PT - JOURNAL ARTICLE AU - L. S. Tran AU - L. Ying AU - K. D’Costa AU - G. Wray-McCann AU - G. Kerr AU - L. Le AU - C. C. Allison AU - J. Ferrand AU - H. Chaudhry AU - J. Emery AU - A. De Paoli AU - S. Creed AU - M. Kaparakis-Liaskos AU - J. Como AU - J. Dowling AU - P. A. Johanesen AU - T. A. Kufer AU - J. S. Pedersen AU - A. Mansell AU - D. J. Philpott AU - K. Elgass AU - H. E. Abud AU - U. Nachbur AU - B. A. Croker AU - S. L. Masters AU - R. L. Ferrero TI - NOD1 mediates non-canonical inflammasome processing of interleukin-18 in epithelial cells to <em>Helicobacter pylori</em> infection AID - 10.1101/587212 DP - 2019 Jan 01 TA - bioRxiv PG - 587212 4099 - http://biorxiv.org/content/early/2019/03/24/587212.short 4100 - http://biorxiv.org/content/early/2019/03/24/587212.full AB - The interleukin-1 family members, IL-1β and IL-18, are processed into their biologically active forms by multi-protein complexes, known as inflammasomes. Although the inflammasome pathways that mediate IL-1β processing in myeloid cells have been extensively studied, those involved in IL-18 processing, particularly in non-myeloid cells, are still poorly understood. Here, we have identified the cytosolic sensor NOD1 as a key regulator of IL-18 processing in epithelial cells responding to Helicobacter pylori infection. Importantly, NOD1 processing of IL-18 occurs independently of the canonical inflammasome proteins, NLRP3 and ASC. Instead, NOD1 interacts directly with caspase-1 via homotypic binding of caspase-activation recruitment domains. We show that IL-18 is important in maintaining tissue homeostasis and protecting against pre-neoplastic changes due to gastric H. pylori infection. These findings reveal an unanticipated role for NOD1 in a new type of inflammasome that regulates epithelial cell production of bioactive IL-18 with tissue protective functions.