Targeting cytokine pathways: the role of biologics in autoinflammatory disorders

IL-1 inhibition has transformed the management of inflammasome-mediated diseases, enabling glucocorticoid-free remission and reducing amyloidosis risk. TNF inhibitors remain standard for vasculopathic disorders such as DADA2, while IL-6 blockade and JAK inhibitors are options in selected refractory cases. The recognition of novel syndromes, including HA20, OTULIN deficiency, and PRAAS, has broadened the therapeutic landscape, and next-generation biologics may further enable personalized treatment.

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Publication Details

Journal
Expert Review of Clinical Immunology
Published
2026-01-02
DOI
https://doi.org/10.1080/1744666x.2026.2625277
Primary Topic
Inflammasome and immune disorders
Type
article
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article

Targeting cytokine pathways: the role of biologics in autoinflammatory disorders

Tomohiro Koga
Expert Review of Clinical Immunology
Inflammasome and immune disorders
article

Targeting cytokine pathways: the role of biologics in autoinflammatory disorders

Tomohiro Koga
article en

Abstract

IL-1 inhibition has transformed the management of inflammasome-mediated diseases, enabling glucocorticoid-free remission and reducing amyloidosis risk. TNF inhibitors remain standard for vasculopathic disorders such as DADA2, while IL-6 blockade and JAK inhibitors are options in selected refractory cases. The recognition of novel syndromes, including HA20, OTULIN deficiency, and PRAAS, has broadened the therapeutic landscape, and next-generation biologics may further enable personalized treatment.

Expert Review of Clinical ImmunologyVol. 22(1)
Nagasaki University (JP)
Good health and well-being
Openalex Percentile: Top 71%
Inflammasome and immune disorders
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