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. 2021 Mar 1;8:639103. doi: 10.3389/fmed.2021.639103

Figure 1.

Figure 1

The IL-18 signaling pathway. IL-18 is stored intracellularly as biologically inactive pro-IL-18 and is secreted extracellularly as the bioactive mature molecule after being cleaved by caspase-1. IL-18 is regulated by the endogenous inhibitor IL-18BP. Since IL-18BP has high affinity for IL-18, IL-18BP binds preferentially to IL-18 and inhibits binding to the IL-18R. IL-18 first binds to the IL-18Rα; however, this binding is low-affinity, and the IL-18Rβ chain is recruited to form a high-affinity heterodimeric complex. The activation of IL-18R recruits MyD88 to the TIR domain and anchors IRAK. Phosphorylated IRAK activates TRAF6, and which in turn phosphorylates NIK. This is followed by the activation of IKK and finally NF-κB, which initiates the transcription of target genes such as IFN-γ.