Interleukin-18 (IL-18), a pyroptosis-related cytokine linking immunity and metabolism, regulates appetite, body weight and glucose homeostasis. IL-18 has paradoxical roles: its deficiency leads to obesity, whereas chronic signalling promotes liver fibrosis. Elevated in obesity and diabetes mellitus, IL-18 remains a compelling therapeutic target, with IL-18 binding protein showing anti-fibrotic potential in preclinical and early clinical studies.
- Christian Stoess
- Janset Onyuru
- Ariel E. Feldstein