Effects of the Histone Deacetylase Inhibitor ITF2357 in Autoinflammatory Syndromes

被引:0
作者
Evelien J Bodar
Anna Simon
Jos W M van der Meer
机构
[1] Radboud University Nijmegen Medical Centre,Department of General Internal Medicine and Nijmegen Institute for Infection, Inflammation, and Immunity (N4i), Internal post 463
来源
Molecular Medicine | 2011年 / 17卷
关键词
Autoinflammatory Syndrome; HDAC Inhibitor ITF2357; Tumor Necrosis Factor Receptor-associated Periodic Syndrome (TRAPS); Schnitzler Syndrome; TRAPS Patient;
D O I
暂无
中图分类号
学科分类号
摘要
We explored the effects of the oral histone deacetylase (HDAC) Inhibitor ITF2357 In patients with autoinflammatory syndrome. In this prospective open-label pilot study, eight patients were enrolled; one patient with tumor necrosis factor receptor-associated periodic syndrome (TRAPS), three patients with hyper-IgD and periodic fever syndrome (HIDS) and four patients with Schnitzler syndrome were closely followed during 90 d of ITF2357 treatment. Three patients with Schnitzler syndrome and one TRAPS patient experienced a partial remission. In four patients, there was no effect. In HIDS patients, there was a tendency toward a higher attack frequency and increasing attack severity. In two patients (one TRAPS and one HIDS), we observed a decrease of acute-phase response without signs of clinical improvement. One patient with Schnitzler syndrome showed a partial response despite an ongoing acute-phase response. In conclusion, ITF2357 monotherapy was able to induce partial response only in patients with Schnitzler syndrome and no response in patients with HIDS.
引用
收藏
页码:363 / 368
页数:5
相关论文
共 39 条
  • [1] McDermott MF(1999)Germline mutations in the extracellular domains of the 55 kDa TNF receptor, TNFR1, define a family of dominantly inherited autoinflammatory syndromes Cell 97 133-4
  • [2] Masters SL(2009)Horror autoinflammaticus: the molecular pathophysiology of autoinflammatory disease Annu. Rev. Immunol. 27 621-68
  • [3] Simon A(2006)Beneficial response to anakinra and thalidomide in Schnitzler’s syndrome Ann. Rheum. Dis. 65 542-4
  • [4] Aksentijevich I(2007)Schnitzler syndrome: beyond the case reports: review and follow-up of 94 patients with an emphasis on prognosis and treatment Semin. Arthritis. Rheum. 37 137-48
  • [5] Kastner DL(1995)Cytokine activation during attacks of the hyperimmunoglobulinemia D and periodic fever syndrome Blood 85 3586-93
  • [6] de Koning HD(2002)Lack of isoprenoid products raises ex vivo interleukin-1beta secretion in hyperimmunoglobulinemia D and periodic fever syndrome Arthritis Rheum. 46 2794-803
  • [7] de Koning HD(2006)Systemic cytokine levels and the effects of etanercept in TNF receptor-associated periodic syndrome (TRAPS) involving a C33Y mutation in TNFRSF1A Rheumatology (Oxford) 45 31-7
  • [8] Bodar EJ(2006)Modeling of tumor necrosis factor receptor superfamily 1A mutants associated with tumor necrosis factor receptor-associated periodic syndrome indicates misfolding consistent with abnormal function Arthritis Rheum. 54 2674-87
  • [9] van der Meer JW(2002)De novo CIAS1 mutations, cytokine activation, and evidence for genetic heterogeneity in patients with neonatalonset multisystem inflammatory disease (NOMID): a new member of the expanding family of pyrin-associated autoinflammatory diseases Arthritis Rheum. 46 3340-8
  • [10] Simon A(2003)Targeted disruption of pyrin, the FMF protein, causes heightened sensitivity to endotoxin and a defect in macrophage apoptosis Mol. Cell 11 591-604