학술논문

The 4th NextGen therapies of SJIA and MAS, part 4: it is time for IL-18 based trials in systemic juvenile idiopathic arthritis?
Document Type
article
Source
Pediatric Rheumatology Online Journal, Vol 21, Iss S1, Pp 1-6 (2024)
Subject
IL-18
IL-18 blocker
Refractory SJIA
Biomarker driven trials
IL-18ophathies
Inflammasopathies
Pediatrics
RJ1-570
Diseases of the musculoskeletal system
RC925-935
Language
English
ISSN
1546-0096
Abstract
Abstract Since IL-18 has recently emerged as a biomarker associated with refractory disease course in SJIA, the focus of the discussion was the feasibility of the biomarker-driven drug development to SJIA. Overall, there was broad agreement on the conclusion that IL-18 is a uniquely specific biomarker for many of the subsets of SJIA most in need of new therapies, and it may define a class of diseases mediated by IL-18 excess. The consensus was that leveraging IL-18 remains our most promising “lead” for use in refractory SJIA as it may mechanistically explain the disease pathophysiology and lead to more targeted therapies.