Can elevated levels of Interleukin-1 beta (IL-1β) and Interleukin-18 (IL-18) directly or indirectly cause paresthesia of the lower extremities, bladder dysfunction, fecal incontinence, sexual anhedonia, thermoregulatory dysfunction, and balance dysfunction?

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Last updated: February 10, 2025View editorial policy

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From the Research

Inflammatory Effects of IL-1β and IL-18

  • Elevated levels of Interleukin-1 beta (IL-1β) and Interleukin-18 (IL-18) are associated with inflammatory processes and have been implicated in various diseases, including atherosclerosis and systemic sclerosis 1, 2, 3.
  • IL-1β and IL-18 are members of the IL-1 family and share similar structures and functions, including the induction of gene expression and synthesis of tumor necrosis factor (TNF) and other chemokines 2, 4.
  • The activity of IL-1β and IL-18 is tightly controlled by naturally occurring inhibitors, including IL-1 receptor antagonists, and an imbalance between agonist and antagonist levels can lead to exaggerated inflammatory responses 4.

Neurological Effects of IL-1β and IL-18

  • IL-18 has been shown to induce expression and release of cytokines from murine glial cells, including IL-1 alpha and proIL-1 beta, and release of IL-6 from mixed glia 5.
  • IL-1β and IL-18 may contribute to inflammatory responses in the brain, and their regulation and actions differ in certain aspects 5.
  • However, there is limited evidence to suggest a direct link between elevated levels of IL-1β and IL-18 and specific neurological symptoms such as paresthesia of the lower extremities, bladder dysfunction, fecal incontinence, sexual anhedonia, thermoregulatory dysfunction, and balance dysfunction.

Associations with Clinical Manifestations

  • Elevated serum levels of IL-1β and IL-33 have been associated with systemic sclerosis in a Chinese population, and may contribute to the development of the disease 3.
  • However, no direct associations were found between serum levels of IL-1α, IL-1β, IL-18, and IL-33 and clinical parameters in patients with systemic sclerosis 3.
  • Further studies are required to validate the potential role of IL-1β and IL-18 in the development of specific clinical manifestations.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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