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Immunology · Innate Immunity

Interleukin-1

Interleukin-1 (IL-1)

Interleukin-1 (IL-1) is a key pro-inflammatory cytokine responsible for orchestrating the inflammatory response. It is produced primarily by macrophages and monocytes in response to pathogen invasion and ensures both local tissue defense and the development of systemic inflammation.

FamilyIncludes over 11 proteins (5 active cytokines)
SecretionPeak concentration is reached 3–4 hours after stimulation
InducerBacterial lipopolysaccharide (LPS)
Systemic effectInduces fever and stimulates the synthesis of acute-phase proteins
3 min readFor medical studentsUpdated Sep 25, 2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Origin and synthesis

Cytokine genes are inducible. The main producers of IL-1 are activated macrophages and monocytes at the site of inflammation. Initially, synthesis is triggered by a small number of tissue macrophages, but as leukocytes migrate from the blood, the number of producer cells increases rapidly. Non-immune cells (endothelium, fibroblasts, glia) can also secrete IL-1 when stimulated by microbial products.

Production kinetics is quite rapid:

  • mRNA expression begins within 15–30 minutes.
  • The protein appears in the cytoplasm within 30–60 minutes.
  • Maximum extracellular concentration is reached in 3–4 hours.
  • Synthesis is short-lived — usually lasting slightly over a day for an individual cell.

Members of the IL-1 family

The family numbers over 11 molecules, but five are considered active: IL-1α, IL-1β, IL-1RA (receptor antagonist), IL-18, and IL-33.

Traditionally, IL-1 refers to two molecules: IL-1α and IL-1β. They share 26% amino acid sequence homology, bind to the same receptor, and exert identical effects. They are initially synthesized as inactive precursor molecules with a mass of 30 kDa lacking a signal peptide, and upon cleavage of a portion of the chain, they transform into active forms (18 kDa).

CytokineProcessing and localization features
IL-1αThe main human variant is the membrane-bound form (acting locally). Extracellular proteases cleave a fragment from the secreted molecule.
IL-1βIt is activated intracellularly in lysosomes by the enzyme IL-1-converting enzyme (caspase 1).
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Role of the inflammasome

Processing of IL-1β occurs within a specialized protein complex — the inflammasome.

Events unfold in stages:

  1. Intracellular NLR receptors (NOD1, NOD2, etc.) recognize pathogen-associated molecular patterns.
  2. An inflammasome is formed, comprising receptors and inactive caspase 1.
  3. The formation of the transcription factor NF-κB is triggered.
  4. Activated caspase 1 cleaves the IL-1β precursor.
  5. The mature cytokine (18 kDa) is secreted extracellularly.

Signal transduction and receptors

The receptor apparatus is represented by two types of molecules:

  • IL-1RI — the main receptor, expressed in small quantities but having high affinity for the cytokine. The intracellular part features a TIR domain.
  • IL-1RII — a decoy receptor lacking a signaling domain (binds IL-1 but does not activate the cell).

Upon binding to IL-1RI, the signal is transduced via MyD88, IRAK, and TRAF6 molecules, leading to the activation of transcription factors NF-κB and AP-1. As a result, pro-inflammatory genes are activated. Importantly, the synthesized inflammatory products cause the cell to release even more IL-1, creating a positive feedback loop.

Effects in the body

The action of IL-1 aims to enhance inflammation without the need for the pathogen to spread throughout the body.

Local effects:

  • Stimulation of adhesion molecule expression (facilitates leukocyte emigration from vessels).
  • Activation of phagocytosis and the respiratory burst.
  • Alteration of vascular tone.

Systemic effects:

  • Liver: stimulation of acute-phase protein production.
  • Hypothalamus: elevation of body temperature (fever).
  • CNS: somnolence, fatigue, loss of appetite.
  • Bone marrow: stimulation of hematopoiesis and neutrophil release into the blood (left shift).

Excess IL-1 can destroy cartilage and bone (e.g., in rheumatoid arthritis) or lead to severe conditions resembling septic shock.

Briefly: answers to topical questions

Which proteins make up the inflammasome?

  • Inactive caspase 1 (caspase 1) — an intracellular enzyme responsible for processing the interleukin-1 precursor.
  • NLR family receptors (NLR) are intracellular receptor proteins (including NOD1, NOD2, IPAF, etc.) that recognize pathogen-associated molecular patterns.

Class and exam questions

How does IL-1α differ from IL-1β?

They bind to the same receptor and act similarly, but IL-1α is more often membrane-anchored and activated extracellularly, whereas IL-1β is activated intracellularly by caspase 1 as part of the inflammasome.

What is the interleukin-1 receptor antagonist (IL-1RA)?

This is a protein that binds to the IL-1RI receptor but does not transmit a signal. It is produced by the same cells and serves to curb the systemic effects of IL-1, protecting the body from excessive inflammation.

Which cells produce interleukin-1?

The main sources are activated macrophages and monocytes at the site of inflammation. Upon stimulation, it can also be secreted by neutrophils, dendritic cells, lymphocytes, endothelium, and fibroblasts.

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What else to study on this topic

  • Characteristics of the IL-1RII decoy receptor
  • Properties and functions of cytokine IL-18
  • The role of interleukin-33 (IL-33) in allergic processes
  • Interaction of IL-18 and IL-12 in interferon-gamma production
  • Amplification of the inflammatory signal

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