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13 protocols using kineret

1

Immune Stimulation Reagents Protocol

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The following reagents were used in the study: highly purified LPS (LPS E. coli, Serotype O111:B4,TLRgrade™, Enzo Life Sciences, Inc., Farmingdale, NY) synthetic bacterial lipoprotein, Pam3CSK4 (TLR1/2 ligand), a synthetic diacylated lipoprotein FSL-1 (TLR2/6 ligand), all from InvivoGen (San Diego, CA); ZVAD (Z-Tyr-Val-Ala-Dl-Asp-Fluoromethylketone, Bachem Americas, Inc., Torrance, CA), Kineret (Amgen, Thousand Oaks, CA), human recombinant IL-1β (rIL-1β, Endotoxin level <0.1 ng/µg, Life Technologies, Grand Island, NY), and dynasore (Enzo).
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2

Inhibition of TNF and IL-1 in Murine Arthritis

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The soluble TNF receptor, Etanercept (Enbrel; Wyeth Europa), which is known to fully inhibit the biological function of murine TNF (Fei et al., 2011 (link); Ali et al., 2015b (link)), was used in the experiment as anti-TNF treatment. Subcutaneous (s.c.) injections of Etanercept (0.2 mg/mouse in 0.1 ml of PBS) were performed. The administration began 2 days prior to exposing the knee joints with Lpl1(+sp), and continued on the day the knee joints where i.a. injected with Lpl1(+sp), and were followed by every other day until the termination date. PBS was s.c. injected as control treatment on days when Etanercept was not administered.
To block the function of IL-1 in the murine model, the IL-1 receptor antagonist Anakinra (Kineret; Amgen) was used as anti-IL-1 treatment (Sgroi et al., 2011 (link); Ali et al., 2015a (link)). Anakinra (1 mg/mouse in 0.1 ml of PBS) was s.c. administered daily, starting 2 days prior to exposing the knee joints with Lpl1(+sp), and continued until the termination date.
Phosphate-buffered saline was administered s.c. daily in the control treatment group, starting 2 days prior to exposing the knee joints with Lpl1(+sp), and continued until termination day.
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3

IL-1Ra Treatment in Muscular Dystrophy

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IL-1Ra (anakinra, trade name Kineret®) was a gift from Amgen Inc. (Thousand Oaks, CA). Our study involved daily subcutaneous injections of two groups of animals: (a) a control mdx group, dosed with 0.9% NaCl (n = 6), and (b) a drug-treated mdx group, which received IL-1Ra at 25 mg/kg/day in a 50-μL volume of 0.9% NaCl (n = 10). Mice were randomized on the basis of body mass and were treated for 45 days, beginning at 5 weeks of age ending when they were 12 weeks old. IL-1Ra and the vehicle were injected subcutaneously, 7 days a week.
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4

Anakinra Dosing for Persistent Juvenile Arthritis

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Patients were treated with anakinra (Kineret; Amgen, Cambridge, UK) at dose of 100 mg/day for  ≥40 kg body weight or 1–2 mg/kg/day in patients <40 kg body weight. In children with persistent disease activity, the anakinra dose was stepwise increased to a maximum of 8 mg/kg/day. Anakinra was self-administered by subcutaneous injection once daily.
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5

COVID-19 Pneumonia Treatment Protocol

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The hospital protocol for the treatment of COVID-19 pneumonia in March and April 2020 included: lopinavir/ritonavir (Kaletra®, Abbott, Chicago, IL, USA), 200/50 mg/mL solution taken twice a day, and hydroxychloroquine (Dolquine®, Rubió, Barcelona, Spain), 400 mg taken twice a day. According to inflammatory criteria, treatment could also include interferon 1β (Betaferon®, Bayer, Leverkusen, Germany), 0.25 mg taken every 48 h, corticosteroids (Urbason®, Aventis, Paris, France), 240 mg taken every day for three days, tocilizumab (RoActemra®, Roche, Basel, Switzerland), baricitinib (Olumiant®, Lilly, Indianapolis, IA, USA) or anakinra (Kineret®, Amgen, Thousand Oaks, CA, USA). In case of suspected bacterial superinfection, antibiotic treatment is required. Oxygen support (nasal cannula, high flow nasal cannula, and non-invasive or invasive mechanical ventilation) was administered to patients based on the severity of hypoxemia.
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6

Maternal Inflammation and Fetal Neurodevelopment

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For our studies we utilized, IL-1RA, an FDA-approved Class B drug in pregnancy, Kineret (Amgen). Previous investigators have found an at least 75% homology between mouse and human IL-1RA making it feasible to use this pharmacologic agent in mouse and expecting it to have a similarly specific mechanism of action.18 (link) At E15, 30 minutes prior to receiving intrauterine injections of LPS or NS, dams were injected intraperitoneally (IP) with either IL-1RA at 10mg/kg or normal saline (NS). This dose was selected based on work from Girard et al experiments (2010)16 (link), demonstrating that at this dose, antagonist protects against placental and neurodevelopmental deficits in a rat model of maternal inflammation. For the experimental design, dams were divided into three groups: NS IP plus NS IU group (10 dams), NS IP plus LPS IU group (13 dams), IL-1RA IP plus LPS IU group (20 dams). Outcomes that were examined were preterm birth phenotype, fetal cortical neuronal development in vitro (immunocytochemistry and cell viability assays), and postnatal day (PND) 5 cortex in vivo studies (qPCR and Western blot analysis) for markers of excitotoxicity.
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7

Neutrophil Recruitment in Murine Gout

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8–10-wk old C57BL/6 mice were injected i.p. with anakinra (30 mg/kg, Kineret®, Amgen), P2D7KK (5 mg/kg and 15 mg/kg), isotype control human IgG1 antibody (15 mg/kg), or saline. After 10 min, mice received another i.p. injection of 3 mg MSU crystals (Enzo Life Sciences) in 0.5 mL of saline. Control mice were injected with saline alone. After 6 h, peritoneal exudate cells were collected by lavage with cold medium, centrifuged, and red blood cell lysis was performed using hypotonic ammonium chloride solution for 1 min. Total peritoneal cells were counted, stained with Ly6G PE (1A8, BD PharMingen) and CD11b APC (M1/70, eBioscience), and analyzed by flow cytometry. Neutrophils were identified as Ly6G+CD11b+ cells.
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8

Immunomodulatory Effects of Anakinra in Metastatic Breast Cancer

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Eleven female patients (Supplementary Table S5) with HER2 metastatic breast cancer received nab-paclitaxel (n = 3), eribulin (n = 5), or capecitabine (n = 2) along with anakinra 100 mg/day (FDA-approved dose for adults with rheumatoid arthritis; Kineret, Amgen Inc.) following 2-week treatment with anakinra only. The study was approved by Institutional Review Board (IRB 012–099), conducted in accordance with ethical guidelines (Declaration of Helsinki), and written informed consent was obtained from the patients. Blood was collected prior to anakinra treatment, then at 2 weeks, and then monthly for 6 months. Eleven healthy controls were included (IRB 012–200). Whole blood mRNA was measured using the NanoString nCounter Human Immunology V2 panel.
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9

Randomized Trial of Anakinra for Patients

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Eligible patients were randomly assigned in a 1:1 ratio using a central 24 h telephone system, stratified by study centre to receive either a 14-day supply of the recombinant IL-1ra Anakinra (Kineret™ from Amgen) or matching placebo. Qualified research personnel were masked to treatment and remained so from the time of randomization. Patients were taught to administer their own injections, but in cases where this was not possible, injections were administered by health professionals or trained family members.
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10

Comprehensive Inflammasome Signaling Pathway Protocol

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Antibodies used targeted mouse IL-1β (AF-401-NA, R&D Systems), mouse gasdermin D (ab209845, Abcam), ASC (AL177, Adipogen), mouse IL-1α (AF-400-NA, R&D Systems), human calpain 1 (ab39170, Abcam), human calpain 2 (ab39165, Abcam), and β-actin-HRP (A3854, Sigma). Pharmacological agents used were punicalagin (Sigma), glycine (Sigma), NBC6 (synthesized in house (17 (link))), MCC950 (CP-456773, Sigma), Z-VAD-fluoromethyl ketone (Merck), calpain inhibitor III (Merck), nigericin (Sigma), adenosine triphosphate (Sigma), ionomycin (Sigma), monosodium urate crystals (InVivoGen), calcium pyrophosphate dihydrate crystals (InVivoGen), and IL-Ra (Kineret®, Amgen). All other materials were from Sigma-Aldrich unless specified.
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