Dimitrios Deligeorgakis, Elpida Skouvaklidou, Christina Adamichou
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引用次数: 0
摘要
尽管系统性红斑狼疮(SLE)的治疗取得了进展,但它仍然是一种慢性疾病,经常复发,需要持续的医疗护理、实验室检查、住院治疗以及使用免疫抑制剂和皮质类固醇激素,从而增加了患者的发病率和死亡率。过去十年的研究揭示了干扰素(IFN)在系统性红斑狼疮发病机制中的多种作用,为开发针对干扰素通路的潜在新型疗法铺平了道路。经过两项III期试验后,一种能与I型IFN受体结合、阻断I型IFNs活性的单克隆抗体--阿尼洛单抗(anifrolumab)被批准用于治疗活动性系统性红斑狼疮。本综述总结了有关 I 型 IFN 在系统性红斑狼疮中的作用和机制的最新研究,以及基于 IFN 抑制的系统性红斑狼疮新治疗药物的开发和进展情况。
Interferon Inhibition in SLE: From Bench to Bedside.
Despite advances in the management of systemic lupus erythematosus (SLE), it remains a chronic disease with frequent flares, requiring constant medical care, laboratory exams, hospitalisations, and the use of immunosuppressive drugs and corticosteroids, increasing the morbidity and mortality of these patients. The past decade of research has brought to light multiple observations on the role of interferons (IFNs) in the pathogenesis of SLE, which paved the way for the development of potential novel therapies targeting the interferon pathway. Following two phase III trials, anifrolumab, a monoclonal antibody which binds to the type I IFN receptor, blocking the activity of type I IFNs, was approved for active SLE. This review summarises the latest research on the role and mechanisms of type I IFNs in SLE and the development and advances on new therapeutic drugs based on IFN inhibition for SLE.