Published in:
01-06-2006 | Original Article
Interleukin-12 to interleukin ‘infinity’: the rationale for future therapeutic cytokine targeting
Authors:
E. J. R. Anderson, M. A. McGrath, T. Thalhamer, I. B. McInnes
Published in:
Seminars in Immunopathology
|
Issue 4/2006
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Excerpt
Chronic inflammatory disorders comprise a significant source of morbidity, mortality and societal cost. Conventional therapeutics have relied on rather broad spectrum inhibitors derived often from the cytotoxic drug armamentarium, or from non-specific immune modulatory agents derived on the basis of broad immune suppression. More recently has arisen the notion that immune-based therapies might be optimised on the basis of underlying disease pathogenesis. In this respect, the success of TNF blockade across a range of inflammatory diseases, initially rheumatoid arthritis, then psoriasis and Crohn’s disease, has provoked significant interest in understanding the wider biology and functional effects of a large number of pro-inflammatory cytokines in the context of human disease. The present review will consider those novel cytokines that may offer therapeutic utility in the future. Cytokines that are already subjects to clinical intervention, including TNF, IL-1 and IL-6, are not considered in this review; their relevant biology has been extensively reviewed elsewhere in this volume. Instead, we shall focus on those cytokines characteristically synthesised during the innate immune responses with activities of relevance not only in the chronic inflammatory lesion but also in the evolution of subsequent adaptive (autoimmune responses). …