Structural insights into cytokine cleavage by inflammatory caspase-4

Inflammatory caspases are key Enzymes in mammalian innate immunity that control the processing and release of interleukin-1 (IL-1)-family cytokines^1,2. Despite the biological importance, the structural basis for inflammatory caspase-mediated cytokine processing has remained unclear. To date, catalytic cleavage of IL-1-family members, including pro-IL-1β and pro-IL-18, has been attributed primarily to Caspase-1 activities within canonical inflammasomes³. Here we demonstrate that the lipopolysaccharide receptor caspase-4 from humans and Other mammalian species (except rodents) can cleave pro-IL-18 with an efficiency similar to pro-IL-1β and pro-IL-18 cleavage by the prototypical IL-1-converting enzyme Caspase-1. This ability of caspase-4 to cleave pro-IL-18, combined with its previously defined ability to cleave and activate the lytic pore-forming protein gasdermin D (GSDMD)^4,5, enables human cells to bypass the need for canonical inflammasomes and Caspase-1 for IL-18 release. The structure of the caspase-4-pro-IL-18 complex determined using cryogenic electron microscopy reveals that pro-lL-18 interacts with caspase-4 through two distinct interfaces: a protease exosite and an interface at the caspase-4 active site involving residues in the pro-domain of pro-IL-18, including the tetrapeptide caspase-recognition sequence⁶. The mechanisms revealed for cytokine substrate capture and cleavage differ from those observed for the Caspase substrate GSDMD^7,8. These findings provide a structural framework for the discussion of Caspase activities in health and disease.