PMID- 28659798 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211110 IS - 1663-9812 (Print) IS - 1663-9812 (Electronic) IS - 1663-9812 (Linking) VI - 8 DP - 2017 TI - IL-1beta Inhibition in Cardiovascular Complications Associated to Diabetes Mellitus. PG - 363 LID - 10.3389/fphar.2017.00363 [doi] LID - 363 AB - Diabetes mellitus (DM) is a chronic disease that affects nowadays millions of people worldwide. In adults, type 2 diabetes mellitus (T2DM) accounts for the majority of all diagnosed cases of diabetes. The course of the T2DM is characterized by insulin resistance and a progressive loss of beta-cell mass. DM is associated with a number of related complications, among which cardiovascular complications and atherosclerosis are the main cause of morbidity and mortality in patients suffering from the disease. DM is acknowledged as a low-grade chronic inflammatory state characterized by the over-secretion of pro-inflammatory cytokines, including interleukin (IL)-1beta, which reinforce inflammatory signals thus contributing to the development of complications. In this context, the pharmacological approaches to treat diabetes should not only correct hyperglycaemia, but also attenuate inflammation and prevent the development of metabolic and cardiovascular complications. Over the last years, novel biological drugs have been developed to antagonize the pathophysiological actions of IL-1beta. The drugs currently used in clinical practice are anakinra, a recombinant form of the naturally occurring IL-1 receptor antagonist, the soluble decoy receptor rilonacept and the monoclonal antibodies canakinumab and gevokizumab. This review will summarize the main experimental and clinical findings obtained with pharmacological IL-1beta inhibitors in the context of the cardiovascular complications of DM, and discuss the perspectives of IL-1beta inhibitors as novel therapeutic tools for treating these patients. FAU - Peiro, Concepcion AU - Peiro C AD - Department of Pharmacology, School of Medicine, Universidad Autonoma de MadridMadrid, Spain. AD - Instituto de Investigacion Sanitaria Hospital Universitario de La Paz (IdiPAZ)Madrid, Spain. FAU - Lorenzo, Oscar AU - Lorenzo O AD - Department of Medicine, School of Medicine, Universidad Autonoma de MadridMadrid, Spain. AD - Instituto de Investigacion Sanitaria Fundacion Jimenez DiazMadrid, Spain. FAU - Carraro, Raffaele AU - Carraro R AD - Department of Medicine, School of Medicine, Universidad Autonoma de MadridMadrid, Spain. AD - Service of Endocrinology, Hospital de La PrincesaMadrid, Spain. AD - Instituto de Investigacion Sanitaria Hospital de La PrincesaMadrid, Spain. FAU - Sanchez-Ferrer, Carlos F AU - Sanchez-Ferrer CF AD - Department of Pharmacology, School of Medicine, Universidad Autonoma de MadridMadrid, Spain. AD - Instituto de Investigacion Sanitaria Hospital Universitario de La Paz (IdiPAZ)Madrid, Spain. LA - eng PT - Journal Article PT - Review DEP - 20170613 PL - Switzerland TA - Front Pharmacol JT - Frontiers in pharmacology JID - 101548923 PMC - PMC5468794 OTO - NOTNLM OT - cardiovascular complications OT - diabetes OT - inflammation OT - interleukin-1 inhibitors OT - interleukin-1beta EDAT- 2017/07/01 06:00 MHDA- 2017/07/01 06:01 PMCR- 2017/06/13 CRDT- 2017/06/30 06:00 PHST- 2017/01/14 00:00 [received] PHST- 2017/05/26 00:00 [accepted] PHST- 2017/06/30 06:00 [entrez] PHST- 2017/07/01 06:00 [pubmed] PHST- 2017/07/01 06:01 [medline] PHST- 2017/06/13 00:00 [pmc-release] AID - 10.3389/fphar.2017.00363 [doi] PST - epublish SO - Front Pharmacol. 2017 Jun 13;8:363. doi: 10.3389/fphar.2017.00363. eCollection 2017.