Résumé
La famille des cytokines IL-1 (IL-1α, IL-1β, IL-1Ra et, plus récemment, IL-18) joue un rôle important dans la régulation immunitaire et dans les processus inflammatoires en induisant l’expression de nombreuses protéines effectrices ie des cytokines/chemokines, la N0 synthétase, des métalloprotéases (MMP), des Prostaglandines (PGE2). La dérégulation de ces médiateurs peut entraîner une atteinte tissulaire observée dans de nombreuses maladies rhumatismales. Les traitements ciblant l’IL-1 peuvent se révéler efficaces dans ces circonstances (1). Nous parlerons essentiellement de la seule molécule actuellement disponible en France, à savoir l’anakinra, qui est une protéine recombinante, antagoniste du récepteur de l’IL-1 humaine. L’IL-1Ra se he au récepteur actif de l’IL-1 (IL-1R1) sans activer la cellule et donc sans induire lui-même d’effets biologiques, régulant ainsi l’activité de l’IL-1.
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Références
Barksby HE, Lea SR, Preshaw PM, Taylor JJ (2007) The expanding family of interleukin-2. cytokines and their role in destructive inflammatory disorders. Clin Exp Immunol 149:217–25
Dayer JM (2003) The pivotal role of interleukin-1 in the clinical manifestations of rheumatoid arthritis. Rheumatology 2(Suppl): 3–10
Dayer JM (2002) The saga ofthe discovery of IL-1 and TNF and their specific inhibitors in the pathogenesis and treatment of rheumatoid arthritis. Joint Bone Spine 69:123–32
van den Berg WB (2001) Uncoupling of inflammatory and destructive mechanisms in arthritis. Semin Arthritis Rheum 30(Suppl): 7–16
Bresnihan B, Alvaro-Gracia JM, Cobby M. et al. (1998) Treatment of rheumatoid arthritis with recombinant human interleukin-1 receptor antagonist. Arthritis Rheum 41:2196–204
Jiang Y, Genant HK, Watt I et al. (2000) A multicenter, double-blind, dose-ranging, randomized, placebo-controlled study of recombinant human interleukin-1 receptor antagonist in patients with rheumatoid arthritis: radiologic progression and correlation of Genant and Larsen scores. Arthritis Rheum 43:1001–9
Cohen SB, Moreland LW, Gush JJ et al. (2004) A multicentre, double blind, randomised, placebo controlled trial of anakinra (Kineret), a recombinant interleukin 1 receptor antagonist, in patients with rheumatoid arthritis treated with background methotrexate. Ann Rheum Dis 63:1062–8
Gohen S, Hurd E, Gush J et al. (2002) Treatment of rheumatoid arthritis with anakinra, a recombinant human interleukin-1 receptor antagonist, in combination with methotrexate: results of a twenty-four-week, multicenter, randomized, double-blind, placebo-controlled trial. Arthritis Rheum 46: 614–24
Genovese MG, Gohen S, Moreland L et al. (2004) Combination therapy with etanercept and anakinra in the treatment of patients with rheumatoid arthritis who have been treated unsuccessfully with methotrexate. Arthritis Rheum 50:1412–9
Le Loët X, Nordström D, Rodriguez M. et al. (2008) Effect of anakinra on functional status in patients with active rheumatoid arthritis receiving concomitant therapy with traditional disease modifying antirheumatic drugs: evidence from the OMEGA Trial. J Rheumatol 35:1538–44
Purst DE, Keystone EG, Fleischmann R et al. (2010) Updated consensus statement on biological agents for the treatment of rheumatic diseases, 2009. Ann Rheum Dis 69(Suppl) 2–29
Salliot G, Dougados M, Gossec L (2009) Risk of serious infections during rituximab, abatacept and anakinra treatments for rheumatoid arthritis: meta-analyses of randomised placebo-controlled trials. Ann Rheum Dis 68: 25–32
Lequerré T, Bansard G, Derambure G et al (2008) IL-1 gene signature is able to predict the responsiveness to anakinra. American College of Rheumatology, San Francisco, 25-29 octobre. Arthritis Rheum 58(Suppl): 777
Lequerré T, Vittecoq O, Le Loët X (2007) What is the role for interleukin-1 receptor antagonist in rheumatic disease? Joint Bone Spine 74:223–6
Lequerré T, Quartier P, Rosellini D et al. (2008) Interleukin-1 receptor antagonist (anakinra) treatment in patients with systemic-onset juvenile idiopathic arthritis or adult onset Still disease: preliminary experience in France. Ann Rheum Dis 67: 302–8
Pascual V, Allantaz F, Arce E et al. (2005) Role of interleukin-1 (IL-1) in the pathogenesis of systemic onset juvenile idiopathic arthritis and clinical response to IL-1 blockade. J Exp Med 201:1479–86
Frenkel J, Rijkers GT, Mandey SH et al. (2002) Lack of isoprenoid products raises ex vivo interleukin-1beta secretion in hyperimmunoglobulinemia D andperiodic fever syndrome. Arthritis Rheum 46: 2794–803
Kalliolias GD, Liossis SN (2008) The future of the IL-1 receptor antagonist anakinra: from rheumatoid arthritis to adult-onset Still’s disease and systemic-onset juvenile idiopathic arthritis. Expert Opin Investig Drugs 17: 349–59
Burger D, Dayer JM, Palmer G, Gabay G (2006) Is IL-1 a good therapeutic target in the treatment of arthritis? Best Pract Res Glin Rheumatol 20: 879–96
Pels E, Sundy JS (2008) Refractory gout: what is it and what to do about it? Gurr Opin Rheumatol 20:198–202
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Le Loët, X., Lequerré, T., Vittecoq, O. (2011). Les traitements ciblant l’IL-1: quelles maladies?. In: Biothèrapies en rhumatologie. Springer, Paris. https://doi.org/10.1007/978-2-8178-0124-7_9
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DOI: https://doi.org/10.1007/978-2-8178-0124-7_9
Publisher Name: Springer, Paris
Print ISBN: 978-2-8178-0123-0
Online ISBN: 978-2-8178-0124-7