Poster Presentation ESA-SRB-APEG-NZSE 2022

IL-1 receptor antagonist rytvela protects against GBS-induced preterm delivery in mice. (#391)

Peck Y Chin 1 , William D Lubell 2 , David M Olson 3 , Sylvain Chemtob 4 , Jeffrey A Keelan 5 , Sarah A Robertson 1
  1. Robinson Research Institute and School of Biomedicine, University of Adelaide, Adelaide, SA 5005, Australia
  2. Department of Chemistry, Université de Montréal, Montréal, Québec, Canada
  3. Departments of Obstetrics and Gynecology, Pediatrics and Physiology, University of Alberta, Edmonton, AB, Canada
  4. Departments of Pediatrics, Opthalmology and Pharmacology, CHU Sainte-Justine Research Centre, Montreal, Quebec, Canada
  5. Division of Obstetrics and Gynaecology, The University of Western Australia , Subiaco, WA, Australia

Premature birth is a common and critical health issue in fetal-maternal medicine with long-term consequences especially for early preterm neonates. The pathophysiology of preterm labour is poorly understood and the causal factors uncertain, but inflammatory mechanisms are clearly implicated. Toll-like receptors (TLRs) are critical upstream gate-keepers controlling the inflammatory activation that precedes preterm delivery and pro-inflammatory cytokine interleukin-1 beta (IL-1b) has been identified as a major upstream product following the activation of the TLR pathway. Group B Streptococcus (GBS) or Streptococcus agalactiae is a gram-positive bacteria and a TLR2/TLR8 ligand, is considered to be a leading cause in neonatal sepsis following preterm birth. Previously we have shown that inhibition of IL-1 signaling using rytvela, a non-competitive allosteric peptide inhibitor of IL-1 receptor (IL-1R) signaling, can reduce GBS-induced preterm birth in mice by 50% and improves neonatal survival rates. This project seeks to investigate whether inhibition of IL-1 signaling using the IL-1R antagonist rytvela may prevent the parturition cascade caused by GBS-induced inflammation. Pregnant C57Bl/6 mice were administered intrauterine heat-killed GBS (5x109 IU/100 µl) or PBS, with or without co-administration of rytvela (ip), on gestational day (GD) 16.5 and were killed 4 hours later for RT-PCR analysis of inflammatory cytokines in gestational tissues adjacent to the GBS injection site (n=2 samples from 6-8 dams per group). Administration of rytvela was found to suppress GBS-induced expression of Il1b, Ifng, Ptgs2, Il10 and Il18 expression in the uterus. These results demonstrate that intervention with rytvela to suppress the IL-1-induced inflammatory cascade can mitigate GBS-induced preterm delivery by preventing premature activation of uterine activation proteins and subsequent onset of labour in mice. The data support continued investigation of the IL-1 pathway as a potential target for new prevention or treatment options in women at risk of infection-associated preterm delivery.