低剂量IL-2治疗自身免疫性疾病:最新综述。

IF 4.3 4区 医学 Q2 IMMUNOLOGY
International Reviews of Immunology Pub Date : 2024-05-01 Epub Date: 2023-10-26 DOI:10.1080/08830185.2023.2274574
Ruizhi Zhang, Yuyang Zhao, Xiangming Chen, Zhuoqing Zhuang, Xiaomin Li, Erxia Shen
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引用次数: 0

摘要

调节性T细胞(Treg)对维持自身免疫耐受至关重要。Treg细胞数量或功能的减少参与了各种自身免疫性疾病和同种异体移植物排斥反应的发病机制。因此,增加体内Treg细胞库或抑制功能的方法可能是治疗不同自身免疫性疾病和同种异体移植物排斥反应的通用策略。白细胞介素-2(IL-2)对Treg细胞的发育、生存、维持和功能至关重要,在体内组成性表达IL-2的高亲和力受体和对IL-2的敏感反应。体内低剂量IL-2治疗可以通过促进Treg细胞扩增和抑制卵泡辅助T(Tfh)和产生IL-17的辅助T(Th17)细胞分化来恢复自身免疫反应和自我耐受之间对自我耐受的失衡。目前,低剂量IL-2治疗在自身免疫性疾病和移植治疗中受到广泛关注。在这篇综述中,我们总结了IL-2/IL-2受体的生物学、低剂量IL-2治疗自身免疫性疾病的机制,以及在不同自身免疫疾病进展中的应用,包括系统性红斑狼疮(SLE)、1型糖尿病(T1D)、类风湿性关节炎(RA)、自身免疫性肝炎(AIH)、斑秃(AA),免疫性血小板减少症(ITP)和慢性移植物抗宿主病(GVHD)。我们还讨论了优化低剂量IL-2治疗的未来方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Low-dose IL-2 therapy in autoimmune diseases: An update review.

Regulatory T (Treg) cells are essential for maintaining self-immune tolerance. Reduced numbers or functions of Treg cells have been involved in the pathogenesis of various autoimmune diseases and allograft rejection. Therefore, the approaches that increase the pool or suppressive function of Treg cells in vivo could be a general strategy to treat different autoimmune diseases and allograft rejection. Interleukin-2 (IL-2) is essential for the development, survival, maintenance, and function of Treg cells, constitutively expressing the high-affinity receptor of IL-2 and sensitive response to IL-2 in vivo. And low-dose IL-2 therapy in vivo could restore the imbalance between autoimmune response and self-tolerance toward self-tolerance via promoting Treg cell expansion and inhibiting follicular helper T (Tfh) and IL-17-producing helper T (Th17) cell differentiation. Currently, low-dose IL-2 treatment is receiving extensive attention in autoimmune disease and transplantation treatment. In this review, we summarize the biology of IL-2/IL-2 receptor, the mechanisms of low-dose IL-2 therapy in autoimmune diseases, the application in the progress of different autoimmune diseases, including Systemic Lupus Erythematosus (SLE), Type 1 Diabetes (T1D), Rheumatoid Arthritis (RA), Autoimmune Hepatitis (AIH), Alopecia Areata (AA), Immune Thrombocytopenia (ITP) and Chronic graft-versus-host-disease (GVHD). We also discuss the future directions to optimize low-dose IL-2 treatments.

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来源期刊
CiteScore
11.00
自引率
4.00%
发文量
24
期刊介绍: This review journal provides the most current information on basic and translational research in immunology and related fields. In addition to invited reviews, the journal accepts for publication articles and editorials on relevant topics proposed by contributors. Each issue of International Reviews of Immunology contains both solicited and unsolicited review articles, editorials, and ''In-this-Issue'' highlights. The journal also hosts reviews that position the authors'' original work relative to advances in a given field, bridging the gap between annual reviews and the original research articles. This review series is relevant to all immunologists, molecular biologists, microbiologists, translational scientists, industry researchers, and physicians who work in basic and clinical immunology, inflammatory and allergic diseases, vaccines, and additional topics relevant to medical research and drug development that connect immunology to disciplines such as oncology, cardiovascular disease, and metabolic disorders. Covered in International Reviews of Immunology: Basic and developmental immunology (innate and adaptive immunity; inflammation; and tumor and microbial immunology); Clinical research (mechanisms of disease in man pertaining to infectious diseases, autoimmunity, allergy, oncology / immunology); and Translational research (relevant to biomarkers, diagnostics, vaccines, and drug development).
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