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PRACA PRZEGLĄDOWA
Rola antagonistów interleukiny 1 w leczeniu chorób zapalnych – dotychczasowe doświadczenia i perspektywy*
 
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Data publikacji online: 11-08-2009
 
 
Reumatologia 2009;47(3):151-157
 
SŁOWA KLUCZOWE
STRESZCZENIE
Rodzina białek interleukiny 1 (IL-1) obejmuje IL-1a, IL-1b, interleukinę-18 i naturalny inhibitor receptora IL-1 (IL-1 Ra). Rekombinowany IL-1 Ra, czyli anakinra, jest stosowany jako lek przeciwzapalny, a od 2001 r. jest zarejestrowany do leczenia chorych na reumatoidalne zapalenie stawów (RZS). W ostatnich latach uzyskano nowe dane o hamowaniu aktywności IL-1 w leczeniu chorób zapalnych innych niż RZS. Wykazano skuteczność anakinry w leczeniu chorób opornych na terapię konwencjonalną, takich jak: młodzieńcze idiopatyczne zapalenie stawów o początku układowym, choroba Stilla o początku w wieku dorosłym, dziedziczne zespoły zapalne, rodzinna gorączka śródziemnomorska, a nawet choroba zwyrodnieniowa stawów lub dna moczanowa. Nowe próby hamowania IL-1 za pomocą przeciwciał monoklonalnych są przedmiotem prób klinicznych prowadzonych u chorych na cukrzycę typu 2 lub młodzieńcze idiopatyczne zapalenie stawów o początku układowym. Mimo umiarkowanej skuteczności anakinry u chorych na RZS, modulacja stymulacji zapalnej zachodzącej za pośrednictwem IL-1 wydaje się obiecującą drogą uzyskania nowych leków biologicznych przydatnych w wielu chorobach zapalnych.
 
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