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October 9, 2025JAMA Network Open6 citationsOpen Access

IL-1 Receptor Antagonist Antibodies in Idiopathic Recurrent Pericarditis

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Why the study?

The prevalence and role of autoantibodies targeting the endogenous IL-1 receptor antagonist in patients with recurrent pericarditis with an inflammatory phenotype were unknown.

What is the prevalence and role of autoantibodies targeting the endogenous interleukin 1 (IL-1) receptor antagonist in patients with recurrent pericarditis with an inflammatory phenotype?

Population

Patients with recurrent pericarditis with an inflammatory phenotype

Design

Cohort study

Key result

Autoantibodies targeting the endogenous interleukin 1 receptor antagonist were evaluated for their prevalence and clinical role in patients with inflammatory recurrent pericarditis.

Authors

MWMaddalena Alessandra WuCKChristoph KesselNFNatalie Fadle

Discussion

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Overview

Hypothesis-generating for IL-1 antagonism in inflammatory recurrent pericarditis; prospective trials needed before practice change.

Structured PICO

What is the prevalence and role of autoantibodies targeting the endogenous interleukin 1 (IL-1) receptor antagonist in patients with recurrent pericarditis with an inflammatory phenotype?

P
Population
Patients with recurrent pericarditis with an inflammatory phenotype
O
Outcome
Prevalence and role of autoantibodies targeting the endogenous interleukin 1 (IL-1) receptor antagonist

This study investigates the presence of IL-1 receptor antagonist autoantibodies in idiopathic recurrent pericarditis, which may provide insights into its underlying pathophysiology.

Cite This Study

Wu et al. (2025) studied this question. Autoantibodies targeting the endogenous interleukin 1 receptor antagonist were evaluated for their prevalence and clinical role in patients with inflammatory recurrent pericarditis.

synapsesocial.com/papers/6a5d9ee61736c08111036932https://doi.org/10.1001/jamanetworkopen.2025.36691
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Anti-heart and anti-intercalated disk autoantibodies: evidence for autoimmunity in idiopathic recurrent acute pericarditis2010 · 171 citations
  2. 2Diagnosis, Risk Stratification, and Treatment of Pericarditis2024 · 100 citations
  3. 3Interleukin-1 and the Inflammasome as Therapeutic Targets in Cardiovascular Disease2020 · 741 citations
  4. 4Autoantibody-Mediated Depletion of IL-1RA in Still’s Disease and Potential Impact of IL-1 Targeting Therapies2024 · 12 citations
  5. 5A Randomized Trial of Colchicine for Acute Pericarditis2013 · 610 citations