Introduction. BPD is a lung disease of premature babies characterised by reduced lung function that is primarily mediated by inflammation. The interleukin (IL)-1 family of cytokines/receptors has regulatory roles in both driving and opposing inflammation but remains largely undescribed in BPD. The broadly acting anti-inflammatory cytokine IL-37 is of particular interest, as it reduces proinflammatory factors, such as IL-1β, that are elevated in infants with BPD.
Aims. To subject wild-type (Wt) and IL-37 transgenic (IL-37tg) mice to a 28-day model of murine BPD to investigate changes in alveolar structure, airway remodeling and expression of IL-1 family members.
Methods. In an established murine “double hit” model of BPD, pregnant dams were injected with 150 µg/kg LPS i.p. at embryonic day 14. At birth, Wt and IL-37tg pups were randomised into normoxia (air; 21% O2) or hyperoxia (hyp; 65% O2) to give 4 groups (1) air Wt (2) air IL-37tg (3) hyp Wt and (4) hyp IL-37tg. Lungs were prepared for alveolar and airway histology and morphometry (day 28). Changes in lung IL-1 family mRNA expression relative to air Wt were determined by real time PCR (day 5 and 28).
Results. Hyp Wt pups developed a severe BPD-like lung disease, with fewer, larger alveoli, reduced surface area for gas exchange and increased alveolar epithelial thickness. Hyp IL-37tg mice were not protected against these changes. Of note, IL-37 mRNA expression levels were reduced at day 28 of the model in air IL-37tg when compared to day 5 air IL-37tg (62 fold, p<0.05). Additionally, at day 28, a trend for lower mRNA expression of the IL-37 co-receptor SIGIRR was observed in the lungs of air IL-37tg pups, as compared to air Wt pups.
Discussion. IL-37tg mice were not protected against the hyperoxia-induced changes in lung morphology observed at day 28 in Wt mice, potentially due to insufficient levels of IL-37 or downregulation of its receptors. Daily administration of recombinant IL-37 to achieve steady state levels may be required to establish the protective role of IL-37 in murine BPD.