Interleukin-1, Tumour Necrosis Factor and Treatment of the Septic Shock Syndrome

Treating the septic shock syndrome with antibodies that block only endotoxin has its limitations. Other targets for treating septic shock include neutralizing antibodies to the complement fragment C5a, platelet activating factor antagonists and blockade of endothelial cell leukocyte adhesion molecul...

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Main Author: Charles A Dinarello
Format: Article
Language:English
Published: Wiley 1992-01-01
Series:Canadian Journal of Infectious Diseases
Online Access:http://dx.doi.org/10.1155/1992/652727
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author Charles A Dinarello
author_facet Charles A Dinarello
author_sort Charles A Dinarello
collection DOAJ
description Treating the septic shock syndrome with antibodies that block only endotoxin has its limitations. Other targets for treating septic shock include neutralizing antibodies to the complement fragment C5a, platelet activating factor antagonists and blockade of endothelial cell leukocyte adhesion molecules. Specific blockade of the pro-inflammatory cytokines interleukin-1 (IL-1) or tumour necrosis factor (TNF) reduces the morbidity and mortality associated with septic shock. Moreover, blocking IL-1 and TNF likely has uses in treating diseases other than septic shock. Use of neutralizing antibodies to TNF or IL-1 receptors has reduced the consequences of infection and inflammation, including lethal outcomes in animal models. The IL-1 receptor antagonist, a naturally occurring cytokine, blocks shock and death due to Escherichia coli as well as ameliorates a variety of inflammatory diseases. Soluble TNF and IL-1 surface receptors, which bind their respective cytokines. also ameliorate disease processes. Clinical trials are presently evaluating the safety and efficacy of anticytokine therapies either alone or in combination.
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spelling doaj-art-ba9538115a94421ea552579da97f164a2025-02-03T01:10:56ZengWileyCanadian Journal of Infectious Diseases1180-23321992-01-013Suppl B111910.1155/1992/652727Interleukin-1, Tumour Necrosis Factor and Treatment of the Septic Shock SyndromeCharles A DinarelloTreating the septic shock syndrome with antibodies that block only endotoxin has its limitations. Other targets for treating septic shock include neutralizing antibodies to the complement fragment C5a, platelet activating factor antagonists and blockade of endothelial cell leukocyte adhesion molecules. Specific blockade of the pro-inflammatory cytokines interleukin-1 (IL-1) or tumour necrosis factor (TNF) reduces the morbidity and mortality associated with septic shock. Moreover, blocking IL-1 and TNF likely has uses in treating diseases other than septic shock. Use of neutralizing antibodies to TNF or IL-1 receptors has reduced the consequences of infection and inflammation, including lethal outcomes in animal models. The IL-1 receptor antagonist, a naturally occurring cytokine, blocks shock and death due to Escherichia coli as well as ameliorates a variety of inflammatory diseases. Soluble TNF and IL-1 surface receptors, which bind their respective cytokines. also ameliorate disease processes. Clinical trials are presently evaluating the safety and efficacy of anticytokine therapies either alone or in combination.http://dx.doi.org/10.1155/1992/652727
spellingShingle Charles A Dinarello
Interleukin-1, Tumour Necrosis Factor and Treatment of the Septic Shock Syndrome
Canadian Journal of Infectious Diseases
title Interleukin-1, Tumour Necrosis Factor and Treatment of the Septic Shock Syndrome
title_full Interleukin-1, Tumour Necrosis Factor and Treatment of the Septic Shock Syndrome
title_fullStr Interleukin-1, Tumour Necrosis Factor and Treatment of the Septic Shock Syndrome
title_full_unstemmed Interleukin-1, Tumour Necrosis Factor and Treatment of the Septic Shock Syndrome
title_short Interleukin-1, Tumour Necrosis Factor and Treatment of the Septic Shock Syndrome
title_sort interleukin 1 tumour necrosis factor and treatment of the septic shock syndrome
url http://dx.doi.org/10.1155/1992/652727
work_keys_str_mv AT charlesadinarello interleukin1tumournecrosisfactorandtreatmentofthesepticshocksyndrome