Review Article

Targeting Inflammatory Cytokines to Improve Type 2 Diabetes Control

Table 1

Representative experimental studies on anticytokine agents for treatment of type 2 diabetes (T2D).

Author, referenceModelDrugMain findings

Maedler et al., 2004 [65]Glucotoxicity- and lipotoxicity-induced injury in human beta cellsRecombinant IL-1 receptor antagonist (anakinra)Increased levels of insulin, protection against glucose-induced beta-cell apoptosis
Ehses et al., 2009 [61]T2D GK ratsIL-1 receptor antagonistReduced islet immune cell infiltration, decreased glucose levels, increased insulin levels
Böni-Schnetzler et al., 2009 [64]Human islet cultures from T2D patientsRecombinant IL-1 receptor antagonist (anakinra)Reversal of beta-cell dysfunction
Westwell-Roper et al., 2015 [62]Lean and obese male miceIL-1 receptor antagonistImproved glucose tolerance and reduced plasma proinsulin: insulin ratio, no effect on insulin sensitivity, reduced severity, and prevalence of islet amyloid deposition
Sauter et al., 2015 [63]C57BL/6N miceAnti-IL-1β antibodyReduced beta-cell apoptosis, restored insulin secretion, and improved glycemia
Solt et al., 2015 [51]NOD miceSelective inverse agonist of RORα/βReduced incidence of diabetes, reduced insulitis, and proinflammatory cytokine expression
Mohamed et al., 2016 [53]STZ-induced-diabetic mice, db/db mice and Ins2Akita mutant miceLow-dose IL-17A administrationDecreased albuminuria and renal damage
Qiu et al., 2017 [57]High glucose (HG)-treated rat Müller cell line (rMC-1)Anti-IL-17A or anti-IL-17RAImproved retinal Müller cell dysfunction, reduced vascular leukostasis and vascular leakage, reduced tight junction protein downregulation, and ganglion cell apoptosis in the retina
Lee et al., 2018 [58]Obese diabetic mouse woundsAnti-IL-17 and anti-IL-23 blocking antibodiesAccelerated diabetic wound healing through alteration of macrophage polarization
Ma et al., 2019 [54]Streptozotocin-induced diabetic nephropathy through IL-17 knockout miceMonoclonal anti-IL-17 antibodyPrevention of progression of diabetic nephropathy, reduced albuminuria, glomerular damage, macrophage accumulation, and renal fibrosis
Lavoz et al., 2019 [47]BTBR Ob/Ob (leptin deficiency mutation) mice with diabetic nephropathyIL-17A neutralizing antibodyAmeliorated renal dysfunction and reduced disease progression
Orejudo et al., 2019 [55]C57BL/6 miceIL17A neutralizing antibodyReduced kidney inflammatory cell infiltrates and chemokine overexpression
Findeisen et al., 2019 [66]Mice fed a high-fat diet and leptin receptor deficient mice modelsgp130 ligand IC7FcImproved glucose tolerance and hyperglycemia by increase in plasma insulin and C-peptide levels, preserved skeletal muscle mass