PMID- 22271340 OWN - NLM STAT- MEDLINE DCOM- 20120727 LR - 20220318 IS - 1520-6017 (Electronic) IS - 0022-3549 (Linking) VI - 101 IP - 5 DP - 2012 May TI - Interleukin-1 receptor antagonist: a new therapy for type 2 diabetes mellitus. PG - 1647-58 LID - 10.1002/jps.23057 [doi] AB - Various complex mechanisms and their multifactorial pathways decisively provoke low-grade local and systemic inflammation in beta-cells of pancreatic islets and peripheral tissues to induce beta-cells' dysfunction and apoptosis, insulin resistance, and ultimately, overt type 2 diabetes mellitus (T2DM). Conventional antidiabetic agents are being less popular, as they have some potential adverse effects. Currently, many anti-inflammatory therapeutic modalities are being investigated to abate the infuriating effects of inducers of T2DM and among them, interleukin-1 receptor antagonist (IL-1Ra) is the only one that has been approved by US Food and Drug Administration. We have compared IL-1Ra with other anti-inflammatory agents and conventional antidiabetic agents. Although, IL-1Ra has broad-spectrum anti-inflammatory activities, it also has some limitations due to its short half-life. To overcome the problem of short half-life of IL-1Ra, recently, we fused IL-1Ra in recombinant human serum albumin and expressed it in Pichia pastoris. Its bioactivity was also checked by IL-1-induced A375.S2 apoptotic cells. Furthermore, we have also formulated IL-1Ra with Pluronic F-127-based thermosensitive gel and investigated its in vitro characteristics to prolong its therapeutic effects. Further studies are required to investigate its therapeutic effects against diabetes and diabetes-associated complications. CI - Copyright (c) 2012 Wiley Periodicals, Inc. FAU - Akash, Muhammad Sajid Hamid AU - Akash MS AD - Institute of Pharmacology, Toxicology and Biochemical Pharmaceutics, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, Zhejiang Province 310058, China. FAU - Shen, Qi AU - Shen Q FAU - Rehman, Kanwal AU - Rehman K FAU - Chen, Shuqing AU - Chen S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20120123 PL - United States TA - J Pharm Sci JT - Journal of pharmaceutical sciences JID - 2985195R RN - 0 (Anti-Inflammatory Agents) RN - 0 (Inflammation Mediators) RN - 0 (Interleukin 1 Receptor Antagonist Protein) SB - IM MH - Anti-Inflammatory Agents/therapeutic use MH - Diabetes Mellitus, Type 2/*drug therapy/physiopathology MH - Drug Approval MH - Half-Life MH - Humans MH - Inflammation Mediators/physiology MH - Interleukin 1 Receptor Antagonist Protein/pharmacokinetics/*therapeutic use MH - Oxidative Stress MH - United States MH - United States Food and Drug Administration EDAT- 2012/01/25 06:00 MHDA- 2012/07/28 06:00 CRDT- 2012/01/25 06:00 PHST- 2011/01/04 00:00 [accepted] PHST- 2011/11/26 00:00 [received] PHST- 2011/12/27 00:00 [revised] PHST- 2012/01/25 06:00 [entrez] PHST- 2012/01/25 06:00 [pubmed] PHST- 2012/07/28 06:00 [medline] AID - S0022-3549(15)31599-9 [pii] AID - 10.1002/jps.23057 [doi] PST - ppublish SO - J Pharm Sci. 2012 May;101(5):1647-58. doi: 10.1002/jps.23057. Epub 2012 Jan 23.