interleukin-18 a therapeutic target in rheumatoid arthritisinterleukin-18类风湿性关节炎的治疗目标.pdfVIP
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interleukin-18 a therapeutic target in rheumatoid arthritisinterleukin-18类风湿性关节炎的治疗目标
Arthritis Research Therapy Vol 7 No 1 McInnes et al.
Commentary
Interleukin-18: a therapeutic target in rheumatoid arthritis?
Iain B McInnes, Foo Y Liew and J Alastair Gracie
Division of Immunology, Infection and Inflammation, University of Glasgow, UK
Corresponding author: Iain B McInnes, i.b.mcinnes@clinmed.gla.ac.uk
Published: 17 December 2004
Arthritis Res Ther 2005, 7:38-41 (DOI 10.1186/ar1497)
© 2004 BioMed Central Ltd
Abstract
Interleukin 18 (IL-18), a member of the IL-1 superfamily of cytokines has been demonstrated to be an
important mediator of both innate and adaptive immune responses. Several reports have implicated
its role in the pathogenesis of rheumatoid arthritis (RA). Although biologic therapy is firmly
established in the treatment of a number of inflammatory diseases including RA, partial and non-
responder patients constitute residual unmet clinical need. The aim of this article is to briefly review
the biology of, and experimental approaches to IL-18 neutralisation, together with speculation as to
the relative merits of IL-18 as an alternative to existing targets.
Keywords: cytokine, IL-18, inflammation rheumatoid arthritis
Whereas TNFα antagonists provide impressive clinical leukocytes), IL-18 is cleaved by caspase-1 to an active
benefits in rheumatoid arthritis (RA), partial and non- 18 kD ligand, that binds a heterodimeric receptor,
responder patients constitute residual unmet clinical need. consisting of IL-18Rα and IL-18Rβ, that
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