| Literature DB >> 24804827 |
Laura C O'Brien1, Eleonora Mezzaroma2, Benjamin W Van Tassell2, Carlo Marchetti3, Salvatore Carbone3, Antonio Abbate4, Stefano Toldo3.
Abstract
Interleukin 18 (IL-18) is a proinflammatory cytokine in the IL-1 family that has been implicated in a number of disease states. In animal models of acute myocardial infarction (AMI), pressure overload, and LPS-induced dysfunction, IL-18 regulates cardiomyocyte hypertrophy and induces cardiac contractile dysfunction and extracellular matrix remodeling. In patients, high IL-18 levels correlate with increased risk of developing cardiovascular disease (CVD) and with a worse prognosis in patients with established CVD. Two strategies have been used to counter the effects of IL-18:IL-18 binding protein (IL-18BP), a naturally occurring protein, and a neutralizing IL-18 antibody. Recombinant human IL-18BP (r-hIL-18BP) has been investigated in animal studies and in phase I/II clinical trials for psoriasis and rheumatoid arthritis. A phase II clinical trial using a humanized monoclonal IL-18 antibody for type 2 diabetes is ongoing. Here we review the literature regarding the role of IL-18 in AMI and heart failure and the evidence and challenges of using IL-18BP and blocking IL-18 antibodies as a therapeutic strategy in patients with heart disease.Entities:
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Year: 2014 PMID: 24804827 PMCID: PMC4069269 DOI: 10.2119/molmed.2014.00034
Source DB: PubMed Journal: Mol Med ISSN: 1076-1551 Impact factor: 6.354