» Articles » PMID: 20004774

Therapy of Autoinflammatory Syndromes

Overview
Date 2009 Dec 17
PMID 20004774
Citations 40
Authors
Affiliations
Soon will be listed here.
Abstract

The therapy of autoinflammatory syndromes is an excellent example of the power of translational research. Recent advances in our understanding of the molecular and immunologic basis of this newly identified classification of disease have allowed for the application of novel, effective, targeted treatments with life-changing effects on patients. Although colchicine and TNF-alpha inhibitors are important therapies for specific autoinflammatory syndromes, the novel IL-1-targeted drugs are particularly effective for many of these diseases. Recently, the pharmaceutical industry has adopted a strategy of confirming the efficacy of new targeted drugs in often-ignored patients with orphan diseases, and US Food and Drug Administration policies have allowed for accelerated approval of these drugs, creating a win-win situation for patients and industry. This article reviews the general approach to the therapy of autoinflammatory diseases, focusing on current approved therapies and novel approaches that might be used in the future.

Citing Articles

Making inroads to precision medicine for the treatment of autoimmune diseases: Harnessing genomic studies to better diagnose and treat complex disorders.

Baglaenko Y, Wagner C, Bhoj V, Brodin P, Gershwin M, Graham D Camb Prism Precis Med. 2024; 1:e25.

PMID: 38550937 PMC: 10953750. DOI: 10.1017/pcm.2023.14.


The NLRP1 inflammasome in skin diseases.

Burian M, Schmidt M, Yazdi A Front Immunol. 2023; 14:1111611.

PMID: 36911693 PMC: 9996011. DOI: 10.3389/fimmu.2023.1111611.


Activation and Regulation of NLRP3 by Sterile and Infectious Insults.

Banerjee S, Chatterjee A, Gupta S, Nagar A Front Immunol. 2022; 13:896353.

PMID: 35663964 PMC: 9161712. DOI: 10.3389/fimmu.2022.896353.


The unusual experience of managing a severe COVID-19 case at home: what can we do and where do we go?.

Cherrez-Ojeda I, Vanegas E, Felix M BMC Infect Dis. 2020; 20(1):862.

PMID: 33213364 PMC: 7675380. DOI: 10.1186/s12879-020-05608-0.


Inflammasome inhibition under physiological and pharmacological conditions.

Caseley E, Poulter J, Rodrigues F, McDermott M Genes Immun. 2020; 21(4):211-223.

PMID: 32681062 DOI: 10.1038/s41435-020-0104-x.


References
1.
Hoffman H, Throne M, Amar N, Sebai M, Kivitz A, Kavanaugh A . Efficacy and safety of rilonacept (interleukin-1 Trap) in patients with cryopyrin-associated periodic syndromes: results from two sequential placebo-controlled studies. Arthritis Rheum. 2008; 58(8):2443-52. DOI: 10.1002/art.23687. View

2.
Dinarello C . The IL-1 family and inflammatory diseases. Clin Exp Rheumatol. 2004; 20(5 Suppl 27):S1-13. View

3.
Goldbach-Mansky R, Shroff S, Wilson M, Snyder C, Plehn S, Barham B . A pilot study to evaluate the safety and efficacy of the long-acting interleukin-1 inhibitor rilonacept (interleukin-1 Trap) in patients with familial cold autoinflammatory syndrome. Arthritis Rheum. 2008; 58(8):2432-42. PMC: 2875198. DOI: 10.1002/art.23620. View

4.
Zemer D, Revach M, Pras M, Modan B, Schor S, SOHAR E . A controlled trial of colchicine in preventing attacks of familial mediterranean fever. N Engl J Med. 1974; 291(18):932-4. DOI: 10.1056/NEJM197410312911803. View

5.
Kuijk L, Govers A, Frenkel J, Hofhuis W . Effective treatment of a colchicine-resistant familial Mediterranean fever patient with anakinra. Ann Rheum Dis. 2007; 66(11):1545-6. PMC: 2111630. DOI: 10.1136/ard.2007.071498. View