collection, processing, and storage
Compare detection methods (ELISA kits, antibodies, PCR primers)
Assess statistical approaches and sample sizes
Contextual factors:
Disease heterogeneity and subtype classification
Treatment status of patients and medication effects
Disease duration and activity measures
Tissue-specific versus systemic expression patterns
Analytical strategies:
Meta-analysis with random effects models to account for heterogeneity
Subgroup analysis based on methodological factors
Bayesian approaches incorporating prior knowledge
The cluster analysis identifying "differential expression" (cluster #2) as a significant research focus confirms that expression variability is a recognized aspect of IL-37 biology. Longitudinal studies examining IL-37 expression throughout disease progression could help clarify apparent contradictions observed in cross-sectional data.
The variability in IL-37 responses across populations stems from multiple interacting factors:
Genetic determinants:
Polymorphisms in IL-37 coding regions affecting protein function
Variations in promoter regions influencing expression levels
Receptor (IL-18Rα and IL-1R8) genetic diversity
Background genetic modifiers affecting signaling pathways
Environmental influences:
Different pathogen exposure histories shaping immune responses
Dietary factors affecting inflammatory status
Environmental pollutants modulating cytokine networks
Microbiome composition variations
Methodological considerations:
Standardization of assays across populations
Accounting for reference ranges in different ethnic groups
Controlling for comorbidities and medication use
The bibliometric analysis showing research contributions from 50 different countries/regions suggests recognition of population differences in IL-37 biology. Researchers should conduct cross-population studies with standardized protocols and consider genome-wide association approaches to identify genetic factors influencing IL-37 responses.
When IL-37 data contradicts established immunological paradigms, researchers should follow these methodological principles:
Validation through multiple approaches:
Confirm findings using independent techniques
Replicate experiments in different model systems
Collaborate with independent laboratories for verification
Critical examination of assumptions:
Review the foundational evidence of the challenged paradigm
Identify contextual factors that might explain apparent contradictions
Consider cell-type or tissue-specific effects
Transparent reporting:
Document all methodological details thoroughly
Pre-register experimental protocols when possible
Report all results, including those that appear contradictory
Conceptual integration:
Propose mechanistic models that reconcile contradictory findings
Develop testable hypotheses that could resolve the contradiction
Consider paradigm refinement rather than replacement
The discovery that IL-37 is "a fundamental inhibitor of innate immunity" itself represented a paradigm shift in understanding IL-1 family cytokines, which were typically considered pro-inflammatory. This historical context provides a model for how researchers might approach new findings that challenge current understanding of IL-37 biology.
Analyzing complex IL-37 clinical datasets requires sophisticated statistical and bioinformatic approaches:
For observational clinical studies:
Multivariate regression models controlling for relevant confounders
Propensity score matching for case-control comparisons
Mediation analysis to assess causal pathways involving IL-37
For longitudinal data:
Mixed-effects models accounting for repeated measures
Time-series analysis for temporal patterns
Joint modeling for longitudinal biomarkers and clinical outcomes
For biomarker evaluation:
Receiver operating characteristic (ROC) curve analysis
Net reclassification improvement (NRI) assessment
Decision curve analysis for clinical utility
For integrative analyses:
Network analysis of cytokine interactions
Machine learning for pattern recognition in complex datasets
Multi-omics integration approaches
The keyword co-occurrence of "disease activity" suggests that correlating IL-37 levels with clinical indices is a common approach. Researchers should ensure appropriate sample size calculations during study design and consider Bayesian approaches when prior knowledge about IL-37 can inform analysis.
Bibliometric analysis reveals several emerging trends shaping the future of IL-37 research:
Expansion to diverse disease contexts:
Mechanistic refinement:
Therapeutic applications:
Tissue-specific biology:
Researchers should position new studies to build upon these emerging trends while introducing innovative methodological approaches to address the complex biology of IL-37.
Despite significant research progress, several aspects of IL-37 biology remain underexplored:
Evolutionary biology and comparative immunology:
Why humans have IL-37 while mice naturally lack this gene
Evolutionary pressures that shaped IL-37 function
Comparative analysis across species with IL-37 homologs
Regulatory networks:
Transcriptional and post-transcriptional regulation of IL-37
microRNA networks controlling IL-37 expression
Epigenetic modifications of the IL-37 locus in different contexts
Cellular sources and targets:
Developmental aspects:
IL-37 expression during different developmental stages
Role in tissue repair and regeneration
Influence on immune system development
The separate clustering of "IL-1F5" (SIGIRR, cluster #9) from other clusters suggests that the relationship between IL-37 and its receptor components still has unexplored facets that warrant further investigation.
Emerging technologies promise to revolutionize our understanding of IL-37 biology:
Single-cell technologies:
Single-cell RNA sequencing to identify specific cellular sources and responders
Single-cell proteomics to characterize IL-37 production at protein level
Spatial transcriptomics to map IL-37 expression in tissue contexts
Advanced genetic engineering:
CRISPR-Cas9 base editing for precise modification of IL-37 and receptor genes
Inducible expression systems for temporal control of IL-37
Humanized mouse models with physiological IL-37 expression
Structural and interaction biology:
Cryo-EM of IL-37-receptor complexes
Protein-protein interaction mapping using proximity labeling
Hydrogen-deuterium exchange mass spectrometry for conformational dynamics
Computational approaches:
Machine learning for pattern recognition in IL-37-related datasets
Systems biology modeling of IL-37 in cytokine networks
Virtual screening for small molecule modulators of IL-37 activity
These technologies will enable researchers to address complex questions about IL-37 function with unprecedented resolution and precision, potentially accelerating therapeutic applications.
Interdisciplinary approaches hold particular promise for advancing IL-37 research:
Immunology + Systems Biology:
Network modeling of IL-37 within broader cytokine systems
Identification of emergent properties in inflammatory regulation
Multi-scale modeling from molecular to organism level
Immunology + Cardiovascular Research:
Immunology + Neuroscience:
Neuroimmune interactions mediated by IL-37
Role in neuroinflammatory and neurodegenerative conditions
Effects on microglial function and neuronal health
Immunology + Microbiome Research:
IL-37's role in host-microbiota interactions
Effects on intestinal barrier function and mucosal immunity
Microbial regulation of IL-37 expression
Immunology + Computational Drug Design:
Structure-based design of IL-37 mimetics or enhancers
AI-driven discovery of small molecule modulators
Modeling of pharmacokinetics and tissue distribution
These interdisciplinary approaches can address complex questions about how IL-37 functions in different physiological contexts and accelerate the translation of basic research findings into therapeutic applications.
Interleukin-37, formerly known as Interleukin-1 Family Member 7, is a member of the Interleukin-1 family of cytokines. It is a newly discovered cytokine that plays a crucial role in suppressing innate inflammation and acquired immune responses. Interleukin-37 has five isoforms, designated as Interleukin-37a through Interleukin-37e, with Interleukin-37b being the most studied and longest isoform .
Interleukin-37 functions as a natural inhibitor of inflammatory and immune responses. It has been shown to suppress the production of pro-inflammatory cytokines such as Interleukin-1 alpha, Interleukin-1 beta, and Tumor Necrosis Factor alpha. Overexpression of Interleukin-37 in epithelial cells or macrophages almost completely suppresses the production of these cytokines, whereas silencing of endogenous Interleukin-37 increases their abundance in human blood cells .
Due to its potent anti-inflammatory properties, Interleukin-37 holds significant potential for treating a wide array of human inflammatory and autoimmune disorders. Studies have shown that administration of recombinant Interleukin-37 can ameliorate experimental psoriasis, alleviate rheumatoid arthritis, and reduce bleomycin-induced lung injury and fibrosis. It has also been found to decrease renal ischemia-reperfusion injury and inhibit the growth of cancer cells .
Recombinant Interleukin-37 can be produced using various expression systems, including bacterial, yeast, insect, and mammalian cells. Recently, plants have emerged as a novel expression platform for the production of human Interleukin-37. Transgenic plants have been developed to produce different forms of Interleukin-37b, including the unprocessed full-length precursor form and the mature form. The expression of these forms is driven by a strong constitutive promoter, and the resulting proteins are biologically active .