IL-18 production from the NLRP1 inflammasome prevents obesity and metabolic syndrome (#366)
IL-18 is activated by Caspase-1 in inflammasome complexes, and has anti-obesity effects, however it is not known which inflammasome regulates this process. We found that mice lacking the NLRP1 inflammasome phenocopy mice lacking IL-18, with spontaneous obesity due to intrinsic lipid accumulation. This is exacerbated when the mice are fed a high-fat diet (HFD), but not when mice are fed a high-fat, restricted-energy diet. Furthermore, mice with an activating mutation in NLRP1, and hence increased IL-18, have decreased adiposity and are resistant to diet induced metabolic dysfunction. Feeding these mice a HFD further increased plasma IL-18 concentrations, and strikingly resulted in loss of adipose tissue mass and fatal cachexia, which could be prevented by genetic deletion of IL-18. Therefore NLRP1 is an innate immune sensor that functions in the context of metabolic stress to produce IL-18, preventing obesity and metabolic syndrome.