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Original Article

Interleukin-1–Receptor Antagonist in Type 2 Diabetes Mellitus

Claus M. Larsen, M.D., Mirjam Faulenbach, M.D., Allan Vaag, M.D., Ph.D., Aage Vølund, M.Sc., Jan A. Ehses, Ph.D., Burkhardt Seifert, Ph.D., Thomas Mandrup-Poulsen, M.D., Ph.D., and Marc Y. Donath, M.D.

N Engl J Med 2007; 356:1517-1526April 12, 2007

Abstract

Background

The expression of interleukin-1–receptor antagonist is reduced in pancreatic islets of patients with type 2 diabetes mellitus, and high glucose concentrations induce the production of interleukin-1β in human pancreatic beta cells, leading to impaired insulin secretion, decreased cell proliferation, and apoptosis.

Methods

In this double-blind, parallel-group trial involving 70 patients with type 2 diabetes, we randomly assigned 34 patients to receive 100 mg of anakinra (a recombinant human interleukin-1–receptor antagonist) subcutaneously once daily for 13 weeks and 36 patients to receive placebo. At baseline and at 13 weeks, all patients underwent an oral glucose-tolerance test, followed by an intravenous bolus of 0.3 g of glucose per kilogram of body weight, 0.5 mg of glucagon, and 5 g of arginine. In addition, 35 patients underwent a hyperinsulinemic–euglycemic clamp study. The primary end point was a change in the level of glycated hemoglobin, and secondary end points were changes in beta-cell function, insulin sensitivity, and inflammatory markers.

Results

At 13 weeks, in the anakinra group, the glycated hemoglobin level was 0.46 percentage point lower than in the placebo group (P=0.03); C-peptide secretion was enhanced (P=0.05), and there were reductions in the ratio of proinsulin to insulin (P=0.005) and in levels of interleukin-6 (P<0.001) and C-reactive protein (P=0.002). Insulin resistance, insulin-regulated gene expression in skeletal muscle, serum adipokine levels, and the body-mass index were similar in the two study groups. Symptomatic hypoglycemia was not observed, and there were no apparent drug-related serious adverse events.

Conclusions

The blockade of interleukin-1 with anakinra improved glycemia and beta-cell secretory function and reduced markers of systemic inflammation. (ClinicalTrials.gov number, NCT00303394.)

Media in This Article

Figure 1Enrollment and Outcomes.
Figure 2Changes in Glycated Hemoglobin and Fasting Plasma Glucose Levels during the 13-Week Study Period.
Article

Type 2 diabetes mellitus occurs when beta-cell function fails to compensate for insulin resistance.1,2 Beta-cell function progressively deteriorates with an increasing duration of diabetes,3 partly because of beta-cell demise through apoptosis.4-6

Interleukin-1β, a proinflammatory cytokine7 implicated as an effector molecule of inflammatory beta-cell destruction leading to type 1 diabetes,8 inhibits the function and promotes the apoptosis of beta cells.9 Beta cells producing interleukin-1β have been observed in pancreatic sections obtained from patients with type 2 diabetes.10 Depending on culture conditions, high glucose levels increase beta-cell production and the release of interleukin-1β, followed by functional impairment and apoptosis.10-13 These findings suggest that intra-islet production of inflammatory mediators has a role in the pathogenesis of type 2 diabetes and that interleukin-1β is a potential therapeutic target for preserving beta-cell mass and function in patients with this condition.

Interleukin-1–receptor antagonist, a naturally occurring competitive inhibitor of interleukin-1 binding to the type I receptor,7,14 protects human beta cells from glucose-induced functional impairment and apoptosis.10 Interleukin-1–receptor antagonist is reported to have no agonistic activity.7,15 The expression of interleukin-1–receptor antagonist is decreased in beta cells obtained from patients with type 2 diabetes.16 Given these observations, we hypothesized that intervening in the islet balance between interleukin-1–receptor antagonist and interleukin-1β might improve beta-cell function and glycemic control in patients with type 2 diabetes.

Methods

Study Design

This placebo-controlled, double-blind, parallel-group study involved 70 patients with type 2 diabetes at two centers (31 patients in Denmark and 39 patients in Switzerland) who were recruited from January 2004 to March 2005. Patients received either once-daily recombinant human interleukin-1–receptor antagonist (100 mg of anakinra [Kineret] donated by Amgen) or placebo by subcutaneous self-administration in the morning for 13 weeks. Patients continued their baseline antidiabetic therapy, dietary habits, and other lifestyle habits.

The County Pharmacy of Zurich was responsible for the blinding and randomization procedure; the latter was performed with the use of permuted blocks within the recruiting center. The authors designed the study, gathered and analyzed the data, wrote the manuscript, and vouch for the accuracy and completeness of the data and the analysis. There was no confidentiality agreement between the authors or their institutions and Amgen, which provided the study drugs.

Patients

We conducted the study in accordance with the ethical guidelines of the Declaration of Helsinki II; the study design was approved by regional and institutional review boards. Written informed consent was obtained from all patients before randomization.

The inclusion criteria were an age of 20 years or more, type 2 diabetes diagnosed according to American Diabetes Association criteria17 with a duration of more than 3 months, a body-mass index (BMI, the weight in kilograms divided by the square of the height in meters) of more than 27, and a glycated hemoglobin level of more than 7.5% (upper limit of the normal range, 6.4%). Eligible patients had had no changes in either types or doses of medications during the 3-month period preceding the study.

The exclusion criteria were the presence of autoantibodies to glutamic acid decarboxylase 65 or islet-cell autoantibody-2; a glycated hemoglobin level of more than 12%; a fasting C-peptide level of less than 400 pmol per liter; current treatment with antiinflammatory drugs, including corticosteroids and nonsteroidal antiinflammatory drugs (100 mg or less of aspirin per day was allowed); signs of current infection, including a C-reactive protein level of more than 30 mg per liter, fever, current treatment with antibiotics, chronic granulomatous infections (e.g., a previous diagnosis of tuberculosis or a current diagnosis based on chest radiography or a Mantoux test); a history of recurrent infection or a predisposition to infection; neutropenia (a leukocyte count of less than 2000 per cubic millimeter) or anemia (a hemoglobin level of less than 11 g per deciliter for men and less than 10 g per deciliter for women); pregnancy or breast-feeding (contraception for at least 3 months before inclusion was required for fertile women); liver or renal disease (a level of aspartate aminotransferase or alanine aminotransferase of more than three times the upper limit of the normal range and a serum creatinine level of more than 130 μmol per liter); ongoing or previous cancer; the use of any other investigational drug within 30 days before enrollment or within five half-lives of the medication used in the other study, whichever was the longer period; and immunosuppressive treatment or immunodeficiency.

Study Procedures

At baseline and 13 weeks, a 2-hour oral glucose-tolerance test was performed with 75 g of glucose, followed by measurements of plasma glucose, proinsulin, insulin, and C-peptide 10 minutes before and during the test and measurements of plasma glucose, insulin, and C-peptide 30, 60, 90, and 120 minutes after the test. Immediately after the end of the oral glucose-tolerance test, an intravenous injection of 0.3 g of glucose per kilogram of body weight, 0.5 mg of glucagon, and 5 g of arginine was administered. Blood was then sampled at 0, 3, 6, 9, and 12 minutes. The patients were asked to forgo their antidiabetic medication and to fast for 8 to 9 hours before the test.

At baseline and 13 weeks, euglycemic–hyperinsulinemic clamp studies18 and muscle biopsies were performed. All patients were asked to participate in the clamp and muscle-biopsy studies, although participation in these studies was not a requirement for remaining in the overall study. The patients were required to forgo antidiabetic treatment for 8 to 9 hours and to avoid strenuous physical exercise for 24 hours before the clamp study. The clamp procedure was performed 2 to 7 days after the oral glucose-tolerance test. Indirect calorimetry was performed during the insulin-stimulated 30-minute steady-state period. The insulin-sensitivity index during the clamp procedure was calculated by dividing the M value (the glucose infusion rate during the steady-state period divided by the total body weight) by the steady-state plasma insulin level.

Biopsy specimens were obtained from the vastus lateralis muscle immediately after the administration of the intravenous bolus at the end of the oral glucose-tolerance test. Messenger RNA (mRNA) from glucose transporter 4 (GLUT4) and peroxisome-proliferator–activated receptor γ coactivator 1α (PGC-1α)19,20 was quantified as described in the Supplementary Appendix (available with the full text of this article at www.nejm.org).

Levels of C peptide, insulin, and proinsulin were determined centrally at the Steno Diabetes Center. Insulin and proinsulin were assessed by enzyme-linked immunosorbent assays,21,22 and C-peptide levels were determined by a time-resolved fluoroimmunoassay.23 Measurements of glycated hemoglobin levels and routine clinical laboratory tests were performed in the central laboratory units of the two participating centers. For glycated hemoglobin, 22 coded samples from patients were tested at both laboratories. Regression analysis showed an r2 value of 0.97 for agreement between the test results (P<0.001). Serum adipokines were assayed with the use of Luminex technology (Millipore) according to the manufacturer's instructions.

A physical examination and blood tests were performed at baseline and at 4 and 13 weeks. Fasting plasma glucose levels were measured weekly at home by the patients. At baseline and 13 weeks, funduscopy was performed, and urinary albumin excretion, creatinine clearance, and (in women) human chorionic gonadotropin were measured.

Study End Points

The predefined primary end point was the change in the glycated hemoglobin level between baseline and 13 weeks. Predefined secondary end points included a change by week 13 in the area under the concentration–time curve (AUC) for stimulated C-peptide during an oral glucose-tolerance test and after intravenous stimulation, a change in the ratio of fasting proinsulin to insulin, a change in the insulin-sensitivity index derived from the oral glucose-tolerance test,24 a change in serum adipokine levels, a change in insulin sensitivity as assessed by a euglycemic–hyperinsulinemic clamp study (in the 35 patients who provided consent for this procedure), a change in insulin-regulated genes in biopsy specimens obtained from skeletal muscle, and changes in levels of fasting plasma glucose, interleukin-6, and C-reactive protein as markers of systemic inflammation.

Statistical Analysis

No interim analyses were carried out in this study. Data from all patients were analyzed. Values are expressed as means (±SD) unless otherwise specified. Differences were tested with the use of an unpaired t-test and with a Wilcoxon rank-sum test in the case of non-normal distribution. For categorical end points, Pearson's chi-square test was used. Correlations were performed by regression analysis. To analyze the effect of baseline characteristics on the primary end point, bivariate regression analyses including the treatment effect were performed. A P value of less than 0.05 was considered to indicate statistical significance. All reported P values are two-sided and have not been adjusted for multiple testing.

Results

Baseline Characteristics and Adherence

Seventy of the 124 subjects who underwent initial screening were randomly assigned to receive either anakinra or placebo (Figure 1Figure 1Enrollment and Outcomes.). In the placebo group, a late positive Mantoux reaction developed in one patient, suggesting a reactivation of tuberculosis, and the patient was excluded before starting study medication. Table 1Table 1Baseline Characteristics of the Patients. shows the baseline characteristics of the two study groups after randomization.

All 34 patients receiving anakinra completed the study, as did 33 of 35 patients receiving placebo. In the placebo group, a phlegmonous foot infection developed in one patient after 4 weeks, and one patient identified his study-group assignment by performing a biochemical analysis of the study drug after 5 weeks. Two patients in the anakinra group and one in the placebo group reduced the dose of their antidiabetic medication during the intervention because of improvement in glycemia but were not excluded from the study, according to the intention-to-treat principle. The remaining patients did not change their antidiabetic therapy during the 13-week study period, as reflected by recorded types and doses of antidiabetic medication at baseline and at 4 and 13 weeks (data not shown). Thirty-five subjects (16 in the anakinra group and 19 in the placebo group) gave informed consent to participate in the clamp and muscle-biopsy studies. The patients who provided consent did not differ in their baseline characteristics from those who declined (data not shown). The peak serum levels of interleukin-1–receptor antagonist, measured 1 to 2 hours after the last injection of anakinra or placebo at 13 weeks, were 1256±958 μg per liter in the anakinra group and 0.6±0.4 μg per liter in the placebo group (P<0.001).

Primary End Point

The average absolute difference in glycated hemoglobin levels between baseline and 13 weeks was a reduction of 0.33 percentage point (from 8.69±0.17 to 8.37±0.21) in the anakinra group and an increase of 0.13 percentage point (from 8.23±0.28 to 8.37±0.46) in the placebo group, yielding a between-group difference of 0.46 percentage point (95% confidence interval [CI], 0.01 to 0.90; P=0.03) (Figure 2AFigure 2Changes in Glycated Hemoglobin and Fasting Plasma Glucose Levels during the 13-Week Study Period.). The number of patients who had any reduction in glycated hemoglobin levels at 13 weeks was 21 of 34 patients in the anakinra group, as compared with 10 of 33 patients in the placebo group (P<0.001). Glycated hemoglobin levels were significantly lower in the anakinra group after 4 weeks than in the placebo group (an absolute reduction of 0.36%; 95% CI, 0.11 to 0.60; P=0.004) (Figure 2A). When the patients were stratified into three equal groups according to body-surface area as a surrogate for drug distribution volume, the difference in glycated hemoglobin levels in the anakinra group was a reduction of 0.84% in the lowest third (<2.00 m2), a reduction of 0.30% in the intermediate group (2.00 to 2.24 m2), and an increase of 0.11% in the highest third (>2.24 m2) (P=0.02 for all comparisons) (Figure 2C). Accordingly, body-surface area correlated with the changes in glycated hemoglobin levels in the anakinra group (r2=0.22, P=0.007) but not in the placebo group (r2=0.001, P=0.87).

Secondary End Points

Glycemia

Fasting plasma glucose levels that were measured by the patients at home once weekly were consistently lower in the anakinra group than in the placebo group (Figure 2B). At 13 weeks, plasma glucose levels at the beginning and end of a 2-hour oral glucose-tolerance test were reduced by 0.6 mM (95% CI, 0.05 to 1.60; P=0.29) and 1.3 mM (95% CI, 0.00 to 2.6; P=0.05), respectively, in the anakinra group, as compared with the placebo group.

Beta-Cell Secretory Function

At 13 weeks, beta-cell function increased in the anakinra group and decreased in the placebo group (Figure 3Figure 3Beta-Cell Secretory Function.). In particular, the ratio of proinsulin to insulin was markedly lower in the anakinra group (P=0.005). The changes in beta-cell function assessed on the basis of the AUC from the oral glucose-tolerance test and intravenous tests were significantly correlated (P<0.001) (data not shown). The change in beta-cell function was correlated with changes in glycated hemoglobin levels in patients in the anakinra group but not in the placebo group. The correlation between the change in glycated hemoglobin levels and the AUC for stimulated C-peptide during the oral glucose-tolerance test was r2=0.13 (P=0.04) in the anakinra group and r2=0.04 (P=0.76) in the placebo group; the correlation for intravenous stimulation was r2=0.32 (P<0.001) in the anakinra group and r2=0.03 (P=0.29) in the placebo group; and the correlation for the two tests combined was r2=0.18 (P=0.02) in the anakinra group and r2=0.01 (P=0.59) in the placebo group. Baseline glycated hemoglobin values did not correlate with the beta-cell secretion tests in patients in the anakinra group. The correlation between the starting glycated hemoglobin level and the AUC for stimulated C-peptide during the oral glucose-tolerance test was r2=0.05 (P=0.22), the correlation for intravenous stimulation was r2=0.09 (P=0.10), and the correlation for both tests combined was r2=0.06 (P=0.17).

Insulin Sensitivity

With the dose of anakinra used in this study, no differences in insulin sensitivity were found at 13 weeks. The M value divided by the plasma insulin level during the steady-state period in the euglycemic–hyperinsulinemic clamp study was reduced by 0.13±1.76 μg of glucose per kilogram of body weight per picomole of insulin per minute in the anakinra group and by 0.56±2.52 μg of glucose per kilogram of body weight per picomole of insulin per minute in the placebo group (P=0.58). The insulin-sensitivity index, as calculated by the homeostasis model assessment (HOMA) on the basis of the oral glucose-tolerance test in all patients, increased by 0.003±0.179 square liter per milliunit of insulin per millimole of glucose in the anakinra group and by 0.029±0.228 square liter per milliunit of insulin per millimole of glucose in the placebo group (P=0.60). The insulin-sensitivity index on the basis of data from the oral glucose-tolerance test strongly correlated with the clamp data (r2=0.53, P<0.001). There was no correlation between insulin sensitivity as determined by the clamp method and the primary end point at 13 weeks (r2=0.005, P=0.60) and no change in oxidation rates of glucose, with an increase of 0.02±0.7 mg of oxidized glucose per kilogram per minute in the anakinra group and a decrease of 0.15±0.37 mg per kilogram per minute in the placebo group (P=0.44) or of fat, with a decrease of 0.05±0.26 mg per kilogram per minute in the anakinra group and an increase of 0.03±0.2 mg per kilogram per minute in the placebo group (P=0.36).

Markers of Systemic Inflammation

Levels of C-reactive protein were significantly lower after 4 and 13 weeks in the anakinra group than in the placebo group (P=0.02 after 4 weeks and P=0.002 after 13 weeks) (Figure 4AFigure 4Markers of Systemic Inflammation.). Similar declines in interleukin-6 levels were observed (P<0.001 after both 4 and 13 weeks) (Figure 4B). Neither baseline values nor changes in levels of C-reactive protein or interleukin-6 were significantly correlated with changes in glycated hemoglobin in the anakinra group: r2<0.001 (P=0.89) for baseline C-reactive protein levels, r2<0.001 (P=0.95) for changes in C-reactive protein, r2=0.005 (P=0.70) for baseline interleukin-6, and r2=0.001 (P=0.86) for changes in interleukin-6. As previously observed,25 neutrophil and platelet counts were slightly and reversibly decreased during anakinra therapy. Neutrophil counts decreased by 1200±1400 per cubic millimeter in the anakinra group and by 100±1300 per cubic millimeter in the placebo group; platelet counts decreased by 16,000±25,400 per cubic millimeter in the anakinra group and increased by 3000±23,000 per cubic millimeter in the placebo group (P<0.001).

Insulin-Regulated Gene Expression

Treatment with anakinra for 13 weeks did not significantly change the mRNA expression levels of the insulin-regulated genes GLUT4 (P=0.81) and PGC-1α (P=0.26) in biopsy specimens of skeletal muscle, with decreases of 0.23±1.43 for the relative expression levels of GLUT4 and 0.12±0.87 for PGC-1α normalized to the housekeeping gene cyclophilin A in the anakinra group, as compared with decreases of 0.34±0.72 in the expression levels of GLUT4 and 0.52±0.79 for PGC-1α in the placebo group.

Serum Adipokines

Levels of serum adipokines were not significantly changed at 13 weeks in either the anakinra group or the placebo group. The levels changed as follows for the comparison between the study groups: leptin, a decrease of 0.40±6.86 ng per milliliter in the anakinra group and an increase of 2.81±10.98 ng per milliliter in the placebo group (P=0.16); adiponectin, an increase of 3.69±11.36 μg per milliliter in the anakinra group and a decrease of 1.00±8.59 μg per milliliter in the placebo group (P=0.07); resistin, a decrease of 2.80±8.56 ng per milliliter in the anakinra group and an increase of 0.27±7.65 ng per milliliter in the placebo group (P=0.14); tumor necrosis factor α, a decrease of 0.13±1.44 pg per milliliter in the anakinra group and an increase of 0.11±1.56 pg per milliliter in the placebo group (P=0.52); monocyte chemotactic factor 1, an increase of 9.2±50.8 pg per milliliter in the anakinra group and a decrease of 3.3±93.0 pg per milliliter in the placebo group (P=0.50); and interleukin-8, a decrease of 0.81±4.55 pg per milliliter in the anakinra group and a decrease of 0.08±1.17 pg per milliliter in the placebo group (P=0.40).

Other Outcomes

The baseline body weight and BMI were significantly correlated with changes in glycated hemoglobin levels (covariate effect, P=0.003 and P=0.004, respectively; treatment effect, P=0.08 and P=0.05, respectively; and combined effect, P=0.001 and P=0.002, respectively). This correlation was not observed for the other baseline variables.

Adverse Events

There were no significant changes in BMI in either group from baseline to 13 weeks, with levels changing from 31.5±5.2 to 31.8±5.6 in the anakinra group (P=0.82) and 31.8±4.4 to 32.0±4.4 in the placebo group (P=0.85) (P=0.38 for the comparison between study groups). No patient withdrew from the study because of drug-related adverse events. In particular, symptomatic hypoglycemia was not observed, even in patients with a marked improvement in glycated hemoglobin levels. All reported adverse events are listed in Table 2Table 2Adverse Events.. In the anakinra group, the improvement in glycated hemoglobin levels did not differ between patients who had injection-site reactions and those who did not. There was a decrease of 0.24±0.18% in the glycated hemoglobin level in patients with injection-site reactions and a decrease of 0.64±0.32% in those without injection-site reactions (P=0.54). No changes were observed in blood pressure or heart rate or in levels of serum sodium, potassium, aspartate aminotransferase, alanine aminotransferase, lipids (including free fatty acids, total cholesterol, high-density lipoprotein, low-density lipoprotein, and triglycerides), cystatin C, or creatinine or in creatinine clearance, 24-hour urinary albumin excretion, or retinal fundus. Total hemoglobin was unchanged, a finding that made changes in erythrocyte turnover unlikely as a confounder.

Discussion

Our study shows that antagonism of interleukin-1 signaling with anakinra improved glycemic control in patients with type 2 diabetes, most likely through enhanced beta-cell secretory function. Indeed, improved glycemia in patients who received anakinra correlated with improved measures of beta-cell secretory capacity. There were no alterations in insulin sensitivity on the basis of insulin clamp studies, insulin sensitivity indexes modeled on the oral glucose-tolerance test, insulin-regulated gene expression in skeletal muscle, or serum adipokine levels. Finally, the BMIs of patients remained stable, thus excluding an anorexigenic effect of anakinra. However, we cannot exclude the possibility that higher doses of anakinra might improve insulin sensitivity.

Neither baseline levels of C-reactive protein or interleukin-6 nor changes in the levels correlated with changes in glycated hemoglobin levels, suggesting that reduced systemic inflammation did not play an important part in improved insulin secretion. Genetic ablation of systemic interleukin-1 action causes obesity.26,27 It has therefore been proposed that interleukin-1 regulates body composition and fat distribution, mainly through the regulation of feeding behavior, satiety regulation, and energy metabolism, including thermogenesis. The integral physiological measure of these actions is body weight. In our study, the inhibition of the action of interleukin-1 by anakinra did not increase body weight.

Limitations of our study include its short duration and the lack of dose finding. Considering the short half-life of anakinra (6 to 8 hours), it is possible that higher doses or longer-lasting antagonism of interleukin-1 might improve the outcome.28 The association between body weight or body-surface area at baseline and the glycemic outcome suggests that the anakinra dose might be increased according to the drug-distribution volume.

Apart from self-limited local reactions at the injection site, we observed no clear difference in the frequency of adverse events between the anakinra group and the placebo group. No patient stopped treatment because of adverse reactions. Symptomatic hypoglycemia was not reported by any patient. A potential concern with the use of interleukin-1 blockade is the inhibition of innate immunity and the occurrence of infection. However, in more than 100,000 patients with rheumatoid arthritis who underwent long-term treatment with anakinra, there was no significant increase in the incidence of infectious disease, despite concomitant immunosuppression.28

In summary, our study suggests that antagonism of interleukin-1 has possible therapeutic potential in the treatment of type 2 diabetes. Further studies are needed to test higher doses of anakinra, to evaluate its long-term use, and to test interleukin-1 antagonists that have a prolonged half-life, with the aim of preventing beta-cell destruction and promoting beta-cell regeneration in type 2 diabetes.

Supported by the Bonizzi-Theler and Hartmann-Müller Foundations, the Center of Clinical Studies at the University of Zurich, the Swiss National Science Foundation, the European Union, and Novo Nordisk. Amgen provided the study drugs at no cost.

Dr. Donath is listed as the inventor on a patent (WO6709) filed in 2003 for the use of an interleukin-1–receptor antagonist for the treatment of or prophylaxis against type 2 diabetes. The patent is owned by the University of Zurich, and Dr. Donath has no financial interest in the patent. Dr. Vølund reports being an employee of Novo Nordisk. Drs. Larsen, Vaag, Vølund, and Mandrup-Poulsen report having an equity interest in Novo Nordisk. Drs. Vaag and Mandrup-Poulsen report receiving grant support from Novo Nordisk. No other potential conflict of interest relevant to this article was reported.

Drs. Larsen, Faulenbach, Mandrup-Poulsen, and Donath contributed equally to this article.

We thank Erol Cerasi and Steven Kahn for their advice and critical reading of the manuscript; study nurses Erika Wettstein and Regula Messmer; laboratory technicians Hanne Foght, Helle Niebling, Charlotte Leth, Marianne Modest, and Margaretha Siegfried-Kellenberger; and study administrators Karen Kruse and Michèle Rothfuchs.

Source Information

From the Steno Diabetes Center, Gentofte (C.M.L., A. Vaag, T.M.-P.), and Biostatistics, Novo Nordisk, Bagsvaerd (A. Vølund) — both in Denmark; the Clinic for Endocrinology and Diabetes, University Hospital Zurich and Center for Integrative Human Physiology (M.F., J.A.E., M.Y.D.), and the Department of Biostatistics, University of Zurich (B.S.) — both in Zurich; and the University of Lund, Lund (A. Vaag), and the Karolinska Institute, Stockholm (T.M.-P.) — both in Sweden.

Address reprint requests to Dr. Donath at the Division of Endocrinology and Diabetes, University Hospital, CH-8091 Zurich, Switzerland, or at .

References

References

  1. 1

    Cerasi E, Luft R. Insulin response to glucose infusion in diabetic and non-diabetic monozygotic twin pairs: genetic control of insulin response? Acta Endocrinol (Copenh) 1967;55:330-345
    Medline

  2. 2

    DeFronzo RA. Lilly Lecture 1987. The triumvirate: beta-cell, muscle, liver -- a collusion responsible for NIDDM. Diabetes 1988;37:667-687
    Web of Science | Medline

  3. 3

    U.K. Prospective Diabetes Study Group. U.K. Prospective Diabetes Study 16 -- overview of 6 years' therapy of type II diabetes: a progressive disease. Diabetes 1995;44:1249-1258[Erratum, Diabetes 1996;45:1655.]
    CrossRef | Web of Science | Medline

  4. 4

    Butler AE, Janson J, Bonner-Weir S, Ritzel R, Rizza RA, Butler PC. Beta-cell deficit and increased beta-cell apoptosis in humans with type 2 diabetes. Diabetes 2003;52:102-110
    CrossRef | Web of Science | Medline

  5. 5

    Hellerstrom C. The life story of the pancreatic B cell. Diabetologia 1984;26:393-400
    CrossRef | Web of Science | Medline

  6. 6

    Donath MY, Halban PA. Decreased beta-cell mass in diabetes: significance, mechanisms and therapeutic implications. Diabetologia 2004;47:581-589
    CrossRef | Web of Science | Medline

  7. 7

    Dinarello CA. Biologic basis for interleukin-1 in disease. Blood 1996;87:2095-2147
    Web of Science | Medline

  8. 8

    Mandrup-Poulsen T. The role of interleukin-1 in the pathogenesis of IDDM. Diabetologia 1996;39:1005-1029
    CrossRef | Web of Science | Medline

  9. 9

    Bendtzen K, Mandrup-Poulsen T, Nerup J, Nielsen JH, Dinarello CA, Svenson M. Cytotoxicity of human pI 7 interleukin-1 for pancreatic islets of Langerhans. Science 1986;232:1545-1547
    CrossRef | Web of Science | Medline

  10. 10

    Maedler K, Sergeev P, Ris F, et al. Glucose-induced beta-cell production of IL-1beta contributes to glucotoxicity in human pancreatic islets. J Clin Invest 2002;110:851-860
    Web of Science | Medline

  11. 11

    Maedler K, Spinas GA, Lehmann R, et al. Glucose induces beta-cell apoptosis via upregulation of the Fas-receptor in human islets. Diabetes 2001;50:1683-1690
    CrossRef | Web of Science | Medline

  12. 12

    Maedler K, Storling J, Sturis J, et al. Glucose- and interleukin-1beta-induced beta-cell apoptosis requires Ca2+ influx and extracellular signal-regulated kinase (ERK) 1/2 activation and is prevented by a sulfonylurea receptor 1/inwardly rectifying K+ channel 6.2 (SUR/Kir6.2) selective potassium channel opener in human islets. Diabetes 2004;53:1706-1713
    CrossRef | Web of Science | Medline

  13. 13

    Welsh N, Cnop M, Kharroubi I, et al. Is there a role for locally produced interleukin-1 in the deleterious effects of high glucose or the type 2 diabetes milieu to human pancreatic islets? Diabetes 2005;54:3238-3244
    CrossRef | Web of Science | Medline

  14. 14

    Dinarello CA. The role of the interleukin-1-receptor antagonist in blocking inflammation mediated by interleukin-1. N Engl J Med 2000;343:732-734
    Full Text | Web of Science | Medline

  15. 15

    Zumsteg U, Reimers JI, Pociot F, et al. Differential interleukin-1 receptor antagonism on pancreatic beta and alpha cells: studies in rodent and human islets and in normal rats. Diabetologia 1993;36:759-766
    CrossRef | Web of Science | Medline

  16. 16

    Maedler K, Sergeev P, Ehses JA, et al. Leptin modulates beta cell expression of IL-1 receptor antagonist and release of IL-1beta in human islets. Proc Natl Acad Sci U S A 2004;101:8138-8143
    CrossRef | Web of Science | Medline

  17. 17

    American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care 2006;29:Suppl 1:S43-S48
    Web of Science | Medline

  18. 18

    Vaag A, Alford F, Henriksen FL, Christopher M, Beck-Nielsen H. Multiple defects of both hepatic and peripheral intracellular glucose processing contribute to the hyperglycaemia of NIDDM. Diabetologia 1995;38:326-336
    CrossRef | Web of Science | Medline

  19. 19

    Mootha VK, Lindgren CM, Eriksson KF, et al. PGC-1alpha-responsive genes involved in oxidative phosphorylation are coordinately downregulated in human diabetes. Nat Genet 2003;34:267-273
    CrossRef | Web of Science | Medline

  20. 20

    Ling C, Poulsen P, Carlsson E, et al. Multiple environmental and genetic factors influence skeletal muscle PGC-1alpha and PGC-1beta gene expression in twins. J Clin Invest 2004;114:1518-1526
    Web of Science | Medline

  21. 21

    Andersen L, Dinesen B, Jorgensen PN, Poulsen F, Roder ME. Enzyme immunoassay for intact human insulin in serum or plasma. Clin Chem 1993;39:578-582
    Web of Science | Medline

  22. 22

    Hartling SG, Dinesen B, Kappelgard AM, Faber OK, Binder C. ELISA for human proinsulin. Clin Chim Acta 1986;156:289-297
    CrossRef | Web of Science | Medline

  23. 23

    Heding LG. Radioimmunological determination of human C-peptide in serum. Diabetologia 1975;11:541-548
    CrossRef | Web of Science | Medline

  24. 24

    Wallace TM, Levy JC, Matthews DR. Use and abuse of HOMA modeling. Diabetes Care 2004;27:1487-1495
    CrossRef | Web of Science | Medline

  25. 25

    Goldbach-Mansky R, Dailey NJ, Canna SW, et al. Neonatal-onset multisystem inflammatory disease responsive to interleukin-1β inhibition. N Engl J Med 2006;355:581-592
    Full Text | Web of Science | Medline

  26. 26

    Garcia MC, Wernstedt I, Berndtsson A, et al. Mature-onset obesity in interleukin-1 receptor I knockout mice. Diabetes 2006;55:1205-1213
    CrossRef | Web of Science | Medline

  27. 27

    Chida D, Osaka T, Hashimoto O, Iwakura Y. Combined interleukin-6 and interleukin-1 deficiency causes obesity in young mice. Diabetes 2006;55:971-977
    CrossRef | Web of Science | Medline

  28. 28

    Dinarello CA. The many worlds of reducing interleukin-1. Arthritis Rheum 2005;52:1960-1967
    CrossRef | Web of Science | Medline

Citing Articles (239)

Citing Articles

  1. 1

    Suyoung Bae, Jida Choi, Jaewoo Hong, Hyunjhung Jhun, Kwangwon Hong, Taebong Kang, Keeho Song, Sangmin Jeong, Hokee Yum, Soohyun Kim. (2012) Neutrophil Proteinase 3 Induces Diabetes in a Mouse Model of Glucose Tolerance. Endocrine Research 37:1, 35-45
    CrossRef

  2. 2

    Till Strowig, Jorge Henao-Mejia, Eran Elinav, Richard Flavell. (2012) Inflammasomes in health and disease. Nature 481:7381, 278-286
    CrossRef

  3. 3

    Shawn Winer, Daniel A Winer. (2012) The adaptive immune system as a fundamental regulator of adipose tissue inflammation and insulin resistance. Immunology and Cell Biology
    CrossRef

  4. 4

    Hongming Miao, Yang Zhang, Zhongyan Lu, Qin Liu, Lixia Gan. (2012) FOXO1 involvement in insulin resistance-related pro-inflammatory cytokine production in hepatocytes. Inflammation Research
    CrossRef

  5. 5

    Daniel J. Rader. (2012) IL-1 and atherosclerosis: a murine twist to an evolving human story. Journal of Clinical Investigation 122:1, 27-30
    CrossRef

  6. 6

    B. Brooks-Worrell, J. P. Palmer. (2012) Immunology in the Clinic Review Series; focus on metabolic diseases: development of islet autoimmune disease in type 2 diabetes patients: potential sequelae of chronic inflammation. Clinical & Experimental Immunology 167:1, 40-46
    CrossRef

  7. 7

    Rinke Stienstra, Cees J. Tack, Thirumala-Devi Kanneganti, Leo A.B. Joosten, Mihai G. Netea. (2012) The Inflammasome Puts Obesity in the Danger Zone. Cell Metabolism 15:1, 10-18
    CrossRef

  8. 8

    Jeffrey H. Dunn, Lixia Z. Ellis, Mayumi Fujita. (2012) Inflammasomes as molecular mediators of inflammation and cancer: Potential role in melanoma. Cancer Letters 314:1, 24-33
    CrossRef

  9. 9

    Michael J. Stuart, Bernhard T. Baune. (2012) Depression and type 2 diabetes: Inflammatory mechanisms of a psychoneuroendocrine co-morbidity. Neuroscience & Biobehavioral Reviews 36:1, 658-676
    CrossRef

  10. 10

    Chia-Chao Wu, Huey-Kang Sytwu, Yuh-Feng Lin. 2012. Cytokines in diabetic nephropathy. , 55-74.
    CrossRef

  11. 11

    M Dagenais, A Skeldon, M Saleh. (2012) The inflammasome: in memory of Dr. Jurg Tschopp. Cell Death and Differentiation 19:1, 5-12
    CrossRef

  12. 12

    Namrata Iyer, Sandhya A. Marathe, Debalina Chaudhuri, Preeti Garai, Dipshikha Chakravortty. (2012) Immunomodulation using agonists and antagonists: potential clinical applications. Expert Opinion on Investigational Drugs 21:1, 67-81
    CrossRef

  13. 13

    Karen K. Ryan, Stephen C. Woods, Randy J. Seeley. (2012) Central Nervous System Mechanisms Linking the Consumption of Palatable High-Fat Diets to the Defense of Greater Adiposity. Cell Metabolism
    CrossRef

  14. 14

    Muhammad Sajid Hamid Akash, Qi Shen, Kanwal Rehman, Shuqing Chen. (2012) Interleukin-1 receptor antagonist: A new therapy for type 2 diabetes mellitus. Journal of Pharmaceutical Sciencesn/a-n/a
    CrossRef

  15. 15

    Kitty P. Cheung, Kristen R. Taylor, Julie M. Jameson. (2011) Immunomodulation at epithelial sites by obesity and metabolic disease. Immunologic Research
    CrossRef

  16. 16

    Simon Schenk, Olivia Osborn, Jerrold Olefsky. 2011. Mechanisms Mediating Obesity-Induced Inflammation and Insulin Resistance. , 199-214.
    CrossRef

  17. 17

    Heidi Wolden-Kirk, Lut Overbergh, Henrik Thybo Christesen, Klaus Brusgaard, Chantal Mathieu. (2011) Vitamin D and diabetes: Its importance for beta cell and immune function. Molecular and Cellular Endocrinology 347:1-2, 106-120
    CrossRef

  18. 18

    Yong Zhao, Zhaoshun Jiang, Chengshan Guo. (2011) New hope for type 2 diabetics: Targeting insulin resistance through the immune modulation of stem cells. Autoimmunity Reviews 11:2, 137-142
    CrossRef

  19. 19

    James W. Ramadan, Stephen R. Steiner, Christina M. O’Neill, Craig S. Nunemaker. (2011) The central role of calcium in the effects of cytokines on beta-cell function: Implications for type 1 and type 2 diabetes. Cell Calcium 50:6, 481-490
    CrossRef

  20. 20

    M. Lienhard Schmitz, Axel Weber, Thomas Roxlau, Matthias Gaestel, Michael Kracht. (2011) Signal integration, crosstalk mechanisms and networks in the function of inflammatory cytokines. Biochimica et Biophysica Acta (BBA) - Molecular Cell Research 1813:12, 2165-2175
    CrossRef

  21. 21

    Linda Rossi-Semerano, Isabelle Koné-Paut. (2011) Focus sur les inhibiteurs de l’interleukine 1. Revue du Rhumatisme Monographies
    CrossRef

  22. 22

    Dongsheng Cai, Tiewen Liu. (2011) Hypothalamic inflammation: a double-edged sword to nutritional diseases. Annals of the New York Academy of Sciences 1243:1, E1-E39
    CrossRef

  23. 23

    S. Graf, P.-M. Schumm-Draeger. (2011) Diabetes und Rheuma. Zeitschrift für Rheumatologie 70:9, 747-751
    CrossRef

  24. 24

    Tetsu Miyamoto, Juan J. Carrero, Peter Stenvinkel. (2011) Inflammation as a risk factor and target for therapy in chronic kidney disease. Current Opinion in Nephrology and Hypertension 20:6, 662-668
    CrossRef

  25. 25

    Kathryn M. Sumpter, Soumya Adhikari, Ellen K. Grishman, Perrin C. White. (2011) Preliminary studies related to anti-interleukin-1β therapy in children with newly diagnosed type 1 diabetes. Pediatric Diabetes 12:7, 656-667
    CrossRef

  26. 26

    Herbert Tilg, Alexander R. Moschen. (2011) IL-1 cytokine family members and NAFLD: Neglected in metabolic liver inflammation. Journal of Hepatology 55:5, 960-962
    CrossRef

  27. 27

    Raphaela Goldbach-Mansky. (2011) Update on Monogenic Autoinflammatory diseases: The role of IL-1 and an emerging role for cytokines beyond IL-1 …. Clinical & Experimental Immunologyno-no
    CrossRef

  28. 28

    B. Becattini, R. Marone, F. Zani, D. Arsenijevic, J. Seydoux, J.-P. Montani, A. G. Dulloo, B. Thorens, F. Preitner, M. P. Wymann, G. Solinas. (2011) PNAS Plus: PI3K  within a nonhematopoietic cell type negatively regulates diet-induced thermogenesis and promotes obesity and insulin resistance. Proceedings of the National Academy of Sciences 108:42, E854-E863
    CrossRef

  29. 29

    M. F. Bachmann, G. T. Jennings. (2011) Therapeutic vaccines for chronic diseases: successes and technical challenges. Philosophical Transactions of the Royal Society B: Biological Sciences 366:1579, 2815-2822
    CrossRef

  30. 30

    P. Menu, J. E. Vince. (2011) The NLRP3 inflammasome in health and disease: the good, the bad and the ugly. Clinical & Experimental Immunology 166:1, 1-15
    CrossRef

  31. 31

    Allan Lawrie, Abdul G. Hameed, Janet Chamberlain, Nadine Arnold, Aneurin Kennerley, Kay Hopkinson, Josephine Pickworth, David G. Kiely, David C. Crossman, Sheila E. Francis. (2011) Paigen Diet–Fed Apolipoprotein E Knockout Mice Develop Severe Pulmonary Hypertension in an Interleukin-1–Dependent Manner. The American Journal of Pathology 179:4, 1693-1705
    CrossRef

  32. 32

    Paul M Ridker, Tom Thuren, Andrew Zalewski, Peter Libby. (2011) Interleukin-1β inhibition and the prevention of recurrent cardiovascular events: Rationale and Design of the Canakinumab Anti-inflammatory Thrombosis Outcomes Study (CANTOS). American Heart Journal 162:4, 597-605
    CrossRef

  33. 33

    Kristof Kersse, Mathieu J.M. Bertrand, Mohamed Lamkanfi, Peter Vandenabeele. (2011) NOD-like receptors and the innate immune system: Coping with danger, damage and death. Cytokine & Growth Factor Reviews 22:5-6, 257-276
    CrossRef

  34. 34

    M. McCall, R. Pawlick, T. Kin, A. M. J. Shapiro. (2011) Anakinra Potentiates the Protective Effects of Etanercept in Transplantation of Marginal Mass Human Islets in Immunodeficient Mice. American Journal of Transplantationno-no
    CrossRef

  35. 35

    Chun Zeng, Xiaoyun Shi, Baojun Zhang, He Liu, Lianjun Zhang, Wenjun Ding, Yong Zhao. (2011) The imbalance of Th17/Th1/Tregs in patients with type 2 diabetes: relationship with metabolic factors and complications. Journal of Molecular Medicine
    CrossRef

  36. 36

    Sirish K Ippagunta, R K Subbarao Malireddi, Patrick J Shaw, Geoffrey A Neale, Lieselotte Vande Walle, Douglas R Green, Yoshinori Fukui, Mohamed Lamkanfi, Thirumala-Devi Kanneganti. (2011) The inflammasome adaptor ASC regulates the function of adaptive immune cells by controlling Dock2-mediated Rac activation and actin polymerization. Nature Immunology 12:10, 1010-1016
    CrossRef

  37. 37

    Kenneth L. Rock, Jiann-Jyh Lai, Hajime Kono. (2011) Innate and adaptive immune responses to cell death. Immunological Reviews 243:1, 191-205
    CrossRef

  38. 38

    M-H. Giroix, J-C. Irminger, G. Lacraz, C. Noll, S. Calderari, J. A. Ehses, J. Coulaud, M. Cornut, N. Kassis, F. Schmidlin, J-L. Paul, M. Kergoat, N. Janel, P. A. Halban, F. Homo-Delarche. (2011) Hypercholesterolaemia, signs of islet microangiopathy and altered angiogenesis precede onset of type 2 diabetes in the Goto–Kakizaki (GK) rat. Diabetologia 54:9, 2451-2462
    CrossRef

  39. 39

    Mohamed Lamkanfi, Lieselotte Vande Walle, Thirumala-Devi Kanneganti. (2011) Deregulated inflammasome signaling in disease. Immunological Reviews 243:1, 163-173
    CrossRef

  40. 40

    Jaklien C. Leemans, Suzanne L. Cassel, Fayyaz S. Sutterwala. (2011) Sensing damage by the NLRP3 inflammasome. Immunological Reviews 243:1, 152-162
    CrossRef

  41. 41

    Dario Tuccinardi, Elvira Fioriti, Silvia Manfrini, Eugenio D'Amico, Paolo Pozzilli. (2011) DiaPep277 peptide therapy in the context of other immune intervention trials in type 1 diabetes. Expert Opinion on Biological Therapy 11:9, 1233-1240
    CrossRef

  42. 42

    Jaana Suvisaari, Britt-Marie Loo, Suoma E. Saarni, Jari Haukka, Jonna Perälä, Samuli I. Saarni, Satu Viertiö, Krista Partti, Jouko Lönnqvist, Antti Jula. (2011) Inflammation in psychotic disorders: A population-based study. Psychiatry Research 189:2, 305-311
    CrossRef

  43. 43

    Gillian M. Bell, Gary Reynolds, John D. Isaacs. (2011) Biologic therapies in non-rheumatic diseases: lessons for rheumatologists?. Nature Reviews Rheumatology 7:9, 507-516
    CrossRef

  44. 44

    Aaron W. Michels, Matthias von Herrath. (2011) 2011 Update. Current Opinion in Endocrinology, Diabetes and Obesity 18:4, 235-240
    CrossRef

  45. 45

    Dominic De Nardo, Eicke Latz. (2011) NLRP3 inflammasomes link inflammation and metabolic disease. Trends in Immunology 32:8, 373-379
    CrossRef

  46. 46

    Göran K Hansson, Lars Klareskog. (2011) Pulling down the plug on atherosclerosis: Cooling down the inflammasome. Nature Medicine 17:7, 790-791
    CrossRef

  47. 47

    KARSTEN BUSCHARD. (2011) What causes type 1 diabetes? Lessons from animal models. APMIS 119, 1-19
    CrossRef

  48. 48

    Uchechukwu K Sampson, MacRae F Linton, Sergio Fazio. (2011) Are statins diabetogenic?. Current Opinion in Cardiology 26:4, 342-347
    CrossRef

  49. 49

    Kazuki Mochizuki, Yasumi Misaki, Rie Miyauchi, Satsuki Takabe, Masaya Shimada, Noriyuki Miyoshi, Yoko Ichikawa, Toshinao Goda. (2011) Circulating interleukin-1β and interleukin-6 concentrations are closely associated with γ-glutamyltranspeptidase activity in middle-aged Japanese men without obvious cardiovascular diseases. Metabolism 60:7, 914-922
    CrossRef

  50. 50

    , M. N. Pham, M. I. Hawa, C. Pfleger, M. Roden, G. Schernthaner, P. Pozzilli, R. Buzzetti, W. Scherbaum, J. Seissler, H. Kolb, S. Hunter, R. D. G. Leslie, N. C. Schloot. (2011) Pro- and anti-inflammatory cytokines in latent autoimmune diabetes in adults, type 1 and type 2 diabetes patients: Action LADA 4. Diabetologia 54:7, 1630-1638
    CrossRef

  51. 51

    J. B. Galloway, K. L. Hyrich, L. K. Mercer, W. G. Dixon, K. D. Watson, M. Lunt, , D. P. M. Symmons, . (2011) The risk of serious infections in patients receiving anakinra for rheumatoid arthritis: results from the British Society for Rheumatology Biologics Register. Rheumatology 50:7, 1341-1342
    CrossRef

  52. 52

    Andrea Cignarella. (2011) Targeting interleukin-1ß hampers atherosclerosis progression – Is there great promise?. Atherosclerosis 217:1, 64-66
    CrossRef

  53. 53

    Marianne Böni-Schnetzler, Marc Y Donath. (2011) Increased IL-1β activation, the culprit not only for defective insulin secretion but also for insulin resistance?. Cell Research 21:7, 995-997
    CrossRef

  54. 54

    Nicolas Rapin, Erik Mosekilde, Ole Lund. (2011) Bistability in autoimmune diseases. Autoimmunity 44:4, 256-260
    CrossRef

  55. 55

    Maria G. Pavlatou, George Mastorakos, Alexandra Margeli, Evangelia Kouskouni, Nicholas Tentolouris, Nikos Katsilambros, George P. Chrousos, Ioannis Papassotiriou. (2011) Angiotensin blockade in diabetic patients decreases insulin resistance-associated low-grade inflammation. European Journal of Clinical Investigation 41:6, 652-658
    CrossRef

  56. 56

    Frank Waldron-Lynch, Kevan C. Herold. (2011) Immunomodulatory therapy to preserve pancreatic β-cell function in type 1 diabetes. Nature Reviews Drug Discovery 10:6, 439-452
    CrossRef

  57. 57

    B S Nikolajczyk, M Jagannathan-Bogdan, H Shin, R Gyurko. (2011) State of the union between metabolism and the immune system in type 2 diabetes. Genes and Immunity 12:4, 239-250
    CrossRef

  58. 58

    Aaron W. Michels, George S. Eisenbarth. (2011) Immune intervention in type 1 diabetes. Seminars in Immunology 23:3, 214-219
    CrossRef

  59. 59

    Carey N. Lumeng, Alan R. Saltiel. (2011) Inflammatory links between obesity and metabolic disease. Journal of Clinical Investigation 121:6, 2111-2117
    CrossRef

  60. 60

    S. L. Masters, E. Latz, L. A. J. O'Neill. (2011) The Inflammasome in Atherosclerosis and Type 2 Diabetes. Science Translational Medicine 3:81, 81ps17-81ps17
    CrossRef

  61. 61

    Augustine M K Choi, Kiichi Nakahira. (2011) Dampening insulin signaling by an NLRP3 'meta-flammasome'. Nature Immunology 12:5, 379-380
    CrossRef

  62. 62

    Haitao Wen, Denis Gris, Yu Lei, Sushmita Jha, Lu Zhang, Max Tze-Han Huang, Willie June Brickey, Jenny P-Y Ting. (2011) Fatty acid–induced NLRP3-ASC inflammasome activation interferes with insulin signaling. Nature Immunology 12:5, 408-415
    CrossRef

  63. 63

    Seth L. Masters, Luke A.J. O’Neill. (2011) Disease-associated amyloid and misfolded protein aggregates activate the inflammasome. Trends in Molecular Medicine 17:5, 276-282
    CrossRef

  64. 64

    Jürg Tschopp. (2011) Mitochondria: Sovereign of inflammation?. European Journal of Immunology 41:5, 1196-1202
    CrossRef

  65. 65

    Charles A. Dinarello. (2011) A clinical perspective of IL-1β as the gatekeeper of inflammation. European Journal of Immunology 41:5, 1203-1217
    CrossRef

  66. 66

    Margaret F. Gregor, Gökhan S. Hotamisligil. (2011) Inflammatory Mechanisms in Obesity. Annual Review of Immunology 29:1, 415-445
    CrossRef

  67. 67

    Beckley K. Davis, Haitao Wen, Jenny P.-Y. Ting. (2011) The Inflammasome NLRs in Immunity, Inflammation, and Associated Diseases. Annual Review of Immunology 29:1, 707-735
    CrossRef

  68. 68

    Michael P. Czech, Myriam Aouadi, Gregory J. Tesz. (2011) RNAi-based therapeutic strategies for metabolic disease. Nature Reviews Endocrinology 7:8, 473-484
    CrossRef

  69. 69

    C. A. Dinarello. (2011) Interleukin-1 in the pathogenesis and treatment of inflammatory diseases. Blood 117:14, 3720-3732
    CrossRef

  70. 70

    Klaus Kratochwill, Michael Lechner, Anton Michael Lichtenauer, Rebecca Herzog, Hans Christian Lederhuber, Christian Siehs, Michaela Endemann, Bernd Mayer, Andreas Rizzi, Christoph Aufricht. (2011) Interleukin-1 Receptor-Mediated Inflammation Impairs the Heat Shock Response of Human Mesothelial Cells. The American Journal of Pathology 178:4, 1544-1555
    CrossRef

  71. 71

    Man Yu, Stewart J. Levine. (2011) Toll-like receptor 3, RIG-I-like receptors and the NLRP3 inflammasome: Key modulators of innate immune responses to double-stranded RNA viruses. Cytokine & Growth Factor Reviews 22:2, 63-72
    CrossRef

  72. 72

    A. Börjesson, S.G. Rønn, A.E. Karlsen, N. Billestrup, S. Sandler. (2011) β-cell specific overexpression of suppressor of cytokine signalling-3 does not protect against multiple low dose streptozotocin induced type 1 diabetes in mice. Immunology Letters 136:1, 74-79
    CrossRef

  73. 73

    Gil Leibowitz, Nurit Kaiser, Erol Cerasi. (2011) β-Cell failure in type 2 diabetes. Journal of Diabetes Investigation 2:2, 82-91
    CrossRef

  74. 74

    J. Ludvigsson, M. Hjorth, M. Chéramy, S. Axelsson, M. Pihl, G. Forsander, N.-Ö. Nilsson, B.-O. Samuelsson, T. Wood, J. Åman, E. Örtqvist, R. Casas. (2011) Extended evaluation of the safety and efficacy of GAD treatment of children and adolescents with recent-onset type 1 diabetes: a randomised controlled trial. Diabetologia 54:3, 634-640
    CrossRef

  75. 75

    Mohamed Lamkanfi. (2011) Emerging inflammasome effector mechanisms. Nature Reviews Immunology 11:3, 213-220
    CrossRef

  76. 76

    Zafar H Israili. (2011) Advances in the Treatment of Type 2 Diabetes Mellitus. American Journal of Therapeutics 18:2, 117-152
    CrossRef

  77. 77

    R. Brian Stevens, James T. Lane, Brian P. Boerner, Clifford D. Miles, Theodore H. Rigley, John P. Sandoz, Kathleen J. Nielsen, Jill Y. Skorupa, Anna J. Skorupa, Bruce Kaplan, Lucile E. Wrenshall. (2011) Single-dose rATG induction at renal transplantation: superior renal function and glucoregulation with less hypomagnesemia. Clinical Transplantationno-no
    CrossRef

  78. 78

    Helen J. Lachmann, Pierre Quartier, Alexander So, Philip N. Hawkins. (2011) The emerging role of interleukin-1β in autoinflammatory diseases. Arthritis & Rheumatism 63:2, 314-324
    CrossRef

  79. 79

    Patrick J. Shaw, Michael F. McDermott, Thirumala-Devi Kanneganti. (2011) Inflammasomes and autoimmunity. Trends in Molecular Medicine 17:2, 57-64
    CrossRef

  80. 80

    Bolormaa Vandanmagsar, Yun-Hee Youm, Anthony Ravussin, Jose E Galgani, Krisztian Stadler, Randall L Mynatt, Eric Ravussin, Jacqueline M Stephens, Vishwa Deep Dixit. (2011) The NLRP3 inflammasome instigates obesity-induced inflammation and insulin resistance. Nature Medicine 17:2, 179-188
    CrossRef

  81. 81

    Marc Y. Donath, Steven E. Shoelson. (2011) Type 2 diabetes as an inflammatory disease. Nature Reviews Immunology 11:2, 98-107
    CrossRef

  82. 82

    James Galea, Kayode Ogungbenro, Sharon Hulme, Andrew Greenhalgh, Leon Aarons, Sylvia Scarth, Peter Hutchinson, Samantha Grainger, Andrew King, Stephen J Hopkins, Nancy Rothwell, Pippa Tyrrell. (2011) Intravenous anakinra can achieve experimentally effective concentrations in the central nervous system within a therapeutic time window: results of a dose-ranging study. Journal of Cerebral Blood Flow & Metabolism 31:2, 439-447
    CrossRef

  83. 83

    Diane Mathis, Steven E. Shoelson. (2011) Immunometabolism: an emerging frontier. Nature Reviews Immunology 11:2, 81-83
    CrossRef

  84. 84

    Yeqing Tong, Li Cai, Renli Zhang, Yanwei Zhang, Shenghong Liu, Liangqiang Lin, Zhiguang Zhao, Yijie Geng, Jing Xu, Hong Fan, Juan Zhang, Katherine A. Mason, Jinquan Cheng, Zuxun Lu. (2011) A novel tailed primers protocol to identify the association of IL-4 and IL-1RN (receptor antagonist) gene variable number of tandem repeats polymorphisms with ischemic stroke in Chinese Han population. Clinica Chimica Acta 412:5-6, 486-488
    CrossRef

  85. 85

    Michaela C Stanton, Shu-Cheng Chen, James V Jackson, Alberto Rojas-Triana, David Kinsley, Long Cui, Jay S Fine, Scott Greenfeder, Loretta A Bober, Chung-Her Jenh. (2011) Inflammatory Signals shift from adipose to liver during high fat feeding and influence the development of steatohepatitis in mice. Journal of Inflammation 8:1, 8
    CrossRef

  86. 86

    Thor Ueland, Anders P. Jørgensen, Kristin Godang, Kristian J. Fougner, Pål Aukrust, Pia Burman, Jens Bollerslev. (2011) Interleukin 1 receptor antagonist is associated with changes in body composition during physiological GH substitution in patients with adult-onset growth hormone deficiency. Clinical Endocrinology 74:1, 60-66
    CrossRef

  87. 87

    James M. Krueger, Jeannine A. Majde. 2011. Sleep and Host Defense. , 281-290.
    CrossRef

  88. 88

    C. A. Dinarello. (2011) Blocking interleukin-1β in acute and chronic autoinflammatory diseases. Journal of Internal Medicine 269:1, 16-28
    CrossRef

  89. 89

    Myung-Shik Lee. (2011) Role of Innate Immunity in Diabetes and Metabolism: Recent Progress in the Study of Inflammasomes. Immune Network 11:2, 95
    CrossRef

  90. 90

    Rebecca G. Baker, Matthew S. Hayden, Sankar Ghosh. (2011) NF-κB, Inflammation, and Metabolic Disease. Cell Metabolism 13:1, 11-22
    CrossRef

  91. 91

    Michael Inouye, Johannes Kettunen, Pasi Soininen, Kaisa Silander, Samuli Ripatti, Linda S Kumpula, Eija Hämäläinen, Pekka Jousilahti, Antti J Kangas, Satu Männistö, Markku J Savolainen, Antti Jula, Jaana Leiviskä, Aarno Palotie, Veikko Salomaa, Markus Perola, Mika Ala-Korpela, Leena Peltonen. (2010) Metabonomic, transcriptomic, and genomic variation of a population cohort. Molecular Systems Biology 6,
    CrossRef

  92. 92

    Tobias Boettler, Matthias von Herrath. (2010) Immunotherapy of type 1 diabetes — How to rationally prioritize combination therapies in T1D. International Immunopharmacology 10:12, 1491-1495
    CrossRef

  93. 93

    Mette Koefoed, Claus M. Larsen, Mirjam V. Faulenbach, Allan Vaag, Jan A. Ehses, Marc Y. Donath, James Norton McGuire, Flemming Pociot, Thomas Mandrup-Poulsen. (2010) Serum Proteome Pool Changes in Type 2 Diabetic Patients Treated with Anakinra. Clinical Proteomics 6:4, 153-161
    CrossRef

  94. 94

    Rinke Stienstra, Leo A.B. Joosten, Tim Koenen, Berry van Tits, Janna A. van Diepen, Sjoerd A.A. van den Berg, Patrick C.N. Rensen, Peter J. Voshol, Giamilla Fantuzzi, Anneke Hijmans, Sander Kersten, Michael Müller, Wim B. van den Berg, Nico van Rooijen, Martin Wabitsch, Bart-Jan Kullberg, Jos W.M. van der Meer, Thirumala Kanneganti, Cees J. Tack, Mihai G. Netea. (2010) The Inflammasome-Mediated Caspase-1 Activation Controls Adipocyte Differentiation and Insulin Sensitivity. Cell Metabolism 12:6, 593-605
    CrossRef

  95. 95

    Grace Y. Chen, Gabriel Nuñez. (2010) Sterile inflammation: sensing and reacting to damage. Nature Reviews Immunology 10:12, 826-837
    CrossRef

  96. 96

    Laura R. Rekedal, Elena Massarotti, Rajesh Garg, Radhika Bhatia, Timothy Gleeson, Bing Lu, Daniel H. Solomon. (2010) Changes in glycosylated hemoglobin after initiation of hydroxychloroquine or methotrexate treatment in diabetes patients with rheumatic diseases. Arthritis & Rheumatism 62:12, 3569-3573
    CrossRef

  97. 97

    C. Garcia, B. Feve, P. Ferré, S. Halimi, H. Baizri, L. Bordier, G. Guiu, O. Dupuy, B. Bauduceau, H. Mayaudon. (2010) Diabetes and inflammation: Fundamental aspects and clinical implications. Diabetes & Metabolism 36:5, 327-338
    CrossRef

  98. 98

    Kavita Nyalakonda, Tarang Sharma, Faramarz Ismail-Beigi. (2010) Preservation of Beta-Cell Function in Type 2 Diabetes. Endocrine Practice 16:6, 1038-1055
    CrossRef

  99. 99

    A. Roeske-Nielsen, L. T. Dalgaard, J.-E. Månsson, K. Buschard. (2010) The glycolipid sulfatide protects insulin-producing cells against cytokine-induced apoptosis, a possible role in diabetes. Diabetes/Metabolism Research and Reviews 26:8, 631-638
    CrossRef

  100. 100

    Marc Y. Donath, Marianne Böni-Schnetzler. (2010) IL-1β Activation as a Response to Metabolic Disturbances. Cell Metabolism 12:5, 427-428
    CrossRef

  101. 101

    Seth L Masters, Aisling Dunne, Shoba L Subramanian, Rebecca L Hull, Gillian M Tannahill, Fiona A Sharp, Christine Becker, Luigi Franchi, Eiji Yoshihara, Zhe Chen, Niamh Mullooly, Lisa A Mielke, James Harris, Rebecca C Coll, Kingston H G Mills, K Hun Mok, Philip Newsholme, Gabriel Nuñez, Junji Yodoi, Steven E Kahn, Ed C Lavelle, Luke A J O'Neill. (2010) Activation of the NLRP3 inflammasome by islet amyloid polypeptide provides a mechanism for enhanced IL-1β in type 2 diabetes. Nature Immunology 11:10, 897-904
    CrossRef

  102. 102

    G. Leibowitz, E. Bachar, M. Shaked, A. Sinai, M. Ketzinel-Gilad, E. Cerasi, N. Kaiser. (2010) Glucose regulation of β-cell stress in type 2 diabetes. Diabetes, Obesity and Metabolism 12, 66-75
    CrossRef

  103. 103

    John J. Taylor. (2010) Cytokine regulation of immune responses to Porphyromonas gingivalis. Periodontology 2000 54:1, 160-194
    CrossRef

  104. 104

    Yasumi Misaki, Rie Miyauchi, Kazuki Mochizuki, Satsuki Takabe, Masaya Shimada, Yoko Ichikawa, Toshinao Goda. (2010) Plasma interleukin-1β concentrations are closely associated with fasting blood glucose levels in healthy and preclinical middle-aged nonoverweight and overweight Japanese men. Metabolism 59:10, 1465-1471
    CrossRef

  105. 105

    , Johnny Ludvigsson. (2010) Immune Intervention in Children with Type 1 Diabetes. Current Diabetes Reports 10:5, 370-379
    CrossRef

  106. 106

    Thomas Mandrup-Poulsen. (2010) IAPP boosts islet macrophage IL-1 in type 2 diabetes. Nature Immunology 11:10, 881-883
    CrossRef

  107. 107

    Kari Luotola, Arto Pietilä, Mervi Alanne, Timo Lanki, Britt-Marie Loo, Antti Jula, Markus Perola, Annette Peters, Tanja Zeller, Stefan Blankenberg, Veikko Salomaa. (2010) Genetic variation of the interleukin-1 family and nongenetic factors determining the interleukin-1 receptor antagonist phenotypes. Metabolism 59:10, 1520-1527
    CrossRef

  108. 108

    Manfred Kopf, Martin F. Bachmann, Benjamin J. Marsland. (2010) Averting inflammation by targeting the cytokine environment. Nature Reviews Drug Discovery 9:9, 703-718
    CrossRef

  109. 109

    Juan J. Carrero, Peter Stenvinkel. (2010) Inflammation in End-Stage Renal Disease-What Have We Learned in 10 Years?. Seminars in Dialysis 23:5, 498-509
    CrossRef

  110. 110

    Laurence Feldmeyer, Sabine Werner, Lars E. French, Hans-Dietmar Beer. (2010) Interleukin-1, inflammasomes and the skin. European Journal of Cell Biology 89:9, 638-644
    CrossRef

  111. 111

    Hery Winarsi, Agus Purwanto. (2010) Soy Germed Protein Plus Zn as an Inducer Insulin Secretion on Type-2 Diabetes Mellitus. HAYATI Journal of Biosciences 17:3, 120-124
    CrossRef

  112. 112

    I. Kötter, G. Horneff. (2010) IL-1-Antagonisten. Zeitschrift für Rheumatologie 69:7, 581-593
    CrossRef

  113. 113

    Bente K. Pedersen, Mark A. Febbraio. (2010) Diabetes: Treatment of diabetes mellitus: new tricks by an old player. Nature Reviews Endocrinology 6:9, 482-483
    CrossRef

  114. 114

    Khalida Ismail. 2010. Unraveling the Pathogenesis of the Depression-Diabetes Link. , 29-61.
    CrossRef

  115. 115

    Cailin Henderson, Raphaela Goldbach-Mansky. (2010) Monogenic autoinflammatory diseases: new insights into clinical aspects and pathogenesis. Current Opinion in Rheumatology1
    CrossRef

  116. 116

    J. A. Ehses, D. T. Meier, S. Wueest, J. Rytka, S. Boller, P. Y. Wielinga, A. Schraenen, K. Lemaire, S. Debray, L. Lommel, J. A. Pospisilik, O. Tschopp, S. M. Schultze, U. Malipiero, H. Esterbauer, H. Ellingsgaard, S. Rütti, F. C. Schuit, T. A. Lutz, M. Böni-Schnetzler, D. Konrad, Marc Y. Donath. (2010) Toll-like receptor 2-deficient mice are protected from insulin resistance and beta cell dysfunction induced by a high-fat diet. Diabetologia 53:8, 1795-1806
    CrossRef

  117. 117

    Srinath Sanda, Jenna Bollyky, Nathan Standifer, Gerald Nepom, Jessica A. Hamerman, Carla Greenbaum. (2010) Short-term IL-1β blockade reduces monocyte CD11b integrin expression in an IL-8 dependent fashion in patients with type 1 diabetes. Clinical Immunology 136:2, 170-173
    CrossRef

  118. 118

    Usriansyah Hadis, Graham R. Leggatt, Ranjeny Thomas, Ian H. Frazer, Eva M. Kovacs. (2010) IL-1 signalling determines the fate of skin grafts expressing non-self protein in keratinocytes. Experimental Dermatology 19:8, 723-729
    CrossRef

  119. 119

    Daniel Eberhard, Martin Kragl, Eckhard Lammert. (2010) ‘Giving and taking’: endothelial and β-cells in the islets of Langerhans. Trends in Endocrinology & Metabolism 21:8, 457-463
    CrossRef

  120. 120

    Mazen Alsahli, John E. Gerich. 2010. Abnormalities of Insulin Secretion and β-Cell Defects in Type 2 Diabetes. , 160-173.
    CrossRef

  121. 121

    Edwina Naik, Vishva M. Dixit. (2010) Modulation of Inflammasome Activity for the Treatment of Auto-inflammatory Disorders. Journal of Clinical Immunology 30:4, 485-490
    CrossRef

  122. 122

    M. Igoillo-Esteve, L. Marselli, D. A. Cunha, L. Ladrière, F. Ortis, F. A. Grieco, F. Dotta, G. C. Weir, P. Marchetti, D. L. Eizirik, M. Cnop. (2010) Palmitate induces a pro-inflammatory response in human pancreatic islets that mimics CCL2 expression by beta cells in type 2 diabetes. Diabetologia 53:7, 1395-1405
    CrossRef

  123. 123

    M. Jagannathan, M. McDonnell, Y. Liang, H. Hasturk, J. Hetzel, D. Rubin, A. Kantarci, T. E. Dyke, L. M. Ganley-Leal, B. S. Nikolajczyk. (2010) Toll-like receptors regulate B cell cytokine production in patients with diabetes. Diabetologia 53:7, 1461-1471
    CrossRef

  124. 124

    Greta Guarda, Alexander So. (2010) Regulation of inflammasome activity. Immunology 130:3, 329-336
    CrossRef

  125. 125

    Gaurav Verma, Malabika Datta. (2010) IL-1β induces ER stress in a JNK dependent manner that determines cell death in human pancreatic epithelial MIA PaCa-2 cells. Apoptosis 15:7, 864-876
    CrossRef

  126. 126

    Edward D. Siew, Talat Alp Ikizler. (2010) Insulin Resistance and Protein Energy Metabolism in Patients with Advanced Chronic Kidney Disease. Seminars in Dialysis 23:4, 378-382
    CrossRef

  127. 127

    Charles A Dinarello, Marc Y Donath, Thomas Mandrup-Poulsen. (2010) Role of IL-1β in type 2 diabetes. Current Opinion in Endocrinology, Diabetes and Obesity1
    CrossRef

  128. 128

    Cormac Sheridan. (2010) Firms chase diabetic inflammation with anti-IL-1β antibodies. Nature Biotechnology 28:6, 533-534
    CrossRef

  129. 129

    Huw Bowen Jones, David Nugent, Richard Jenkins. (2010) Variation in characteristics of islets of Langerhans in insulin-resistant, diabetic and non-diabetic-rat strains. International Journal of Experimental Pathology 91:3, 288-301
    CrossRef

  130. 130

    Bernhard Maier, Takeshi Ogihara, Anthony P. Trace, Sarah A. Tersey, Reiesha D. Robbins, Swarup K. Chakrabarti, Craig S. Nunemaker, Natalie D. Stull, Catherine A. Taylor, John E. Thompson, Richard S. Dondero, Eli C. Lewis, Charles A. Dinarello, Jerry L. Nadler, Raghavendra G. Mirmira. (2010) The unique hypusine modification of eIF5A promotes islet β cell inflammation and dysfunction in mice. Journal of Clinical Investigation 120:6, 2156-2170
    CrossRef

  131. 131

    Ioannis Mitroulis, Panagiotis Skendros, Konstantinos Ritis. (2010) Targeting IL-1β in disease; the expanding role of NLRP3 inflammasome. European Journal of Internal Medicine 21:3, 157-163
    CrossRef

  132. 132

    Giuseppe Matarese, Claudio Procaccini, Veronica De Rosa, Tamas L. Horvath, Antonio La Cava. (2010) Regulatory T cells in obesity: the leptin connection. Trends in Molecular Medicine 16:6, 247-256
    CrossRef

  133. 133

    Janine K Kruit, Liam R Brunham, C Bruce Verchere, Michael R Hayden. (2010) HDL and LDL cholesterol significantly influence β-cell function in type 2 diabetes mellitus. Current Opinion in Lipidology 21:3, 178-185
    CrossRef

  134. 134

    JOHANNA SAHLMAN, KATI MIETTINEN, KEIJO PEUHKURINEN, JUHA SEPPÄ, MARKKU PELTONEN, CHRISTIAN HERDER, KARI PUNNONEN, ESKO VANNINEN, HELENA GYLLING, MARKKU PARTINEN, MATTI UUSITUPA, HENRI TUOMILEHTO, . (2010) The activation of the inflammatory cytokines in overweight patients with mild obstructive sleep apnoea. Journal of Sleep Research 19:2, 341-348
    CrossRef

  135. 135

    Charles A. Dinarello. (2010) Why not treat human cancer with interleukin-1 blockade?. Cancer and Metastasis Reviews 29:2, 317-329
    CrossRef

  136. 136

    Marc Y. Donath, Marianne Böni-Schnetzler, Helga Ellingsgaard, Philippe A. Halban, Jan A. Ehses. (2010) Cytokine production by islets in health and diabetes: cellular origin, regulation and function. Trends in Endocrinology & Metabolism 21:5, 261-267
    CrossRef

  137. 137

    Cailin Henderson, Raphaela Goldbach-Mansky. (2010) Monogenic IL-1 mediated autoinflammatory and immunodeficiency syndromes: Finding the right balance in response to danger signals. Clinical Immunology 135:2, 210-222
    CrossRef

  138. 138

    Cem Gabay, Céline Lamacchia, Gaby Palmer. (2010) IL-1 pathways in inflammation and human diseases. Nature Reviews Rheumatology 6:4, 232-241
    CrossRef

  139. 139

    Takeshi Ogihara, Raghavendra G Mirmira. (2010) An islet in distress: β cell failure in type 2 diabetes. Journal of Diabetes Investigation
    CrossRef

  140. 140

    Katherine A. Fitzgerald. (2010) NLR-containing inflammasomes: Central mediators of host defense and inflammation. European Journal of Immunology 40:3, 595-598
    CrossRef

  141. 141

    Charles A. Dinarello. (2010) Anti-inflammatory Agents: Present and Future. Cell 140:6, 935-950
    CrossRef

  142. 142

    Jerrold M. Olefsky, Christopher K. Glass. (2010) Macrophages, Inflammation, and Insulin Resistance. Annual Review of Physiology 72:1, 219-246
    CrossRef

  143. 143

    Kate Schroder, Jurg Tschopp. (2010) The Inflammasomes. Cell 140:6, 821-832
    CrossRef

  144. 144

    Thomas Mandrup-Poulsen, Linda Pickersgill, Marc Yves Donath. (2010) Blockade of interleukin 1 in type 1 diabetes mellitus. Nature Reviews Endocrinology 6:3, 158-166
    CrossRef

  145. 145

    Virginia Pascual, Damien Chaussabel, Jacques Banchereau. (2010) A Genomic Approach to Human Autoimmune Diseases. Annual Review of Immunology 28:1, 535-571
    CrossRef

  146. 146

    Graham P. Cook, Sinisa Savic, Miriam Wittmann, Michael F. McDermott. (2010) The NLRP3 inflammasome, a target for therapy in diverse disease states. European Journal of Immunology 40:3, 631-634
    CrossRef

  147. 147

    Daniel L. Kastner, Ivona Aksentijevich, Raphaela Goldbach-Mansky. (2010) Autoinflammatory Disease Reloaded: A Clinical Perspective. Cell 140:6, 784-790
    CrossRef

  148. 148

    Charles A. Dinarello. (2010) IL-1: Discoveries, controversies and future directions. European Journal of Immunology 40:3, 599-606
    CrossRef

  149. 149

    Cristina M. Sena, Carla F. Bento, Paulo Pereira, Raquel Seiça. (2010) Diabetes mellitus: new challenges and innovative therapies. The EPMA Journal 1:1, 138-163
    CrossRef

  150. 150

    Abishek Iyer, David P. Fairlie, Johannes B. Prins, Bruce D. Hammock, Lindsay Brown. (2010) Inflammatory lipid mediators in adipocyte function and obesity. Nature Reviews Endocrinology 6:2, 71-82
    CrossRef

  151. 151

    Rongbin Zhou, Aubry Tardivel, Bernard Thorens, Inpyo Choi, Jürg Tschopp. (2010) Thioredoxin-interacting protein links oxidative stress to inflammasome activation. Nature Immunology 11:2, 136-140
    CrossRef

  152. 152

    Peter C. Austin, Andrea Manca, Merrick Zwarenstein, David N. Juurlink, Matthew B. Stanbrook. (2010) A substantial and confusing variation exists in handling of baseline covariates in randomized controlled trials: a review of trials published in leading medical journals. Journal of Clinical Epidemiology 63:2, 142-153
    CrossRef

  153. 153

    Beckley K Davis, Jenny Pan-Yun Ting. (2010) NLRP3 has a sweet tooth. Nature Immunology 11:2, 105-106
    CrossRef

  154. 154

    John E. Sims, Dirk E. Smith. (2010) The IL-1 family: regulators of immunity. Nature Reviews Immunology 10:2, 117
    CrossRef

  155. 155

    K. Schroder, R. Zhou, J. Tschopp. (2010) The NLRP3 Inflammasome: A Sensor for Metabolic Danger?. Science 327:5963, 296-300
    CrossRef

  156. 156

    H. Kolb, T. Mandrup-Poulsen. (2010) The global diabetes epidemic as a consequence of lifestyle-induced low-grade inflammation. Diabetologia 53:1, 10-20
    CrossRef

  157. 157

    Chunjiong Wang, Youfei Guan, Jichun Yang. (2010) Cytokines in the Progression of Pancreatic β-Cell Dysfunction. International Journal of Endocrinology 2010, 1-10
    CrossRef

  158. 158

    Peter Sommer, Gary Sweeney. (2010) Functional and Mechanistic Integration of Infection and the Metabolic Syndrome. Korean Diabetes Journal 34:2, 71
    CrossRef

  159. 159

    Aidan Ryan, Madeline Murphy, Catherine Godson, Fionnuala B. Hickey. (2009) Diabetes mellitus and apoptosis: inflammatory cells. Apoptosis 14:12, 1435-1450
    CrossRef

  160. 160

    J. M. R. Gill, N. Sattar. (2009) Ceramides: A new player in the inflammation–insulin resistance paradigm?. Diabetologia 52:12, 2475-2477
    CrossRef

  161. 161

    Leo A. B. Joosten, Mihai G. Netea, Giamila Fantuzzi, Marije I. Koenders, Monique M. A. Helsen, Helmut Sparrer, Christine T. Pham, Jos W. M. van der Meer, Charles A. Dinarello, Wim B. van den Berg. (2009) Inflammatory arthritis in caspase 1 geneâdeficient mice: Contribution of proteinase 3 to caspase 1âindependent production of bioactive interleukin-1β. Arthritis & Rheumatism 60:12, 3651-3662
    CrossRef

  162. 162

    Anil Bhansali, Vimal Upreti, N. Khandelwal, N. Marwaha, Vivek Gupta, Naresh Sachdeva, R.R. Sharma, Karan Saluja, Pinaki Dutta, Rama Walia, Ranjana Minz, Sanjay Bhadada, Sambit Das, Santosh Ramakrishnan. (2009) Efficacy of Autologous Bone Marrow–Derived Stem Cell Transplantation in Patients With Type 2 Diabetes Mellitus. Stem Cells and Development 18:10, 1407-1416
    CrossRef

  163. 163

    Raphaela Goldbach-Mansky. (2009) Blocking Interleukin-1 in Rheumatic Diseases. Annals of the New York Academy of Sciences 1182:1, 111-123
    CrossRef

  164. 164

    Raphaela Goldbach-Mansky, Daniel L. Kastner. (2009) Autoinflammation: The prominent role of IL-1 in monogenic autoinflammatory diseases and implications for common illnesses. Journal of Allergy and Clinical Immunology 124:6, 1141-1149
    CrossRef

  165. 165

    Kathleen Coyle, Kristina I. Rother, Martina Weise, Alaa Ahmed, Frederick W. Miller, Lisa G. Rider. (2009) Metabolic Abnormalities and Cardiovascular Risk Factors in Children with Myositis. The Journal of Pediatrics 155:6, 882-887
    CrossRef

  166. 166

    J. C. Jonas, M. Bensellam, J. Duprez, H. Elouil, Y. Guiot, S. M. A. Pascal. (2009) Glucose regulation of islet stress responses and β-cell failure in type 2 diabetes. Diabetes, Obesity and Metabolism 11, 65-81
    CrossRef

  167. 167

    Adiv Goldhaber, Rosane Ness-Abramof, Martin H. Ellis. (2009) Prevalence of Anemia Among Unselected Adults with Diabetes Mellitus and Normal Serum Creatinine Levels. Endocrine Practice 15:7, 714-719
    CrossRef

  168. 168

    José Abrão Cardeal da Costa, T. Alp Ikizler. (2009) Inflammation and Insulin Resistance as Novel Mechanisms of Wasting in Chronic Dialysis Patients. Seminars in Dialysis 22:6, 652-657
    CrossRef

  169. 169

    S.D. Gadola. (2009) Interleukin-1-Zytokine, Inflammasome, NOD-Signalosome und Autoinflammation. Zeitschrift für Rheumatologie 68:9, 712-719
    CrossRef

  170. 170

    Herbert Tilg, Alexander Moschen. 2009. Inflammatory and Anti-Inflammatory Mediators Secreted by Adipose Tissue. , 65-81.
    CrossRef

  171. 171

    R. Paul Robertson. (2009) β-Cell deterioration during diabetes: what's in the gun?. Trends in Endocrinology & Metabolism 20:8, 388-393
    CrossRef

  172. 172

    Jan A. Ehses, Helga Ellingsgaard, Marianne Böni-Schnetzler, Marc Y. Donath. (2009) Pancreatic islet inflammation in type 2 diabetes: From α and β cell compensation to dysfunction. Archives Of Physiology And Biochemistry 115:4, 240-247
    CrossRef

  173. 173

    Robert W. O’Rourke. (2009) Molecular Mechanisms of Obesity and Diabetes: At the Intersection of Weight Regulation, Inflammation, and Glucose Homeostasis. World Journal of Surgery 33:10, 2007-2013
    CrossRef

  174. 174

    Katia P. Karalis, Panagiotis Giannogonas, Elisavet Kodela, Yassemi Koutmani, Manolis Zoumakis, Thalia Teli. (2009) Mechanisms of obesity and related pathology: linking immune responses to metabolic stress. FEBS Journal 276:20, 5747-5754
    CrossRef

  175. 175

    John M. Wentworth, Spiros Fourlanos, Leonard C. Harrison. (2009) Reappraising the stereotypes of diabetes in the modern diabetogenic environment. Nature Reviews Endocrinology 5:9, 483-489
    CrossRef

  176. 176

    Yuji Tajiri, Mikako Kimura, Kazuo Mimura, Fumio Umeda. (2009) Variation of Fasting Serum C-Peptide Level After Admission in Japanese Patients with Type 2 Diabetes Mellitus. Diabetes Technology & Therapeutics 11:9, 593-599
    CrossRef

  177. 177

    J. A. Ehses, G. Lacraz, M.-H. Giroix, F. Schmidlin, J. Coulaud, N. Kassis, J.-C. Irminger, M. Kergoat, B. Portha, F. Homo-Delarche, M. Y. Donath. (2009) IL-1 antagonism reduces hyperglycemia and tissue inflammation in the type 2 diabetic GK rat. Proceedings of the National Academy of Sciences 106:33, 13998-14003
    CrossRef

  178. 178

    Alice Schwarznau, Matthew S. Hanson, Jamie M. Sperger, Brian R. Schram, Juan S. Danobeitia, Krista K. Greenwood, Ashwanth Vijayan, Luis A. Fernandez. (2009) IL-1β receptor blockade protects islets against pro-inflammatory cytokine induced necrosis and apoptosis. Journal of Cellular Physiology 220:2, 341-347
    CrossRef

  179. 179

    Bernhard O. Boehm, Silke Rosinger, Guido Sauer, Burkhard J. Manfras, David Palesch, Stefan Schiekofer, Hubert Kalbacher, Timo Burster. (2009) Protease-resistant human GAD-derived altered peptide ligands decrease TNF-α and IL-17 production in peripheral blood cells from patients with type 1 diabetes mellitus. Molecular Immunology 46:13, 2576-2584
    CrossRef

  180. 180

    R. Glas, N. S. Sauter, F. T. Schulthess, L. Shu, J. Oberholzer, K. Maedler. (2009) Purinergic P2X7 receptors regulate secretion of interleukin-1 receptor antagonist and beta cell function and survival. Diabetologia 52:8, 1579-1588
    CrossRef

  181. 181

    Dinarello, Charles A., . (2009) Interleukin-1β and the Autoinflammatory Diseases. New England Journal of Medicine 360:23, 2467-2470
    Full Text

  182. 182

    Martin Blixt, Bo Niklasson, Stellan Sandler. (2009) Suppression of bank vole pancreatic islet function by proinflammatory cytokines. Molecular and Cellular Endocrinology 305:1-2, 1-5
    CrossRef

  183. 183

    Patrizia Bottoni, Bruno Giardina, Roberto Scatena. (2009) Proteomic profiling of heat shock proteins: An emerging molecular approach with direct pathophysiological and clinical implications. PROTEOMICS - CLINICAL APPLICATIONS 3:6, 636-653
    CrossRef

  184. 184

    Bruno Fève, Jean-Philippe Bastard. (2009) The role of interleukins in insulin resistance and type 2 diabetes mellitus. Nature Reviews Endocrinology 5:6, 305-311
    CrossRef

  185. 185

    Adam Kaufman, Kevan C. Herold. (2009) Anti-CD3 mAbs for treatment of type 1 diabetes. Diabetes/Metabolism Research and Reviews 25:4, 302-306
    CrossRef

  186. 186

    N Andersson, L Strandberg, S Nilsson, Ö Ljungren, M K Karlsson, D Mellström, M Lorentzon, C Ohlsson, J-O Jansson. (2009) Variants of the interleukin-1 receptor antagonist gene are associated with fat mass in men. International Journal of Obesity 33:5, 525-533
    CrossRef

  187. 187

    Paolo Pozzilli, R. David Leslie. (2009) New prospects for immunotherapy at diagnosis of type 1 diabetes. Diabetes/Metabolism Research and Reviews 25:4, 299-301
    CrossRef

  188. 188

    Linda M.S. Pickersgill, Thomas R. Mandrup-Poulsen. (2009) The anti-interleukin-1 in type 1 diabetes action trial-background and rationale. Diabetes/Metabolism Research and Reviews 25:4, 321-324
    CrossRef

  189. 189

    Anna Ryden, Katerina Stechova, Marianna Durilova, Maria Faresjö. (2009) Switch from a dominant Th1-associated immune profile during the pre-diabetic phase in favour of a temporary increase of a Th3-associated and inflammatory immune profile at the onset of type 1 diabetes. Diabetes/Metabolism Research and Reviews 25:4, 335-343
    CrossRef

  190. 190

    Lobelia Samavati, Ruchi Rastogi, Wenjin Du, Maik Hüttemann, Alemu Fite, Luigi Franchi. (2009) STAT3 tyrosine phosphorylation is critical for interleukin 1 beta and interleukin-6 production in response to lipopolysaccharide and live bacteria. Molecular Immunology 46:8-9, 1867-1877
    CrossRef

  191. 191

    Susan Kralisch, Sebastian Weise, Grit Sommer, Jana Lipfert, Ulrike Lossner, Matthias Bluher, Michael Stumvoll, Mathias Fasshauer. (2009) Interleukin-1ß induces the novel adipokine chemerin in adipocytes in vitro. Regulatory Peptides 154:1-3, 102-106
    CrossRef

  192. 192

    Charles A. Dinarello. (2009) Immunological and Inflammatory Functions of the Interleukin-1 Family. Annual Review of Immunology 27:1, 519-550
    CrossRef

  193. 193

    Steven E Shoelson, Allison B Goldfine. (2009) Getting away from glucose: fanning the flames of obesity-induced inflammation. Nature Medicine 15:4, 373-374
    CrossRef

  194. 194

    Seth L. Masters, Anna Simon, Ivona Aksentijevich, Daniel L. Kastner. (2009) Horror Autoinflammaticus : The Molecular Pathophysiology of Autoinflammatory Disease *. Annual Review of Immunology 27:1, 621-668
    CrossRef

  195. 195

    Joachim R Kalden, Harald Burkhardt. 2009. Autoimmune Disease: Treatment. .
    CrossRef

  196. 196

    Robert W. O'Rourke. (2009) Inflammation in obesity-related diseases. Surgery 145:3, 255-259
    CrossRef

  197. 197

    Gary T. Jennings, Martin F. Bachmann. (2009) Immunodrugs: Therapeutic VLP-Based Vaccines for Chronic Diseases. Annual Review of Pharmacology and Toxicology 49:1, 303-326
    CrossRef

  198. 198

    Grit Sommer, Sebastian Weise, Susan Kralisch, Ulrike Lossner, Matthias Bluher, Michael Stumvoll, Mathias Fasshauer. (2009) Lipocalin-2 is induced by interleukin-1β in murine adipocytes in vitro. Journal of Cellular Biochemistry 106:1, 103-108
    CrossRef

  199. 199

    Axel J. Hueber, Iain B. McInnes. 2009. Pathogenesis in Rheumatoid Arthritis: Cytokines. , 200-208.
    CrossRef

  200. 200

    S. Rafiq, D. Melzer, M. N. Weedon, H. Lango, R. Saxena, L. J. Scott, , C. N. A. Palmer, A. D. Morris, M. I. McCarthy, L. Ferrucci, A. T. Hattersley, E. Zeggini, T. M. Frayling. (2008) Gene variants influencing measures of inflammation or predisposing to autoimmune and inflammatory diseases are not associated with the risk of type 2 diabetes. Diabetologia 51:12, 2205-2213
    CrossRef

  201. 201

    M. Böni-Schnetzler, J. A. Ehses, M. Faulenbach, M. Y. Donath. (2008) Insulitis in type 2 diabetes. Diabetes, Obesity and Metabolism 10, 201-204
    CrossRef

  202. 202

    P. A. Halban. (2008) Cell therapy for type 2 diabetes: is it desirable and can we get it?. Diabetes, Obesity and Metabolism 10, 205-211
    CrossRef

  203. 203

    E. C. Lewis, M. Mizrahi, M. Toledano, N. DeFelice, J. L. Wright, A. Churg, L. Shapiro, C. A. Dinarello. (2008)  1-Antitrypsin monotherapy induces immune tolerance during islet allograft transplantation in mice. Proceedings of the National Academy of Sciences 105:42, 16236-16241
    CrossRef

  204. 204

    S. G. Rønn, A. Börjesson, C. Bruun, P. E. Heding, H. Frobøse, T. Mandrup-Poulsen, A. E. Karlsen, J. Rasschaert, S. Sandler, N. Billestrup. (2008) Suppressor of cytokine signalling-3 expression inhibits cytokine-mediated destruction of primary mouse and rat pancreatic islets and delays allograft rejection. Diabetologia 51:10, 1873-1882
    CrossRef

  205. 205

    L. Mateos Polo, J.C. Hernández Criado, N. Cubino Bóveda, A. García Mingo. (2008) Antidiabéticos orales. Medicine - Programa de Formación Médica Continuada Acreditado 10:18, 1188-1194
    CrossRef

  206. 206

    O. Osborn, S.E. Brownell, M. Sanchez-Alavez, D. Salomon, H. Gram, T. Bartfai. (2008) Treatment with an Interleukin 1 beta antibody improves glycemic control in diet-induced obesity. Cytokine 44:1, 141-148
    CrossRef

  207. 207

    H. Ellingsgaard, J. A. Ehses, E. B. Hammar, L. Van Lommel, R. Quintens, G. Martens, J. Kerr-Conte, F. Pattou, T. Berney, D. Pipeleers, P. A. Halban, F. C. Schuit, M. Y. Donath. (2008) Interleukin-6 regulates pancreatic  -cell mass expansion. Proceedings of the National Academy of Sciences 105:35, 13163-13168
    CrossRef

  208. 208

    D. Chida, O. Hashimoto, M. Kuwahara, H. Sagara, T. Osaka, H. Tsubone, Y. Iwakura. (2008) Increased fat:carbohydrate oxidation ratio in Il1ra −/− mice on a high-fat diet is associated with increased sympathetic tone. Diabetologia 51:9, 1698-1706
    CrossRef

  209. 209

    Grit Sommer, Sebastian Weise, Susan Kralisch, Philipp E. Scherer, Ulrike Lössner, Matthias Blüher, Michael Stumvoll, Mathias Fasshauer. (2008) The adipokine SAA3 is induced by interleukin-1β in mouse adipocytes. Journal of Cellular Biochemistry 104:6, 2241-2247
    CrossRef

  210. 210

    Jennifer Bollyky, Srinath Sanda, Carla J. Greenbaum. (2008) Type 1 diabetes mellitus: primary, secondary, and tertiary prevention. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine 75:4, 385-397
    CrossRef

  211. 211

    L. Riem. (2008) Bewegung in der Therapie des Typ-2-Diabetes. Der Diabetologe 4:5, 368-371
    CrossRef

  212. 212

    Basel al-Ramadi, Adrian Hayday, Wilhelm Schwaeble. (2008) Immunology in the Arabian desert. Nature Immunology 9:7, 699-703
    CrossRef

  213. 213

    J A. Jeevendra Martyn, Masao Kaneki, Shingo Yasuhara. (2008) Obesity-induced Insulin Resistance and Hyperglycemia. Anesthesiology 109:1, 137-148
    CrossRef

  214. 214

    J. Saltevo, M. Laakso, J. Jokelainen, S. Keinänen‐Kiukaanniemi, E. Kumpusalo, M. Vanhala. (2008) Levels of adiponectin, C‐reactive protein and interleukin‐1 receptor antagonist are associated with insulin sensitivity: a population‐based study. Diabetes/Metabolism Research and Reviews 24:5, 378-383
    CrossRef

  215. 215

    Cecilia P. Chung, Annette Oeser, Joseph F. Solus, Tebeb Gebretsadik, Ayumi Shintani, Ingrid Avalos, Tuulikki Sokka, Paolo Raggi, Theodore Pincus, C. Michael Stein. (2008) Inflammation‐associated insulin resistance: Differential effects in rheumatoid arthritis and systemic lupus erythematosus define potential mechanisms. Arthritis & Rheumatism 58:7, 2105-2112
    CrossRef

  216. 216

    A. Gangemi, P. Salehi, B. Hatipoglu, J. Martellotto, B. Barbaro, J. B. Kuechle, M. Qi, Y. Wang, P. Pallan, C. Owens, J. Bui, D. West, B. Kaplan, E. Benedetti, J. Oberholzer. (2008) Islet Transplantation for Brittle Type 1 Diabetes: The UIC Protocol. American Journal of Transplantation 8:6, 1250-1261
    CrossRef

  217. 217

    N. Sattar, S. G. Wannamethee, N. G. Forouhi. (2008) Novel biochemical risk factors for type 2 diabetes: pathogenic insights or prediction possibilities?. Diabetologia 51:6, 926-940
    CrossRef

  218. 218

    Marc Y Donath, Thomas Mandrup-Poulsen. (2008) The use of interleukin-1-receptor antagonists in the treatment of diabetes mellitus. Nature Clinical Practice Endocrinology &#38; Metabolism 4:5, 240-241
    CrossRef

  219. 219

    Kyoichi Fukuda, Greg H Tesch, Felicia Y Yap, Josephine M Forbes, Richard A Flavell, Roger J Davis, David J Nikolic-Paterson. (2008) MKK3 signalling plays an essential role in leukocyte-mediated pancreatic injury in the multiple low-dose streptozotocin model. Laboratory Investigation 88:4, 398-407
    CrossRef

  220. 220

    Anette-G. Ziegler, Markus Walter, Heike Boerschmann. (2008) Inflammation at the islets of Langerhans and its role for the pathogenesis of type 2 diabetes. Current Diabetes Reports 8:2, 85-86
    CrossRef

  221. 221

    Joseph Tibaldi. (2008) Preserving insulin secretion in Type 2 diabetes mellitus. Expert Review of Endocrinology & Metabolism 3:2, 147-159
    CrossRef

  222. 222

    George D Kalliolias, Stamatis-Nick C Liossis. (2008) The future of the IL-1 receptor antagonist anakinra: from rheumatoid arthritis to adult-onset Still's disease and systemic-onset juvenile idiopathic arthritis. Expert Opinion on Investigational Drugs 17:3, 349-359
    CrossRef

  223. 223

    J. Ybarra, T.N.O. Lehmann, A. Golay, C.E. Juge-Aubry, P. Roux-Lombard, J.-M. Dayer, C.A. Meier. (2008) Gender-based dimorphic pattern for interleukin-1 receptor antagonist in type 2 diabetes mellitus. Diabetes & Metabolism 34:1, 75-81
    CrossRef

  224. 224

    William P. Arend, Mary B. Goldring. (2008) The development of anticytokine therapeutics for rheumatic diseases. Arthritis & Rheumatism 58:S2, S102-S109
    CrossRef

  225. 225

    José Manuel Fernández-Real, John C. Pickup. (2008) Innate immunity, insulin resistance and type 2 diabetes. Trends in Endocrinology & Metabolism 19:1, 10-16
    CrossRef

  226. 226

    Eva Dahlén, Karin Barchan, Daniel Herrlander, Patrik Höjman, Marie Karlsson, Lill Ljung, Mats Andersson, Eva Bäckman, Ann-Christin Malmborg Hager, Björn Walse, Leo Joosten, Wim van den Berg. (2008) Development of Interleukin-1 Receptor Antagonist Mutants with Enhanced Antagonistic Activity In Vitro and Improved Therapeutic Efficacy in Collagen-Induced Arthritis. Journal of Immunotoxicology 5:2, 189-199
    CrossRef

  227. 227

    Juan Jesus Carrero, Mahmut Ilker Yilmaz, Bengt Lindholm, Peter Stenvinkel. (2008) Cytokine Dysregulation in Chronic Kidney Disease: How Can We Treat It?. Blood Purification 26:3, 291-299
    CrossRef

  228. 228

    Fabrizio Montecucco, Sabine Steffens, François Mach. (2008) Insulin Resistance: A Proinflammatory State Mediated by Lipid-Induced Signaling Dysfunction and Involved in Atherosclerotic Plaque Instability. Mediators of Inflammation 2008, 1-10
    CrossRef

  229. 229

    Nelly A Maybee, Bradford B Worrall, Jerry L Nadler. (2007) Is anti-inflammatory therapy for type 2 diabetes mellitus ready for routine clinical practice?. Nature Clinical Practice Endocrinology &#38; Metabolism 3:12, 806-807
    CrossRef

  230. 230

    Florence Allantaz, Damien Chaussabel, Jacques Banchereau, Virginia Pascual. (2007) Microarray-based identification of novel biomarkers in IL-1-mediated diseases. Current Opinion in Immunology 19:6, 623-632
    CrossRef

  231. 231

    Heidi Ledford. (2007) Fever pitch. Nature 450:7170, 600-601
    CrossRef

  232. 232

    Charles A. Dinarello. (2007) Historical insights into cytokines. European Journal of Immunology 37:S1, S34-S45
    CrossRef

  233. 233

    Christoph Handschin, Cheol Soo Choi, Sherry Chin, Sheene Kim, Dan Kawamori, Amarnath J. Kurpad, Nicole Neubauer, Jiang Hu, Vamsi K. Mootha, Young-Bum Kim, Rohit N. Kulkarni, Gerald I. Shulman, Bruce M. Spiegelman. (2007) Abnormal glucose homeostasis in skeletal muscle–specific PGC-1α knockout mice reveals skeletal muscle–pancreatic β cell crosstalk. Journal of Clinical Investigation 117:11, 3463-3474
    CrossRef

  234. 234

    Charles A. Dinarello. (2007) Mutations in cryopyrin: Bypassing roadblocks in the caspase 1 inflammasome for interleukin-1β secretion and disease activity. Arthritis & Rheumatism 56:9, 2817-2822
    CrossRef

  235. 235

    Michael F. McDermott, Jürg Tschopp. (2007) From inflammasomes to fevers, crystals and hypertension: how basic research explains inflammatory diseases. Trends in Molecular Medicine 13:9, 381-388
    CrossRef

  236. 236

    I. A. Yang, J. W. Holloway. (2007) Asthma: advancing gene?environment studies. Clinical & Experimental Allergy 37:9, 1264-1266
    CrossRef

  237. 237

    (2007) Interleukin-1–Receptor Antagonist in Type 2 Diabetes Mellitus. New England Journal of Medicine 357:3, 302-303
    Full Text

  238. 238

    Rother, Kristina I., . (2007) Diabetes Treatment — Bridging the Divide. New England Journal of Medicine 356:15, 1499-1501
    Full Text

  239. 239

    Charles A. Dinarello. (2007) A Signal for the Caspase-1 Inflammasome Free of TLR. Immunity 26:4, 383-385
    CrossRef

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