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Proinflammatory cytokine reduction

01

Overview

Reduction of proinflammatory cytokines refers to a therapeutic strategy designed to modulate the body's immune response by decreasing the activity, signaling, or secretion of cytokines such as TNF-α, IL-1, IL-6, and others that play central roles in initiating and sustaining inflammation[2][4][6]. This approach is fundamental in the treatment of autoimmune diseases (e.g., rheumatoid arthritis), cytokine storm syndromes (e.g., in COVID-19), and chronic inflammatory disorders (e.g., certain cancers, cardiovascular diseases)[2][4][6][7][8]. Therapeutic intervention is typically achieved with biologic agents (monoclonal antibodies, receptor antagonists), small molecule inhibitors (e.g., JAK, BTK inhibitors), or via nonpharmaceutical modalities that modulate neuroimmune pathways[6][8]. Systemic reduction of these cytokines can effectively curb pathogenic inflammation but poses significant safety challenges, most notably increased susceptibility to infections and impairment of beneficial immune functions[2][4][6][8].

Other names
Pro-inflammatory cytokine inhibitionanti-inflammatory cytokine therapyanti-cytokine therapy
02

Mechanism of action

The drugs above act via: - Neutralization of cytokines - Blockade of cytokine receptors - Inhibition of cytokine signaling pathways (JAK inhibition, BTK inhibition) - Transcriptional silencing or gene therapy (experimental) - Immunomodulation (via parasympathetic activation, vagal stimulation)

03

Biological functions

Regulation of immune responsemodulation of inflammationmediation of cell signaling
04

Disease associations

Autoimmune disease (e.g., rheumatoid arthritis, CAPS, FMF)Cancer (pro-inflammatory cytokines promote tumor progression)Infection (cytokine storm)Cardiovascular diseaseNeurodegenerative diseaseObesity and metabolic disorderOsteoarthritis
05

Safety considerations

Increased risk of infections due to systemic immunosuppressionPotential impairment of host defense mechanisms (e.g., neutrophil migration)Off-target effects; risk of cancer progression in cases where immune surveillance is reducedAdverse effects specific to biologic drugs (e.g., infusion reactions, hypersensitivity)
06

Interacting drugs

TNF-α inhibitors (e.g., infliximab, adalimumab, etanercept)

7 more in the full profile.

07

Biomarkers

Serum levels of proinflammatory cytokines such as TNF-α, IL-1β, IL-6C-reactive protein (CRP), ferritin (as markers of inflammation/cytokine storm)

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