Therapeutic targeting of proinflammatory cytokines is clinically beneficial in several autoimmune disorders. Several of these cytokines are directly implicated in the pathogenesis of type 1 diabetes, suggesting opportunities for design of clinical trials in type 1 diabetes that incorporate selective cytokine blockade as a component of preventative or interventional immunotherapy. The rationale and status of inhibitory therapy directed against IL-1, TNF, IL-12, IL-23, and IL-6 are discussed, towards a goal of using cytokine inhibition as a therapeutic platform to establish an in vivo milieu suitable for modulating the immune response in T1D. (C) 2013 Elsevier Inc. All rights reserved.
机构:
Univ Colorado, Dept Med, Aurora, CO USA
Radboud Univ Nijmegen, Med Ctr, Dept Med, NL-6525 ED Nijmegen, NetherlandsUniv Colorado, Dept Med, Aurora, CO USA
机构:
Univ Colorado, Dept Med, Aurora, CO USA
Radboud Univ Nijmegen, Med Ctr, Dept Med, NL-6525 ED Nijmegen, NetherlandsUniv Colorado, Dept Med, Aurora, CO USA