Anti-cytokine therapies in T1D: Concepts and strategies

被引:60
作者
Nepom, Gerald T. [1 ]
Ehlers, Mario [2 ]
Mandrup-Poulsen, Thomas [3 ,4 ]
机构
[1] Benaroya Res Inst, Seattle, WA 98101 USA
[2] Immune Tolerance Network, San Francisco, CA 94107 USA
[3] Univ Copenhagen, DK-2200 Copenhagen N, Denmark
[4] Karolinska Inst, S-17176 Stockholm, Sweden
关键词
Immunotherapy; Autoimmunity; Regulatory T cells; Anti-inflammatory; INTERLEUKIN-12/23; MONOCLONAL-ANTIBODY; NONOBESE DIABETIC MICE; T-CELLS; DOUBLE-BLIND; TH17; CELLS; ENDOGENOUS INTERLEUKIN-12; NOD MICE; USTEKINUMAB; PSORIASIS; ONSET;
D O I
10.1016/j.clim.2013.02.003
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
071005 [微生物学]; 100108 [医学免疫学];
摘要
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.
引用
收藏
页码:279 / 285
页数:7
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