Neutralization Versus Reinforcement of Proinflammatory Cytokines to Arrest Autoimmunity in Type 1 Diabetes.

Abstract:

:As physiological pathways of intercellular communication produced by all cells, cytokines are involved in the pathogenesis of inflammatory insulitis as well as pivotal mediators of immune homeostasis. Proinflammatory cytokines including interleukins, interferons, transforming growth factor-β, tumor necrosis factor-α, and nitric oxide promote destructive insulitis in type 1 diabetes through amplification of the autoimmune reaction, direct toxicity to β-cells, and sensitization of islets to apoptosis. The concept that neutralization of cytokines may be of therapeutic benefit has been tested in few clinical studies, which fell short of inducing sustained remission or achieving disease arrest. Therapeutic failure is explained by the redundant activities of individual cytokines and their combinations, which are rather dispensable in the process of destructive insulitis because other cytolytic pathways efficiently compensate their deficiency. Proinflammatory cytokines are less redundant in regulation of the inflammatory reaction, displaying protective effects through restriction of effector cell activity, reinforcement of suppressor cell function, and participation in islet recovery from injury. Our analysis suggests that the role of cytokines in immune homeostasis overrides their contribution to β-cell death and may be used as potent immunomodulatory agents for therapeutic purposes rather than neutralized.

authors

Kaminitz A,Ash S,Askenasy N

doi

10.1007/s12016-016-8587-y

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

460-472

issue

3

eissn

1080-0549

issn

1559-0267

pii

10.1007/s12016-016-8587-y

journal_volume

52

pub_type

杂志文章,评审
  • The arachidonate 12/15 lipoxygenases. A review of tissue expression and biologic function.

    abstract::12/15-Lipoxygenase is a highly regulated lipid-peroxidating enzyme whose expression and arachidonic acid metabolites are implicated in several important inflammatory conditions including airway and glomerular inflammation as well as atherosclerosis. Tissue expression of the original 12/15-lipoxygenase is well characte...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/BF02737598

    authors: Conrad DJ

    更新日期:1999-04-01 00:00:00

  • The hyper IgM syndromes.

    abstract::The hyper IgM syndromes are a group of rare inherited immune deficiency disorders characterized by impairment of immunoglobulin isotype switching resulting from defects in the CD40 ligand/CD40 signaling pathway. X-linked forms of hyper IgM are caused by defects in the CD40 ligand gene or NF-κB essential modulator, whi...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-013-8378-7

    authors: Qamar N,Fuleihan RL

    更新日期:2014-04-01 00:00:00

  • Biological Modulators in Eosinophilic Diseases.

    abstract::Eosinophils can regulate local and systemic inflammation, and their presence in higher numbers appears to play an important role in the pathology of various atopic and inflammatory diseases. Eosinophil maturation, recruitment, and survival depend on several cytokine regulators, including interleukin (IL)-5, IL-4, and ...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-014-8444-9

    authors: Sriaroon P,Ballow M

    更新日期:2016-04-01 00:00:00

  • A conspicuous role for B cells In Sjögren's syndrome.

    abstract::Although the relative contributions of T cells and B cells in Sjögren's syndrome (SS) are far from being settled, recent studies have suggested a crucial role for B cells in its pathophysiology. Early investigations have focused on the ability of B cells to produce autoantibodies, and new studies have enlarged the ran...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-007-8000-y

    authors: Youinou P,Devauchelle V,Hutin P,Le Berre R,Saraux A,Pers JO

    更新日期:2007-06-01 00:00:00

  • Concluding remarks: can we explain the association of beta-agonists with asthma mortality? A hypothesis.

    abstract::Beta-agonists have clearly demonstrated benefits for the treatment of both acute and chronic asthma. Therefore, it is perhaps surprising that many of the articles in this issue have focused on concerns about their safety. Much of this concern can be traced back to the "beta-agonist controversy"--the association of hig...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章

    doi:10.1385/criai:31:2:279

    authors: Hancox RJ

    更新日期:2006-10-01 00:00:00

  • Understanding and resolving adherence problems.

    abstract::The expert panel report version 2 (EPR-2) is a comprehensive set of recommendations for the evaluation and treatment of asthma. However, physicians demonstrate scant adoption of many of the key evaluation and treatment components of the EPR-2, with primary care physicians being less likely to adopt EPR-2 recommendatio...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1385/CRIAI:27:2:065

    authors: Hernandez DV,Schmaling KB

    更新日期:2004-10-01 00:00:00

  • The acute management of asthma.

    abstract::Patients presenting to the emergency department (ED) or clinic with acute exacerbation of asthma (AEA) can be very challenging varying in both severity and response to therapy. High-dose, frequent or continuous nebulized short-acting beta2 agonist (SABA) therapy that can be combined with a short-acting muscarinic anta...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-014-8448-5

    authors: Albertson TE,Sutter ME,Chan AL

    更新日期:2015-02-01 00:00:00

  • Target cells in graft-versus-host disease: implications for cancer therapy.

    abstract::Acute graft-versus-host disease (GVHD) conceptually may be divided into three evolutionary stages: allostimulation, effector cell homing to specific tissues, and cellular targeting and injury. Surprisingly, little is known regarding the targeting stage of GVHD. Recently, we have learned that epithelial target cell inj...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-007-0028-5

    authors: Murphy GF

    更新日期:2007-10-01 00:00:00

  • Diagnosis of cystic fibrosis.

    abstract::Cystic fibrosis (CF) is an autosomal recessive disease caused by mutations in the CF transmembrane conductance regulator (CFTR) gene that results in abnormal viscous mucoid secretions in multiple organs and whose main clinical features are pancreatic insufficiency and chronic endobronchial infection. Although it was i...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-008-8078-x

    authors: Voter KZ,Ren CL

    更新日期:2008-12-01 00:00:00

  • Immunogenicity of Anti-TNF-alpha agents in autoimmune diseases.

    abstract::Prognosis of several autoimmune diseases, especially rheumatoid arthritis (RA), ankylosing spondylitis, Crohn's disease (CD), and psoriasis, usually refractory to conventional treatment improved considerably with the introduction of tumor necrosis factor alpha (TNF-alpha) antagonistic agents, which is now available (i...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-009-8140-3

    authors: Emi Aikawa N,de Carvalho JF,Artur Almeida Silva C,Bonfá E

    更新日期:2010-04-01 00:00:00

  • The clinical significance of 25OH-Vitamin D status in celiac disease.

    abstract::Reduced bone mineral density is frequently found especially in adult celiac disease (CD) and dietary guidelines favor vitamin D supplementation in adults and children with CD. Vitamin D serum levels were investigated in CD populations in order to challenge its routine supplementation. Israeli (61), Spanish (59), CD ch...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章

    doi:10.1007/s12016-010-8237-8

    authors: Lerner A,Shapira Y,Agmon-Levin N,Pacht A,Ben-Ami Shor D,López HM,Sanchez-Castanon M,Shoenfeld Y

    更新日期:2012-06-01 00:00:00

  • Omalizumab in asthma: approval and postapproval experience.

    abstract::Omalizumab is a humanized mouse monoclonal antibody that binds specifically to the constant region of the immunoglobulin (Ig)E heavy chain. Omalizumab exerts its effects by reducing free serum IgE levels and FcepsilonRI expression on several cell types. These effects have been shown to result in decreased airway infla...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1385/CRIAI:29:1:003

    authors: Chiang DT,Clark J,Casale TB

    更新日期:2005-08-01 00:00:00

  • Pentraxins, anti-pentraxin antibodies, and atherosclerosis.

    abstract::Atherosclerosis is a disease of the vascular wall, which predominantly affects large and medium-sized arteries. It represents a leading cause of morbidity and mortality in the Western world. In the last few decades, it has been clearly shown that immune system plays a relevant role in atherogenesis. The effectors of b...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-008-8098-6

    authors: Bassi N,Zampieri S,Ghirardello A,Tonon M,Zen M,Cozzi F,Doria A

    更新日期:2009-08-01 00:00:00

  • Current and Prospective Targets of Pharmacologic Treatment of Hereditary Angioedema Types 1 and 2.

    abstract::Hereditary angioedema (HAE) is a rare disease that causes episodic attacks of subcutaneous and submucosal edema, which can be painful, incapacitating, and potentially fatal. These attacks are mediated by excessive bradykinin production, as a result of uncontrolled activation of the plasma kallikrein/kinin system, whic...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-021-08832-x

    authors: Fijen LM,Bork K,Cohn DM

    更新日期:2021-01-09 00:00:00

  • Pulmonary vasculature and critical asthma syndromes: a comprehensive review.

    abstract::One of the important factors and consequences in persistent asthma is the change in the vasculature of the airways and lung parenchyma. These changes could contribute to worsening asthma control and predispose asthmatics to critical asthma syndromes. For many years, the contribution of vasculature to severe asthma was...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-014-8420-4

    authors: Avdalovic M

    更新日期:2015-02-01 00:00:00

  • Fungi in chronic hyperplastic eosinophilic sinusitis: reasonable doubt.

    abstract::Chronic hyperplastic eosinophilic sinusitis (CHES) is a T-helper (Th)2-like, lymphocyteinitiated, eosinophil-rich inflammatory disease. The complex immune interactions required to orchestrate these processes begin with the presentation of antigen by mature dendritic cells to Th lymphocytes that display the appropriate...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1385/CRIAI:30:3:195

    authors: Borish L,Rosenwasser L,Steinke JW

    更新日期:2006-06-01 00:00:00

  • Pharmacotherapy of critical asthma syndrome: current and emerging therapies.

    abstract::The critical asthma syndrome (CAS) encompasses the most severe, persistent, refractory asthma patients for the clinician to manage. Personalized pharmacotherapy is necessary to prevent the next acute severe asthma exacerbation, not just the control of symptoms. The 2007 National Asthma Education and Prevention Program...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-013-8393-8

    authors: Albertson TE,Schivo M,Gidwani N,Kenyon NJ,Sutter ME,Chan AL,Louie S

    更新日期:2015-02-01 00:00:00

  • Autoinflammatory Pathogenesis and Targeted Therapy for Adult-Onset Still's Disease.

    abstract::Adult-onset Still's disease (AOSD) is a rare multisystem autoinflammatory disorder of unknown etiology. AOSD is generally characterized by high spiking fever, arthralgia or arthritis, skin rash, leukocytosis, and hyperferritinemia. Traditionally, AOSD has been treated with non-steroidal anti-inflammatory drugs, cortic...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-019-08747-8

    authors: Li S,Zheng S,Tang S,Pan Y,Zhang S,Fang H,Qiao J

    更新日期:2020-02-01 00:00:00

  • Vasculitides and the Complement System: a Comprehensive Review.

    abstract::Systemic vasculitides are a group of rare diseases characterized by inflammation of the arterial or venous vessel wall, causing stenosis or thrombosis. Clinical symptoms may be limited to skin or to other organs or may include multiple manifestations as systemic conditions. The pathogenesis is related to the presence ...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-014-8453-8

    authors: Chimenti MS,Ballanti E,Triggianese P,Perricone R

    更新日期:2015-12-01 00:00:00

  • Increased prevalence of anti-third generation cyclic citrullinated peptide antibodies in patients with rheumatoid arthritis and CREST syndrome.

    abstract::To investigate the prevalence of anti-third generation cyclic citrullinated peptide antibodies (anti-CCP3) in patients with systemic connective tissue diseases, we assembled a training set consisting of 115 patients with rheumatoid arthritis (RA), 52 with Calcinosis, Raynaud's phenomenon, oesophageal dysmotility, scle...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章

    doi:10.1007/BF02686081

    authors: Wu R,Shovman O,Zhang Y,Gilburd B,Zandman-Goddard G,Shoenfeld Y

    更新日期:2007-02-01 00:00:00

  • The Roles of Orphan G Protein-Coupled Receptors in Autoimmune Diseases.

    abstract::G protein-coupled receptors (GPCRs) constitute the largest family of plasma membrane receptors in nature and mediate the effects of a variety of extracellular signals, such as hormone, neurotransmitter, odor, and light signals. Due to their involvement in a broad range of physiological and pathological processes and t...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-020-08829-y

    authors: Zhao M,Wang Z,Yang M,Ding Y,Zhao M,Wu H,Zhang Y,Lu Q

    更新日期:2021-01-07 00:00:00

  • Fractional Exhaled Nitric Oxide for the Diagnosis of Childhood Asthma: a Systematic Review and Meta-analysis.

    abstract::The gold standard for diagnosing asthma in children is based on clinical history of respiratory symptoms, physical examination, and respiratory function testing. Recent advances indicate that a non-invasive measure of airway inflammation, fractional exhaled nitric oxide (FeNO), provides objective data for use in asthm...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,meta分析

    doi:10.1007/s12016-016-8573-4

    authors: Tang S,Xie Y,Yuan C,Sun X,Cui Y

    更新日期:2019-04-01 00:00:00

  • B-cell depletion in Wegener's granulomatosis.

    abstract::Wegener's granulomatosis (WG) is a chronic, relapsing, systemic necrotizing vasculitis with typical pathologic findings of granulomatous inflammation and pauci-immune vasculitis. Untreated, the condition has a very high mortality, and contemporary treatment strategies carry a high risk of treatment-related morbidity. ...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-007-8057-7

    authors: Hinze CH,Colbert RA

    更新日期:2008-06-01 00:00:00

  • The Role of STAT Signaling Pathways in the Pathogenesis of Systemic Lupus Erythematosus.

    abstract::Systemic lupus erythematosus (SLE) is a multisystem autoimmune disorder with a broad spectrum of clinical presentations and association with multiple immunological abnormalities. Recent research of the Janus kinase (JAK)-signal transducer and activator of transcription (STAT) signaling pathway-revealed aberrant STAT s...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-016-8550-y

    authors: Goropevšek A,Holcar M,Avčin T

    更新日期:2017-04-01 00:00:00

  • Zika Virus Infection: Current Concerns and Perspectives.

    abstract::The Zika virus outbreaks highlight the growing importance need for a reliable, specific and rapid diagnostic device to detect Zika virus, as it is often recognized as a mild disease without being identified. Many Zika virus infection cases have been misdiagnosed or underreported because of the non-specific clinical pr...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-016-8554-7

    authors: Maharajan MK,Ranjan A,Chu JF,Foo WL,Chai ZX,Lau EY,Ye HM,Theam XJ,Lok YL

    更新日期:2016-12-01 00:00:00

  • Clinical assessment of airway remodeling in asthma: utility of computed tomography.

    abstract::Airway remodeling is an established feature of asthma. Histologic examination is essential in the assessment of remodeling that is a pathologic concept. Examinations of autopsied or resected lung have enabled detailed morphologic and morphometric studies and have provided fundamental knowledge of airway remodeling in ...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1385/CRIAI:27:1:045

    authors: Niimi A,Matsumoto H,Takemura M,Ueda T,Nakano Y,Mishima M

    更新日期:2004-08-01 00:00:00

  • A comprehensive review of legume allergy.

    abstract::Legumes belonging to Fabaceae family of the order Fabales are a rich and important source of proteins and many essential elements. Due to its nutritious elements, these are preferably included in human diet in most part of the world. But, unfortunately, IgE binding proteins have been identified in majority of legumes,...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-012-8310-6

    authors: Verma AK,Kumar S,Das M,Dwivedi PD

    更新日期:2013-08-01 00:00:00

  • Pemphigus: a Comprehensive Review on Pathogenesis, Clinical Presentation and Novel Therapeutic Approaches.

    abstract::Pemphigus is a group of rare, potentially devastating autoimmune diseases of the skin and mucous membranes with high morbidity and potentially lethal outcome. The major clinical variant, pemphigus vulgaris (PV) is caused by a loss of intercellular adhesion of epidermal keratinocytes which is induced by IgG autoantibod...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-017-8662-z

    authors: Pollmann R,Schmidt T,Eming R,Hertl M

    更新日期:2018-02-01 00:00:00

  • Seasonal variation in bronchial hyperreactivity (BHR) in allergic patients.

    abstract::As summarized in Table 1, the literature consistently supports the hypothesis that allergic asthmatic patients have seasonal BHR changes that parallel allergen exposure. These seasonal changes appear to be preventable by treatment with corticosteroids (systemic, inhaled, or nasal), disodium cromoglycate, and immunothe...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/BF02826585

    authors: Tilles SA,Bardana EJ Jr

    更新日期:1997-07-01 00:00:00

  • Medical treatment of primary sclerosing cholangitis: a role for novel bile acids and other (post-)transcriptional modulators?

    abstract::Primary sclerosing cholangitis (PSC) is a rare chronic cholestatic disease of the liver and bile ducts that is associated with inflammatory bowel disease, generally leads to end-stage liver disease, and is complicated by malignancies of the biliary tree and the large intestine. The pathogenesis of PSC remains enigmati...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-008-8085-y

    authors: Beuers U,Kullak-Ublick GA,Pusl T,Rauws ER,Rust C

    更新日期:2009-02-01 00:00:00