Inhibition of type I IL-1 receptor (IL-1R1) could have potential as a treatment for alcoholic liver disease, according to the findings of Petrasek et al. Their work in mice has shown that the development of liver steatosis, inflammation and injury induced by alcohol requires proinflammatory cytokine IL-1β and signalling by IL-1R1 to be upregulated via caspase 1, a component of the inflammasome. In vivo, a recombinant IL-1R antagonist blocked IL-1 signalling and ameliorated alcohol-induced liver steatosis, inflammation and injury.