PMID- 29519701 OWN - NLM STAT- MEDLINE DCOM- 20190314 LR - 20211204 IS - 1873-2615 (Electronic) IS - 1050-1738 (Linking) VI - 28 IP - 6 DP - 2018 Aug TI - Translational overview of cytokine inhibition in acute myocardial infarction and chronic heart failure. PG - 369-379 LID - S1050-1738(18)30016-1 [pii] LID - 10.1016/j.tcm.2018.02.003 [doi] AB - Many cytokines are currently under investigation as potential target to improve cardiac function and outcome in the setting of acute myocardial infarction (MI) or chronic heart failure (HF). Here we aim to provide a translational overview of cytokine inhibiting therapies tested in experimental models and clinical studies. In various experimental studies, inhibition of interleukin-1 (IL-1), -6 (IL-6), -8 (IL-8), monocyte chemoattractant protein-1 (MCP-1), CC- and CXC chemokines, and tumor necrosis factor-alpha (TNF-alpha) had beneficial effects on cardiac function and outcome. On the other hand, neutral or even detrimental results have been reported for some (IL-1, IL-6, IL-8, and MCP-1). Ambivalence of cytokine function, differences in study designs, treatment regimens and chosen endpoints hamper the translation of experimental research into clinical practice. Human studies are currently limited to IL-1beta inhibition, IL-1 receptor antagonists (IL-1RA), IL-6 receptor antagonists (IL-6RA) or TNF inhibition. Despite favorable effects on cardiovascular events observed in retrospective cohort studies of rheumatoid arthritis patients treated with TNF inhibition or IL-1RA, most prospective studies reported disappointing and inconsistent results. Smaller studies (n < 100) generally reported favorable results of anticytokine therapy on cardiac function, but only one of the larger studies (n > 100) evaluating IL-1beta inhibition presented positive results on outcome. In conclusion, of the 10 anticytokine therapies tested in animals models beneficial effects have been reported in at least one setting. In larger clinical studies, findings were unsatisfactory in all but one. Many anticytokine therapies with promising animal experimental data continue to require further evaluation in humans. CI - Copyright (c) 2018 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Hartman, Minke H T AU - Hartman MHT AD - Department of Cardiology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700 RB, Groningen, the Netherlands. Electronic address: h.t.hartman@umcg.nl. FAU - Groot, Hilde E AU - Groot HE AD - Department of Cardiology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700 RB, Groningen, the Netherlands. FAU - Leach, Irene Mateo AU - Leach IM AD - Department of Cardiology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700 RB, Groningen, the Netherlands. FAU - Karper, Jacco C AU - Karper JC AD - Department of Cardiology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700 RB, Groningen, the Netherlands. FAU - van der Harst, Pim AU - van der Harst P AD - Department of Cardiology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9700 RB, Groningen, the Netherlands. LA - eng PT - Journal Article PT - Review DEP - 20180215 PL - United States TA - Trends Cardiovasc Med JT - Trends in cardiovascular medicine JID - 9108337 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Cardiovascular Agents) RN - 0 (Cytokines) RN - 0 (Inflammation Mediators) SB - IM CIN - Trends Cardiovasc Med. 2018 Aug;28(6):380-381. PMID: 29661709 MH - Animals MH - Anti-Inflammatory Agents/adverse effects/*therapeutic use MH - Cardiovascular Agents/adverse effects/*therapeutic use MH - Cytokines/*antagonists & inhibitors/immunology MH - Heart Failure/*drug therapy/immunology/physiopathology MH - Humans MH - Inflammation Mediators/*antagonists & inhibitors/immunology MH - Myocardial Infarction/*drug therapy/immunology/physiopathology MH - Signal Transduction/drug effects MH - Translational Research, Biomedical OTO - NOTNLM OT - Cytokines OT - Heart failure OT - Immune modulation/therapy OT - Inflammation OT - Myocardial infarction EDAT- 2018/03/10 06:00 MHDA- 2019/03/15 06:00 CRDT- 2018/03/10 06:00 PHST- 2017/11/05 00:00 [received] PHST- 2018/02/05 00:00 [revised] PHST- 2018/02/05 00:00 [accepted] PHST- 2018/03/10 06:00 [pubmed] PHST- 2019/03/15 06:00 [medline] PHST- 2018/03/10 06:00 [entrez] AID - S1050-1738(18)30016-1 [pii] AID - 10.1016/j.tcm.2018.02.003 [doi] PST - ppublish SO - Trends Cardiovasc Med. 2018 Aug;28(6):369-379. doi: 10.1016/j.tcm.2018.02.003. Epub 2018 Feb 15.