The Future of IL-1 Targeting in Kidney Disease

Drugs. 2018 Jul;78(11):1073-1083. doi: 10.1007/s40265-018-0942-2.

Abstract

Interleukin (IL)-1α and IL-1β are proinflammatory cytokines that play a role in many diseases such as rheumatoid arthritis, juvenile rheumatoid arthritis, gout, and periodic inflammatory syndromes, including familial Mediterranean fever and Muckle-Wells syndrome. Drugs targeting IL-1 such as recombinant IL-1Ra (anakinra), neutralizing anti-IL-1β antibodies (canakinumab) and IL-1β traps (rilonacept) are in clinical use to treat these diseases. Additionally, experimental evidence suggests a role of IL-1 in kidney disease and hypertension and targeting IL-1 showed promising results in high cardiovascular risk patients, hemodialysis and renal transplantation patients. We now summarize knowledge on the potential role of IL-1 targeting in patients with kidney disease.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents / pharmacology
  • Anti-Inflammatory Agents / therapeutic use*
  • Antibodies, Monoclonal / pharmacology
  • Antibodies, Monoclonal / therapeutic use
  • Antibodies, Monoclonal, Humanized
  • Atherosclerosis / drug therapy
  • Atherosclerosis / metabolism
  • Cryopyrin-Associated Periodic Syndromes / drug therapy
  • Humans
  • Hypertension / drug therapy
  • Hypertension / metabolism
  • Interleukin 1 Receptor Antagonist Protein / pharmacology
  • Interleukin 1 Receptor Antagonist Protein / therapeutic use
  • Interleukin-1 / metabolism*
  • Interleukin-1 / therapeutic use
  • Interleukin-1alpha / metabolism
  • Interleukin-1beta / metabolism
  • Kidney Diseases / drug therapy*
  • Kidney Diseases / metabolism
  • Molecular Targeted Therapy
  • Recombinant Fusion Proteins / pharmacology
  • Recombinant Fusion Proteins / therapeutic use
  • Recombinant Proteins / therapeutic use

Substances

  • Anti-Inflammatory Agents
  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Interleukin 1 Receptor Antagonist Protein
  • Interleukin-1
  • Interleukin-1alpha
  • Interleukin-1beta
  • Recombinant Fusion Proteins
  • Recombinant Proteins
  • canakinumab
  • rilonacept