IL-37 operates through dual pathways:
Caspase-1 Cleavage: Activated by caspase-1 at aspartic acid (D20), enabling nuclear translocation .
Smad3 Binding: Forms a complex with phosphorylated Smad3 to suppress pro-inflammatory gene expression (e.g., NF-κB, MAPK) .
Receptor Binding: Engages IL-18Rα and recruits IL-1R8 (SIGIRR), inhibiting downstream pathways (e.g., mTOR, PI3K/AKT) .
Cytokine Modulation: Reduces IL-6, TNF-α, and IL-1β while sparing anti-inflammatory cytokines like IL-10 .
Autoimmune Diseases: In experimental autoimmune encephalomyelitis (EAE), IL-37 reduced demyelination and Th17 responses via IL-1R8 .
Neurodegeneration: Protected against LPS-induced dendritic spine loss and preserved long-term potentiation (LTP) in hippocampal neurons .
Cardiovascular: Attenuated arterial thrombosis by 40–60% in murine models .
IL-37 belongs to the IL-1 family, with its coding gene located on the long arm of chromosome 2, positioned close to IL-1α and IL-1β genes. The protein has a unique structure with extended N and C termini that are disordered in the free protein state . Unlike other cytokines, IL-37 functions through a concentration-dependent mechanism where:
Monomeric IL-37 is the active anti-inflammatory form
At higher concentrations, IL-37 forms dimers with nanomolar affinity
The presence of at least one extended terminus (either N or C) is required for IL-37's suppressive activity, though both termini appear unstructured in solution studies .
IL-37 possesses a unique "dual function" mechanism:
Extracellular mechanism:
Binds to IL-18Rα and the decoy receptor IL-1R8 (SIGIRR)
Forms a tripartite ligand-receptor complex
Recombinant IL-37 induces a 16-fold increase in IL-1R8 mRNA levels in M1 macrophages
Reduces TNF-α and IL-6 expression by 50-55% in LPS-stimulated mouse bone marrow-derived dendritic cells (absent in IL-1R8-deficient mice)
Intracellular mechanism:
Interacts with SMAD3
Translocates to the nucleus
Induces anti-inflammatory effects through nucleus-targeting sequences
Mutant IL-37D20A (lacking nucleus-targeting sequences) shows impaired anti-inflammatory activity
Both mechanisms contribute to suppressing pro-inflammatory cytokine production, including IL-1A, IL-6, CCL12, CSF1, CSF2, CXCL13, IL-1B, IL-23A, and IL-1RN .
Commercially available recombinant human IL-37:
Typically expressed in Escherichia coli
Represents a fragment spanning amino acids 27-192
Contains >95% pure protein with <1 EU/μg endotoxin level
Sequence contains: KNLNPKKFSIHDQDHKVLVLDSGNIAVPDKNYIRPEIFFALASSLSSASAEKGSPILLGVSKGEFCLYCDKDKGQSHPSLQLKKEKLMKLAAQKESARRPFIFYRAQVGSWNMLESAAHPGWFICTSCNCNEPVGVTDKFENRKHIEFSFQPVCKAEMSPSEVSDK
Research indicates different effective dosing strategies depending on the model:
For acute inflammation models:
Pretreatment with 300 ng recombinant IL-37 per animal (i.p.) for 3 consecutive days before inflammatory challenge
This regimen has shown efficacy in protecting against IL-1β-induced cognitive deficits in Y-Maze behavioral tests
For disease-specific models:
In experimental autoimmune encephalomyelitis (EAE), multiple application protocols have been tested using various forms of recombinant human IL-37
For cardiovascular studies, recombinant IL-37 has demonstrated protection against atherosclerosis in ApoE-deficient models
When designing experiments, consider that native IL-37 at 2.5 nM reduces LPS-induced VCAM protein levels by ~50%, while the monomeric D73K mutant achieves 90% reduction at the same concentration .
Several factors influence IL-37 activity in experimental settings:
Concentration considerations:
Lower concentrations are often more effective than higher concentrations
Higher IL-37 concentrations promote dimerization, reducing anti-inflammatory activity
Experimental conditions:
IL-37 is a heparin-binding protein, which modulates its self-association
Consider including appropriate controls:
Timing considerations:
For optimal suppression of inflammatory responses, pretreatment with IL-37 before inflammatory stimulus is recommended
Effects can be measured through reduced production of ICAM-1, VCAM-1, pro-inflammatory cytokines, and NF-κB pathway activation
IL-37 shows significant neuroprotective effects through multiple mechanisms:
Acute neuroinflammation:
Prevents LPS-induced microglial activation
Preserves dendritic spine density after inflammatory challenge
Maintains long-term potentiation (LTP) that would otherwise be impaired by inflammation
Chronic neurodegeneration models:
In APP/PS1 Alzheimer's disease models, IL-37 expression improves:
Spatial memory in Morris water maze tests
Reference memory in probe trials
Learning capacity during acquisition phase
IL-37 transgenic expression in AD models shows preservation of cognitive abilities compared to APP/PS1 mice without IL-37
These findings suggest IL-37 as a potential therapeutic candidate for both acute and chronic neuroinflammatory conditions.
IL-37 modulates several key inflammatory signaling cascades:
PKR-NF-κB pathway:
Recombinant IL-37 suppresses PKR and NF-κB activation induced by soluble ECM proteins (matrilin-2 or biglycan)
Intracellular signaling:
Nuclear translocation with SMAD3 is critical for intracellular anti-inflammatory effects
IL-37D20A mutant (lacking nuclear localization sequence) fails to suppress inflammation
Extracellular receptor-mediated signaling:
Forms tripartite complex with IL-18Rα and IL-1R8
IL-1R8 is essential for anti-inflammatory effects (effects absent in IL-1R8-deficient models)
Understanding these pathways helps researchers design targeted experiments to dissect IL-37's mechanisms in specific disease contexts.
Research has demonstrated synergistic effects when combining IL-37 with cellular therapies:
Mesenchymal stem cells (MSCs) and IL-37:
MSCs overexpressing IL-37 maintain their stem cell characteristics
Enhanced immunosuppressive properties:
In vivo application:
MSCs overexpressing IL-37 injected into MRL/lpr mice (SLE model) showed:
This mutually reinforcing relationship occurs because:
IL-37 expression by MSCs maintains high serum IL-37 levels
IL-37 inhibits inflammation, creating a more favorable environment for MSC survival
Enhanced survival of transplanted MSCs prolongs therapeutic effects
Multiple experimental systems have been validated for IL-37 research:
Transgenic mouse models:
hIL-37tg mice (expressing human IL-37b)
IL-1R8 KO mice (to study receptor dependency)
hIL-37tg-IL-1R8 KO double transgenic mice (to distinguish intracellular from receptor-mediated effects)
Disease-specific models:
Experimental autoimmune encephalomyelitis (EAE) for Multiple Sclerosis
APP/PS1 transgenic mice for Alzheimer's disease
MRL/lpr mice for Systemic Lupus Erythematosus
Cellular models:
Aortic valve interstitial cells (AVICs) for studying valve inflammation
Bone marrow-derived dendritic cells
M1 macrophages
Several validated endpoints can quantify IL-37's anti-inflammatory activity:
Protein expression markers:
Reduced ICAM-1 and VCAM-1 expression
Decreased pro-inflammatory cytokines (IL-1, TNF-α, IL-6, IL-17)
Functional assays:
Inhibition of dendritic cell maturation
Reduced T cell proliferation
Neurological assessments:
Preservation of long-term potentiation (LTP)
Maintenance of dendritic spine density
Improved cognitive performance in behavioral tests:
When designing experiments with IL-37 variants:
Structural modifications:
Point mutations at the IL-37 dimer interface (e.g., D73K mutant) create stable monomers with enhanced anti-inflammatory activity
IL-37D20A mutant lacking nucleus-targeting sequences has impaired intracellular activity
N and C terminal modifications can affect function, as at least one extended terminus is necessary for activity
Functionality comparison:
Monomeric IL-37 forms provide greater suppression of inflammatory cytokines compared to native IL-37
Native IL-37 at 2.5 nM reduces LPS-induced VCAM by ~50%, while the D73K monomeric mutant achieves 90% reduction
High concentrations of native IL-37 show reduced efficacy due to dimer formation
Experimental controls:
Include both wild-type IL-37 and relevant mutants
Consider testing across multiple cell types, as effects may vary
Use receptor knockout models (IL-1R8 KO) to distinguish receptor-dependent from intracellular effects
Bibliometric analysis reveals several emerging research directions:
Disease applications:
Keyword analysis shows "inflammation," "dendritic cell," "rheumatoid arthritis," "pathogenesis," and "disease" as high-frequency terms
Citation burst analysis identifies "suppression" as a current research front
Emerging evidence for IL-37's role in various disorders represents a significant hotspot
Mechanistic investigations:
Further elucidation of IL-37's immunomodulatory mechanisms
Understanding the molecular basis for IL-37's picomolar activity despite weak interaction with IL-18Rα
Exploring additional mediators of IL-37 activity and potential multiple cell surface interactions
Research categories:
Immunology and Cell Biology account for approximately 50% of IL-37 publications
Biochemistry/Molecular Biology (16.85%) and Medicine Research Experimental (9.74%) are also significant fields
The immunomodulatory effect of IL-37 and its role in different cells remain major research foci
IL-37 offers several unique properties that inform therapeutic development:
Mechanistic insights:
Dual mechanism (intracellular and extracellular) provides multiple potential drug targets
Concentration-dependent efficacy (with lower concentrations being more effective) informs dosing strategies
Monomer vs. dimer activity suggests structural modifications for enhanced efficacy
Therapeutic applications:
Demonstrated efficacy in multiple disease models suggests broad therapeutic potential
Protection against neuroinflammation in both acute and chronic settings
Synergistic effects with cell-based therapies like MSCs offer combination approaches
Development considerations:
Engineering stable monomeric forms may enhance anti-inflammatory activity
Understanding heparin binding and other interactions could improve pharmacokinetics
The requirement for extended termini despite their disorder suggests functional regions for therapeutic targeting
These insights can guide the development of IL-37-based therapeutics or small molecules that mimic its anti-inflammatory effects.
Researchers should be aware of several technical considerations:
Activity assessment challenges:
Experimental variability factors:
Endotoxin contamination can confound inflammatory studies
Heparin binding may affect IL-37 behavior in various buffers or media
Potential species-specific differences (IL-37 is not naturally expressed in mice)
Solutions: