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Interleukin-1 Mediated Autoinflammation from Heart Disease to Cancer

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Textbook of Autoinflammation

Abstract

Interleukin-(IL)-1α and IL-1β are highly active proinflammatory cytokines which lower pain thresholds and damage tissues. Monotherapy blocking IL-1 in hereditary autoinflammatory syndromes results in a rapid and sustained reduction in disease severity. But blocking IL-1 activity is also effective in treating common conditions such as gout and post-myocardial infarction heart failure. Targeting IL-1 in a broad spectrum of new indications is ongoing. There are several trials of IL-1 inhibition in cancer. Initially believed to be contraindicated, targeting IL-1 in cancer has expanded greatly. Anti-IL-1α has been used to treat patients with metastatic lung and colorectal cancers, advanced pancreatic cancer, human epidermal growth factor receptor 2 (HER2) negative breast cancer and with smoldering myeloma. A placebo controlled randomized trial of canakinumab in over 10,000 subjects revealed a marked decrease in the incidence and survival of patients with lung cancer. In each of these cancers, a role for IL-1 mediated autoinflammation is a fundamental mechanism of action.

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Abbreviations

3-MCA:

3-methylcholanthrene

AOSD:

Adult-onset Still disease

BMI:

Body mass index

CANTOS:

Canakinumab Anti-inflammatory Thrombosis Outcomes Study

CAPS:

Cryopyrin-associated periodic syndrome

CRP:

C-reactive protein

CSF:

Cerebrospinal fluid

CTLA-4:

Cytotoxic T-lymphocyte-associated protein 4

FMF:

Familial Mediterranean fever

HER2:

Human epidermal growth factor receptor 2

IL:

Interleukin

IL-1R1:

IL-1 receptor 1

IL-1Ra:

IL-1 receptor antagonist

LBM:

Lean body mass

MABp1:

Monoclonal antibody p1

MCD-1:

Macrophage-derived chemoattractant-1

MDSC:

Myeloid-derived suppressor cells

NIHSS:

National Institutes of Health stroke scale

NK:

Natural killer

NLRP3:

Nucleotide-binding domain and leucine-rich repeat pyrin containing 3

NOMID:

Neonatal-onset multisystem inflammatory disease

PD-1:

Programmed cell death protein 1

STEMI:

ST-elevated myocardial infarction

TAM:

Tumor-associated macrophages

TNF:

Tumor necrosis factor

TRAPS:

TNF receptor-associated periodic syndrome

WT:

Wild type

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Acknowledgements

This work was supported in part by NIH Grant AI-15614, the Colorado Cancer Center and National Cancer Institute Grant P30CA046934. The author thanks Dr. Giulio Cavalli for his help with the sections on osteoarthritis and heart disease.

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Correspondence to Charles A. Dinarello .

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Dinarello, C.A. (2019). Interleukin-1 Mediated Autoinflammation from Heart Disease to Cancer. In: Hashkes, P., Laxer, R., Simon, A. (eds) Textbook of Autoinflammation. Springer, Cham. https://doi.org/10.1007/978-3-319-98605-0_39

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