Interleukin 32 (IL-32) was first identified in 1992 as a novel human gene encoding a 27-KD protein expressed in activated natural killer (NK) cells and T cells in humans and was named NK4. 1 In 2005, Kim et al found that the product of NK4 possesses the characteristics of a pro-inflammatory cytokine, and accordingly, the name was changed to IL-32. 2 A growing body of evidence implicates IL-32 in health and disease. Its roles in host responses to pathogens 3,4 allergy and asthma, 5 cancer 6 and cardiovascular diseases 7 have been reviewed recently. The objective of this review is to discuss the role of IL-32 in autoimmune diseases and, in particular, rheumatoid arthritis (RA) and type 1 diabetes (T1D). 2 | GENE AND ISOFORMS The IL32 gene has at least eight exons that reside on human chromosome 16p13.3. 2 Interestingly, the gene is encoded in higher mammals but not in rodents. 8 As of May 2020, the Ensembl database (ensembl.org) contains 35 splice variant transcripts of the gene, of which 30 potentially encode proteins. The longest IL-32γ isoform is identical to the original NK4 transcript, and alternative splicing yields nine experimentally validated isoforms: IL-32α, IL-32β, IL-32γ, IL-32δ, IL-32ε, IL-32ζ, IL-32η, IL-32 and IL-32sm. 2,8-10 The moststudied isoforms are IL-32α, IL-32β, IL-32γ and IL-32δ, with gamma being the longest and the most-studied isoform. IL-32α, IL-32β and IL-32γ are structurally similar to each other, and IL-32η and IL-32θ are similar to each other. The