PMID- 35958573 OWN - NLM STAT- MEDLINE DCOM- 20220815 LR - 20220818 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - Immune-mediated inflammatory diseases with chronic excess of serum interleukin-18. PG - 930141 LID - 10.3389/fimmu.2022.930141 [doi] LID - 930141 AB - Review: Interleukin-18 (IL-18) is a proinflammatory cytokine that promotes various innate immune processes related to infection, inflammation, and autoimmunity. Patients with systemic juvenile idiopathic arthritis and adult-onset Still's disease exhibit chronic excess of serum IL-18, which is associated with a high incidence of macrophage activation syndrome (MAS), although the mechanisms of IL-18 regulation in such diseases remain largely unknown. Similar elevation of serum IL-18 and susceptibility to MAS/hemophagocytic lymphohistiocytosis (HLH) have been reported in monogenic diseases such as X-linked inhibitor of apoptosis deficiency (i.e., X-linked lymphoproliferative syndrome type 2) and NLRC4-associated autoinflammatory disease. Recent advances in molecular and cellular biology allow the identification of other genetic defects such as defects in CDC42, PSTPIP1, and WDR1 that result in high serum IL-18 levels and hyperinflammation. Among these diseases, chronic excess of serum IL-18 appears to be linked with severe hyperinflammation and/or predisposition to MAS/HLH. In this review, we focus on recent findings in inflammatory diseases associated with and probably attributable to chronic excess of serum IL-18 and describe the clinical and therapeutical relevance of understanding the pathology of this group of diseases. CI - Copyright (c) 2022 Miyazawa and Wada. FAU - Miyazawa, Hanae AU - Miyazawa H AD - Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan. FAU - Wada, Taizo AU - Wada T AD - Department of Pediatrics, School of Medicine, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan. LA - eng PT - Journal Article PT - Review DEP - 20220725 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Interleukin-18) RN - Lymphoproliferative Syndrome, X-Linked, 2 SB - IM MH - Adult MH - *Arthritis, Juvenile MH - Genetic Diseases, X-Linked MH - Humans MH - Interleukin-18 MH - *Lymphohistiocytosis, Hemophagocytic/etiology MH - Lymphoproliferative Disorders MH - *Macrophage Activation Syndrome PMC - PMC9358977 OTO - NOTNLM OT - hemophagocytic lymphohistiocytosis OT - inflammasome OT - interleukin-18 OT - macrophage activation syndrome OT - systemic autoinflammatory diseases COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/08/13 06:00 MHDA- 2022/08/16 06:00 PMCR- 2022/01/01 CRDT- 2022/08/12 02:59 PHST- 2022/04/27 00:00 [received] PHST- 2022/07/01 00:00 [accepted] PHST- 2022/08/12 02:59 [entrez] PHST- 2022/08/13 06:00 [pubmed] PHST- 2022/08/16 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2022.930141 [doi] PST - epublish SO - Front Immunol. 2022 Jul 25;13:930141. doi: 10.3389/fimmu.2022.930141. eCollection 2022.