Skip to main content
Erschienen in: Die Nephrologie 2/2020

12.02.2020 | Psoriasis vulgaris | Leitthema

Stellenwert von interleukingerichteten Therapien bei Autoimmunkrankheiten

verfasst von: A. Hammitzsch, U. Heemann, Dr. med. P. Moog

Erschienen in: Die Nephrologie | Ausgabe 2/2020

Einloggen, um Zugang zu erhalten

Zusammenfassung

Das Verständnis der Pathophysiologie von Autoimmunerkrankungen ermöglicht die Identifikation neuer Angriffspunkte für präzisere Pharmakotherapien. Diese sollen idealerweise neben einer hohen Effektivität auch ein besseres Sicherheitsprofil aufweisen. Interleukine (IL) sind eine Gruppe von Entzündungsmediatoren, die ganz unterschiedliche Autoimmun- und Autoinflammationserkrankungen in ihrem Verlauf beeinflussen können. Obwohl viele Biologika für die rheumatoide Arthritis entwickelt wurden, weitet sich ihr Einsatzgebiet mitunter auf andere Indikationen aus, wo sie teilweise sogar einen höheren Stellenwert haben, wie z. B. die IL-1-Antagonisten bei den Autoinflammationssyndromen. Mittlerweile therapieren wir mit Antikörpern gegen IL oder ihre Rezeptoren ein wachsendes Spektrum an Erkrankungen. Auch synthetische DMARD („disease modifying antirheumatic drugs“) sind im weitesten Sinne IL-gerichtete Therapien. Aus Gründen der Übersichtlichkeit soll es in diesem Artikel jedoch in erster Linie um Biologika, die unmittelbar IL hemmen, bzw. im Fall von IL‑2 um ein therapeutisch eingesetztes IL selbst gehen.
Literatur
1.
Zurück zum Zitat Araujo EG, Englbrecht M, Hoepken S et al (2019) Effects of ustekinumab versus tumor necrosis factor inhibition on enthesitis: results from the enthesial clearance in psoriatic arthritis (ECLIPSA) study. Semin Arthritis Rheum 48:632–637PubMed Araujo EG, Englbrecht M, Hoepken S et al (2019) Effects of ustekinumab versus tumor necrosis factor inhibition on enthesitis: results from the enthesial clearance in psoriatic arthritis (ECLIPSA) study. Semin Arthritis Rheum 48:632–637PubMed
2.
Zurück zum Zitat Baeten D, Sieper J, Braun J et al (2015) Secukinumab, an Interleukin-17A inhibitor, in ankylosing spondylitis. N Engl J Med 373:2534–2548PubMed Baeten D, Sieper J, Braun J et al (2015) Secukinumab, an Interleukin-17A inhibitor, in ankylosing spondylitis. N Engl J Med 373:2534–2548PubMed
3.
Zurück zum Zitat Baeten D, Østergaard M, Wei JC et al (2018) Risankizumab, an IL-23 inhibitor, for ankylosing spondylitis: results of a randomised, double-blind, placebo-controlled, proof-of-concept, dose-finding phase 2 study. Ann Rheum Dis 77:1295–1302PubMed Baeten D, Østergaard M, Wei JC et al (2018) Risankizumab, an IL-23 inhibitor, for ankylosing spondylitis: results of a randomised, double-blind, placebo-controlled, proof-of-concept, dose-finding phase 2 study. Ann Rheum Dis 77:1295–1302PubMed
4.
Zurück zum Zitat Beringer A, Miossec P (2019) Systemic effects of IL-17 in inflammatory arthritis. Nat Rev Rheumatol 15:491–501PubMed Beringer A, Miossec P (2019) Systemic effects of IL-17 in inflammatory arthritis. Nat Rev Rheumatol 15:491–501PubMed
5.
Zurück zum Zitat Billiard F, Litvinova E, Saadoun D et al (2006) Regulatory and effector T cell activation levels are prime determinants of in vivo immune regulation. J Immunol 177:2167–2174PubMed Billiard F, Litvinova E, Saadoun D et al (2006) Regulatory and effector T cell activation levels are prime determinants of in vivo immune regulation. J Immunol 177:2167–2174PubMed
6.
Zurück zum Zitat Blauvelt A, Papp KA, Griffiths CE et al (2017) Efficacy and safety of guselkumab, an anti-interleukin-23 monoclonal antibody, compared with adalimumab for the continuous treatment of patients with moderate to severe psoriasis: Results from the phase III, double-blinded, placebo- and active comparator-controlled VOYAGE 1 trial. J Am Acad Dermatol 76:405–417PubMed Blauvelt A, Papp KA, Griffiths CE et al (2017) Efficacy and safety of guselkumab, an anti-interleukin-23 monoclonal antibody, compared with adalimumab for the continuous treatment of patients with moderate to severe psoriasis: Results from the phase III, double-blinded, placebo- and active comparator-controlled VOYAGE 1 trial. J Am Acad Dermatol 76:405–417PubMed
7.
Zurück zum Zitat Burkett PR, Meyer zu Horste G, Kuchroo VK (2015) Pouring fuel on the fire: Th17 cells, the environment, and autoimmunity. J Clin Invest 125:2211–2219PubMedPubMedCentral Burkett PR, Meyer zu Horste G, Kuchroo VK (2015) Pouring fuel on the fire: Th17 cells, the environment, and autoimmunity. J Clin Invest 125:2211–2219PubMedPubMedCentral
8.
Zurück zum Zitat Cavalli G, Dinarello CA (2015) Treating rheumatological diseases and co-morbidities with interleukin‑1 blocking therapies. Rheumatology 54:2134–2144PubMedPubMedCentral Cavalli G, Dinarello CA (2015) Treating rheumatological diseases and co-morbidities with interleukin‑1 blocking therapies. Rheumatology 54:2134–2144PubMedPubMedCentral
9.
Zurück zum Zitat De Benedetti F, Gattorno M, Anton J et al (2018) Canakinumab for the treatment of autoinflammatory recurrent fever syndromes. N Engl J Med 378:1908–1919PubMed De Benedetti F, Gattorno M, Anton J et al (2018) Canakinumab for the treatment of autoinflammatory recurrent fever syndromes. N Engl J Med 378:1908–1919PubMed
10.
Zurück zum Zitat Deodhar A, Gensler LS, Sieper J et al (2019) Three multicenter, randomized, double-blind, placebo-controlled studies evaluating the efficacy and safety of ustekinumab in axial spondyloarthritis. Arthritis Rheumatol 71:258–270PubMed Deodhar A, Gensler LS, Sieper J et al (2019) Three multicenter, randomized, double-blind, placebo-controlled studies evaluating the efficacy and safety of ustekinumab in axial spondyloarthritis. Arthritis Rheumatol 71:258–270PubMed
11.
Zurück zum Zitat Dhorepatil A, Ball S, Ghosh RK et al (2019) Canakinumab: promises and future in cardiometabolic diseases and malignancy. Am J Med 132:312–324PubMed Dhorepatil A, Ball S, Ghosh RK et al (2019) Canakinumab: promises and future in cardiometabolic diseases and malignancy. Am J Med 132:312–324PubMed
12.
Zurück zum Zitat Dick AD, Tugal-Tutkun I, Foster S et al (2013) Secukinumab in the treatment of noninfectious uveitis: results of three randomized, controlled clinical trials. Ophthalmology 120:777–787PubMed Dick AD, Tugal-Tutkun I, Foster S et al (2013) Secukinumab in the treatment of noninfectious uveitis: results of three randomized, controlled clinical trials. Ophthalmology 120:777–787PubMed
13.
Zurück zum Zitat Dinarello CA (2011) Interleukin‑1 in the pathogenesis and treatment of inflammatory diseases. Blood 117:3720–3732PubMedPubMedCentral Dinarello CA (2011) Interleukin‑1 in the pathogenesis and treatment of inflammatory diseases. Blood 117:3720–3732PubMedPubMedCentral
14.
Zurück zum Zitat Evans DM, Spencer CC, Pointon JJ et al (2011) Interaction between ERAP1 and HLA-B27 in ankylosing spondylitis implicates peptide handling in the mechanism for HLA-B27 in disease susceptibility. Nat Genet 43:761–767PubMedPubMedCentral Evans DM, Spencer CC, Pointon JJ et al (2011) Interaction between ERAP1 and HLA-B27 in ankylosing spondylitis implicates peptide handling in the mechanism for HLA-B27 in disease susceptibility. Nat Genet 43:761–767PubMedPubMedCentral
15.
Zurück zum Zitat Eyerich S, Eyerich K, Pennino D et al (2009) Th22 cells represent a distinct human T cell subset involved in epidermal immunity and remodeling. J Clin Invest 119:3573–3585PubMedPubMedCentral Eyerich S, Eyerich K, Pennino D et al (2009) Th22 cells represent a distinct human T cell subset involved in epidermal immunity and remodeling. J Clin Invest 119:3573–3585PubMedPubMedCentral
16.
Zurück zum Zitat Fragoulis GE, Siebert S, McInnes IB (2016) Therapeutic targeting of IL-17 and IL-23 cytokines in immune-mediated diseases. Annu Rev Med 67:337–353PubMed Fragoulis GE, Siebert S, McInnes IB (2016) Therapeutic targeting of IL-17 and IL-23 cytokines in immune-mediated diseases. Annu Rev Med 67:337–353PubMed
17.
Zurück zum Zitat Gabay C, Emery P, van Vollenhoven R et al (2013) Tocilizumab monotherapy versus adalimumab monotherapy for treatment of rheumatoid arthritis (ADACTA): a randomised, double-blind, controlled phase 4 trial. Lancet 381:1541–1550PubMed Gabay C, Emery P, van Vollenhoven R et al (2013) Tocilizumab monotherapy versus adalimumab monotherapy for treatment of rheumatoid arthritis (ADACTA): a randomised, double-blind, controlled phase 4 trial. Lancet 381:1541–1550PubMed
18.
Zurück zum Zitat Genovese MC, Durez P, Richards HB et al (2013) Efficacy and safety of secukinumab in patients with rheumatoid arthritis: a phase II, dose-finding, double-blind, randomised, placebo controlled study. Ann Rheum Dis 72:863–869PubMed Genovese MC, Durez P, Richards HB et al (2013) Efficacy and safety of secukinumab in patients with rheumatoid arthritis: a phase II, dose-finding, double-blind, randomised, placebo controlled study. Ann Rheum Dis 72:863–869PubMed
19.
Zurück zum Zitat Gregory SG, Schmidt S, Seth P et al (2007) Interleukin 7 receptor alpha chain (IL7R) shows allelic and functional association with multiple sclerosis. Nat Genet 39:1083–1091PubMed Gregory SG, Schmidt S, Seth P et al (2007) Interleukin 7 receptor alpha chain (IL7R) shows allelic and functional association with multiple sclerosis. Nat Genet 39:1083–1091PubMed
20.
Zurück zum Zitat He J, Zhang R, Shao M et al (2020) Efficacy and safety of low-dose IL‑2 in the treatment of systemic lupus erythematosus: a randomised, double-blind, placebo-controlled trial. Ann Rheum Dis 79(1):141–149PubMed He J, Zhang R, Shao M et al (2020) Efficacy and safety of low-dose IL‑2 in the treatment of systemic lupus erythematosus: a randomised, double-blind, placebo-controlled trial. Ann Rheum Dis 79(1):141–149PubMed
21.
Zurück zum Zitat He J, Zhang X, Wei Y et al (2016) Low-dose interleukin‑2 treatment selectively modulates CD4(+) T cell subsets in patients with systemic lupus erythematosus. Nat Med 22:991–993PubMed He J, Zhang X, Wei Y et al (2016) Low-dose interleukin‑2 treatment selectively modulates CD4(+) T cell subsets in patients with systemic lupus erythematosus. Nat Med 22:991–993PubMed
22.
Zurück zum Zitat Hellmich B, Csernok E, Gross WL (2005) Proinflammatory cytokines and autoimmunity in Churg-Strauss syndrome. Ann N Y Acad Sci 1051:121–131PubMed Hellmich B, Csernok E, Gross WL (2005) Proinflammatory cytokines and autoimmunity in Churg-Strauss syndrome. Ann N Y Acad Sci 1051:121–131PubMed
23.
Zurück zum Zitat Hueber W, Sands BE, Lewitzky S et al (2012) Secukinumab, a human anti-IL-17A monoclonal antibody, for moderate to severe Crohn’s disease: unexpected results of a randomised, double-blind placebo-controlled trial. Gut 61:1693–1700PubMed Hueber W, Sands BE, Lewitzky S et al (2012) Secukinumab, a human anti-IL-17A monoclonal antibody, for moderate to severe Crohn’s disease: unexpected results of a randomised, double-blind placebo-controlled trial. Gut 61:1693–1700PubMed
24.
Zurück zum Zitat Jones G, Sebba A, Gu J et al (2010) Comparison of tocilizumab monotherapy versus methotrexate monotherapy in patients with moderate to severe rheumatoid arthritis: the AMBITION study. Ann Rheum Dis 69:88–96PubMed Jones G, Sebba A, Gu J et al (2010) Comparison of tocilizumab monotherapy versus methotrexate monotherapy in patients with moderate to severe rheumatoid arthritis: the AMBITION study. Ann Rheum Dis 69:88–96PubMed
25.
Zurück zum Zitat Jones SA, Scheller J, Rose-John S (2011) Therapeutic strategies for the clinical blockade of IL-6/gp130 signaling. J Clin Invest 121:3375–3383PubMedPubMedCentral Jones SA, Scheller J, Rose-John S (2011) Therapeutic strategies for the clinical blockade of IL-6/gp130 signaling. J Clin Invest 121:3375–3383PubMedPubMedCentral
26.
Zurück zum Zitat Kang KY, Kim HO, Kwok SK et al (2011) Impact of interleukin-21 in the pathogenesis of primary Sjögren’s syndrome: increased serum levels of interleukin-21 and its expression in the labial salivary glands. Arthritis Res Ther 13:R179PubMedPubMedCentral Kang KY, Kim HO, Kwok SK et al (2011) Impact of interleukin-21 in the pathogenesis of primary Sjögren’s syndrome: increased serum levels of interleukin-21 and its expression in the labial salivary glands. Arthritis Res Ther 13:R179PubMedPubMedCentral
27.
Zurück zum Zitat Klatzmann D, Abbas AK (2015) The promise of low-dose interleukin‑2 therapy for autoimmune and inflammatory diseases. Nat Rev Immunol 15:283–294PubMed Klatzmann D, Abbas AK (2015) The promise of low-dose interleukin‑2 therapy for autoimmune and inflammatory diseases. Nat Rev Immunol 15:283–294PubMed
28.
Zurück zum Zitat Kobayashi T, Okamoto S, Hisamatsu T et al (2008) IL23 differentially regulates the Th1/Th17 balance in ulcerative colitis and Crohn’s disease. Gut 57:1682–1689PubMed Kobayashi T, Okamoto S, Hisamatsu T et al (2008) IL23 differentially regulates the Th1/Th17 balance in ulcerative colitis and Crohn’s disease. Gut 57:1682–1689PubMed
29.
Zurück zum Zitat Lebwohl MG, Papp KA, Marangell LB et al (2018) Psychiatric adverse events during treatment with brodalumab: analysis of psoriasis clinical trials. J Am Acad Dermatol 78(5):81–89.e8PubMed Lebwohl MG, Papp KA, Marangell LB et al (2018) Psychiatric adverse events during treatment with brodalumab: analysis of psoriasis clinical trials. J Am Acad Dermatol 78(5):81–89.e8PubMed
30.
Zurück zum Zitat Leipe J, Schramm MA, Grunke M et al (2011) Interleukin 22 serum levels are associated with radiographic progression in rheumatoid arthritis. Ann Rheum Dis 70:1453–1457PubMed Leipe J, Schramm MA, Grunke M et al (2011) Interleukin 22 serum levels are associated with radiographic progression in rheumatoid arthritis. Ann Rheum Dis 70:1453–1457PubMed
31.
Zurück zum Zitat Leonard WJ, Lin JX, O’Shea JJ (2019) The γ. Immunity 50:832–850PubMed Leonard WJ, Lin JX, O’Shea JJ (2019) The γ. Immunity 50:832–850PubMed
32.
Zurück zum Zitat Leonardi CL, Kimball AB, Papp KA et al (2008) Efficacy and safety of ustekinumab, a human interleukin-12/23 monoclonal antibody, in patients with psoriasis: 76-week results from a randomised, double-blind, placebo-controlled trial (PHOENIX 1). Lancet 371:1665–1674PubMed Leonardi CL, Kimball AB, Papp KA et al (2008) Efficacy and safety of ustekinumab, a human interleukin-12/23 monoclonal antibody, in patients with psoriasis: 76-week results from a randomised, double-blind, placebo-controlled trial (PHOENIX 1). Lancet 371:1665–1674PubMed
33.
Zurück zum Zitat Long D, Chen Y, Wu H et al (2019) Clinical significance and immunobiology of IL-21 in autoimmunity. J Autoimmun 99:1–14PubMed Long D, Chen Y, Wu H et al (2019) Clinical significance and immunobiology of IL-21 in autoimmunity. J Autoimmun 99:1–14PubMed
34.
Zurück zum Zitat Lyons PA, Peters JE, Alberici F et al (2019) Genome-wide association study of eosinophilic granulomatosis with polyangiitis reveals genomic loci stratified by ANCA status. Nat Commun 10:5120PubMedPubMedCentral Lyons PA, Peters JE, Alberici F et al (2019) Genome-wide association study of eosinophilic granulomatosis with polyangiitis reveals genomic loci stratified by ANCA status. Nat Commun 10:5120PubMedPubMedCentral
35.
Zurück zum Zitat Mazzoni A, Maggi L, Liotta F et al (2019) Biological and clinical significance of T helper 17 cell plasticity. Immunology 158:287–295PubMedPubMedCentral Mazzoni A, Maggi L, Liotta F et al (2019) Biological and clinical significance of T helper 17 cell plasticity. Immunology 158:287–295PubMedPubMedCentral
36.
Zurück zum Zitat McInnes IB, Kavanaugh A, Gottlieb AB et al (2013) Efficacy and safety of ustekinumab in patients with active psoriatic arthritis: 1 year results of the phase 3, multicentre, double-blind, placebo-controlled PSUMMIT 1 trial. Lancet 382:780–789PubMed McInnes IB, Kavanaugh A, Gottlieb AB et al (2013) Efficacy and safety of ustekinumab in patients with active psoriatic arthritis: 1 year results of the phase 3, multicentre, double-blind, placebo-controlled PSUMMIT 1 trial. Lancet 382:780–789PubMed
37.
Zurück zum Zitat Nakou M, Papadimitraki ED, Fanouriakis A et al (2013) Interleukin-21 is increased in active systemic lupus erythematosus patients and contributes to the generation of plasma B cells. Clin Exp Rheumatol 31:172–179PubMed Nakou M, Papadimitraki ED, Fanouriakis A et al (2013) Interleukin-21 is increased in active systemic lupus erythematosus patients and contributes to the generation of plasma B cells. Clin Exp Rheumatol 31:172–179PubMed
38.
Zurück zum Zitat Pascart T, Norberciak L, Ea HK et al (2019) Difficult-to-treat gout flares: eligibility for interleukin‑1 inhibition in private practice is uncommon according to current EMA approval. Rheumatology 58(12):2181–2187PubMed Pascart T, Norberciak L, Ea HK et al (2019) Difficult-to-treat gout flares: eligibility for interleukin‑1 inhibition in private practice is uncommon according to current EMA approval. Rheumatology 58(12):2181–2187PubMed
39.
Zurück zum Zitat Ridker PM, Everett BM, Thuren T et al (2017) Antiinflammatory therapy with canakinumab for atherosclerotic disease. N Engl J Med 377:1119–1131PubMed Ridker PM, Everett BM, Thuren T et al (2017) Antiinflammatory therapy with canakinumab for atherosclerotic disease. N Engl J Med 377:1119–1131PubMed
40.
Zurück zum Zitat Robb RJ (1984) Interleukin 2: the molecule and its function. Immunol Today 5:203–209PubMed Robb RJ (1984) Interleukin 2: the molecule and its function. Immunol Today 5:203–209PubMed
41.
Zurück zum Zitat Rosenberg SA, Yang JC, Topalian SL et al (1994) Treatment of 283 consecutive patients with metastatic melanoma or renal cell cancer using high-dose bolus interleukin 2. JAMA 271:907–913PubMed Rosenberg SA, Yang JC, Topalian SL et al (1994) Treatment of 283 consecutive patients with metastatic melanoma or renal cell cancer using high-dose bolus interleukin 2. JAMA 271:907–913PubMed
42.
Zurück zum Zitat Rosenzwajg M, Lorenzon R, Cacoub P et al (2019) Immunological and clinical effects of low-dose interleukin‑2 across 11 autoimmune diseases in a single, open clinical trial. Ann Rheum Dis 78:209–217PubMed Rosenzwajg M, Lorenzon R, Cacoub P et al (2019) Immunological and clinical effects of low-dose interleukin‑2 across 11 autoimmune diseases in a single, open clinical trial. Ann Rheum Dis 78:209–217PubMed
43.
Zurück zum Zitat Saadoun D, Rosenzwajg M, Joly F et al (2011) Regulatory T‑cell responses to low-dose interleukin‑2 in HCV-induced vasculitis. N Engl J Med 365:2067–2077PubMed Saadoun D, Rosenzwajg M, Joly F et al (2011) Regulatory T‑cell responses to low-dose interleukin‑2 in HCV-induced vasculitis. N Engl J Med 365:2067–2077PubMed
44.
Zurück zum Zitat Sakaguchi S, Sakaguchi N, Asano M et al (1995) Immunologic self-tolerance maintained by activated T cells expressing IL‑2 receptor alpha-chains (CD25). Breakdown of a single mechanism of self-tolerance causes various autoimmune diseases. J Immunol 155:1151–1164PubMed Sakaguchi S, Sakaguchi N, Asano M et al (1995) Immunologic self-tolerance maintained by activated T cells expressing IL‑2 receptor alpha-chains (CD25). Breakdown of a single mechanism of self-tolerance causes various autoimmune diseases. J Immunol 155:1151–1164PubMed
45.
Zurück zum Zitat Shen H, Goodall JC, Hill GJS (2009) Frequency and phenotype of peripheral blood Th17 cells in ankylosing spondylitis and rheumatoid arthritis. Arthritis Rheum 60:1647–1656PubMed Shen H, Goodall JC, Hill GJS (2009) Frequency and phenotype of peripheral blood Th17 cells in ankylosing spondylitis and rheumatoid arthritis. Arthritis Rheum 60:1647–1656PubMed
47.
Zurück zum Zitat Smolen JS, Agarwal SK, Ilivanova E et al (2017) A randomised phase II study evaluating the efficacy and safety of subcutaneously administered ustekinumab and guselkumab in patients with active rheumatoid arthritis despite treatment with methotrexate. Ann Rheum Dis 76:831–839PubMed Smolen JS, Agarwal SK, Ilivanova E et al (2017) A randomised phase II study evaluating the efficacy and safety of subcutaneously administered ustekinumab and guselkumab in patients with active rheumatoid arthritis despite treatment with methotrexate. Ann Rheum Dis 76:831–839PubMed
48.
Zurück zum Zitat Smolen JS, Landewé R, Bijlsma J et al (2017) EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2016 update. Ann Rheum Dis 76:960–977PubMed Smolen JS, Landewé R, Bijlsma J et al (2017) EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2016 update. Ann Rheum Dis 76:960–977PubMed
49.
Zurück zum Zitat Stone JH, Tuckwell K, Dimonaco S et al (2017) Trial of tocilizumab in giant-cell arteritis. N Engl J Med 377:317–328PubMed Stone JH, Tuckwell K, Dimonaco S et al (2017) Trial of tocilizumab in giant-cell arteritis. N Engl J Med 377:317–328PubMed
50.
Zurück zum Zitat Stone JH, Tuckwell K, Dimonaco S et al (2019) Glucocorticoid dosages and acute-phase reactant levels at giant cell arteritis flare in a randomized trial of tocilizumab. Arthritis Rheumatol 71:1329–1338PubMedPubMedCentral Stone JH, Tuckwell K, Dimonaco S et al (2019) Glucocorticoid dosages and acute-phase reactant levels at giant cell arteritis flare in a randomized trial of tocilizumab. Arthritis Rheumatol 71:1329–1338PubMedPubMedCentral
51.
Zurück zum Zitat Tzellos T, Kyrgidis A, Zouboulis CC (2013) Re-evaluation of the risk for major adverse cardiovascular events in patients treated with anti-IL-12/23 biological agents for chronic plaque psoriasis: a meta-analysis of randomized controlled trials. J Eur Acad Dermatol Venereol 27:622–627PubMed Tzellos T, Kyrgidis A, Zouboulis CC (2013) Re-evaluation of the risk for major adverse cardiovascular events in patients treated with anti-IL-12/23 biological agents for chronic plaque psoriasis: a meta-analysis of randomized controlled trials. J Eur Acad Dermatol Venereol 27:622–627PubMed
52.
Zurück zum Zitat van de Kerkhof PC, Griffiths CE, Reich K et al (2016) Secukinumab long-term safety experience: a pooled analysis of 10 phase II and III clinical studies in patients with moderate to severe plaque psoriasis. J Am Acad Dermatol 75(4):83–98.e8PubMed van de Kerkhof PC, Griffiths CE, Reich K et al (2016) Secukinumab long-term safety experience: a pooled analysis of 10 phase II and III clinical studies in patients with moderate to severe plaque psoriasis. J Am Acad Dermatol 75(4):83–98.e8PubMed
53.
Zurück zum Zitat Veldhoen M, Hocking RJ, Atkins CJ et al (2006) TGFbeta in the context of an inflammatory cytokine milieu supports de novo differentiation of IL-17-producing T cells. Immunity 24:179–189PubMed Veldhoen M, Hocking RJ, Atkins CJ et al (2006) TGFbeta in the context of an inflammatory cytokine milieu supports de novo differentiation of IL-17-producing T cells. Immunity 24:179–189PubMed
54.
Zurück zum Zitat Wechsler ME, Akuthota P, Jayne D et al (2017) Mepolizumab or placebo for eosinophilic granulomatosis with polyangiitis. N Engl J Med 376:1921–1932PubMedPubMedCentral Wechsler ME, Akuthota P, Jayne D et al (2017) Mepolizumab or placebo for eosinophilic granulomatosis with polyangiitis. N Engl J Med 376:1921–1932PubMedPubMedCentral
55.
Zurück zum Zitat Yamaguchi T, Wing JB, Sakaguchi S (2011) Two modes of immune suppression by Foxp3(+) regulatory T cells under inflammatory or non-inflammatory conditions. Semin Immunol 23:424–430PubMed Yamaguchi T, Wing JB, Sakaguchi S (2011) Two modes of immune suppression by Foxp3(+) regulatory T cells under inflammatory or non-inflammatory conditions. Semin Immunol 23:424–430PubMed
56.
Zurück zum Zitat Yu A, Zhu L, Altman NH et al (2009) A low interleukin‑2 receptor signaling threshold supports the development and homeostasis of T regulatory cells. Immunity 30:204–217PubMedPubMedCentral Yu A, Zhu L, Altman NH et al (2009) A low interleukin‑2 receptor signaling threshold supports the development and homeostasis of T regulatory cells. Immunity 30:204–217PubMedPubMedCentral
57.
Zurück zum Zitat Zheng ZH, Zeng X, Nie XY et al (2019) Interleukin‑1 blockade treatment decreasing cardiovascular risk. Clin Cardiol 42:942–951PubMedPubMedCentral Zheng ZH, Zeng X, Nie XY et al (2019) Interleukin‑1 blockade treatment decreasing cardiovascular risk. Clin Cardiol 42:942–951PubMedPubMedCentral
Metadaten
Titel
Stellenwert von interleukingerichteten Therapien bei Autoimmunkrankheiten
verfasst von
A. Hammitzsch
U. Heemann
Dr. med. P. Moog
Publikationsdatum
12.02.2020
Verlag
Springer Medizin
Erschienen in
Die Nephrologie / Ausgabe 2/2020
Print ISSN: 2731-7463
Elektronische ISSN: 2731-7471
DOI
https://doi.org/10.1007/s11560-020-00413-x

Weitere Artikel der Ausgabe 2/2020

Die Nephrologie 2/2020 Zur Ausgabe

Passend zum Thema

ANZEIGE

Die entscheidende Rolle des Mikrobioms bei atopischer Dermatitis

Bei atopischer Dermatitis besteht eine direkte Korrelation des Schweregrad der Erkrankung und einer verminderten Diversität des Mikrobioms. Studiendaten zeigen, dass durch eine Behandlung mit Emollienzien plus, die Besiedelung mit Staphylokokken reduziert und das Mikrobiom stabilisiert werden kann.

ANZEIGE

Welche Bedeutung hat das Mikrobiom bei Wundheilung und AD?

Warum hat das Mikrobiom der Haut in den letzten Jahren in der Wissenschaft an enormer Bedeutung gewonnen? Welche Möglichkeiten ergeben sich dadurch für die Behandlung bei Hautkrankheiten wie atopischer Dermatitis und der Wundheilung? Dies erläutert Prof. Thomas Luger im Interview.

ANZEIGE

Neueste Erkenntnisse zum Hautmikrobiom: vier Experten im Gespräch

Content Hub

Die Experten Prof. Luger (Münster), Prof. Zuberbier (Berlin), Prof. Thaçi (Lübeck) und PD Dr. Jansen (Essen) erörtern im von La Roche Posay unterstützen Expertenworkshop die Bedeutung des Mikrobioms für verschiedene Hautkrankheiten wie atopische Dermatitis, Akne oder Rosazea.

La Roche Posay