Treating inflammation by blocking interleukin-1 in a broad spectrum of diseases

被引:1382
作者
Dinarello, Charles A. [1 ,2 ]
Simon, Anna [2 ]
van der Meer, Jos W. M. [2 ]
机构
[1] Univ Colorado Denver, Dept Med, Aurora, CO 80045 USA
[2] Univ Med Ctr Nijmegen, Dept Med, NL-6500 HB Nijmegen, Netherlands
基金
美国国家卫生研究院;
关键词
JUVENILE IDIOPATHIC ARTHRITIS; FAMILIAL MEDITERRANEAN FEVER; COLD AUTOINFLAMMATORY SYNDROME; RECEPTOR ANTAGONIST ANAKINRA; MUCKLE-WELLS-SYNDROME; ONSET STILLS-DISEASE; HYPER-IGD SYNDROME; CYTOPHAGIC HISTIOCYTIC PANNICULITIS; MACROPHAGE ACTIVATION SYNDROME; QUALITY-OF-LIFE;
D O I
10.1038/nrd3800
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Interleukin-1 (IL-1) is a highly active pro-inflammatory cytokine that lowers pain thresholds and damages tissues. Monotherapy blocking IL-1 activity in autoinflammatory syndromes results in a rapid and sustained reduction in disease severity, including reversal of inflammation-mediated loss of sight, hearing and organ function. This approach can therefore be effective in treating common conditions such as post-infarction heart failure, and trials targeting a broad spectrum of new indications are underway. So far, three IL-1-targeted agents have been approved: the IL-1 receptor antagonist anakinra, the soluble decoy receptor rilonacept and the neutralizing monoclonal anti-IL-1 beta antibody canakinumab. In addition, a monoclonal antibody directed against the IL-1 receptor and a neutralizing anti-IL-1 alpha antibody are in clinical trials.
引用
收藏
页码:633 / 652
页数:20
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