Mackay Fabienne, Silveira Pablo A, Brink Robert
The Autoimmunity Research Unit, The Garvan Institute of Medical Research, Darlinghurst, NSW, Australia.
Curr Opin Immunol. 2007 Jun;19(3):327-36. doi: 10.1016/j.coi.2007.04.008. Epub 2007 Apr 12.
B-cell activation factor from the tumor necrosis factor family (BAFF) is a key survival factor during B-cell maturation -- a delicate immune checkpoint for B cells. Excessive BAFF production at this stage corrupts B-cell tolerance and leads to autoimmunity. Elevated serum BAFF levels have been detected in some patients suffering from various autoimmune conditions. The positive outcomes of currently ongoing clinical trials using BAFF-neutralising agents confirm that this factor plays a major pathological role in rheumatoid arthritis and in systemic lupus erythematosus. Almost a decade after its discovery, BAFF continues to occupy the main stage in Immunology, with more than one hundred BAFF-related articles published per year. In recent years, our understanding of cell signaling and autoimmune mechanisms in this system have seen major advances, refining new possibilities for therapeutic intervention.
肿瘤坏死因子家族的B细胞活化因子(BAFF)是B细胞成熟过程中的关键生存因子——这是B细胞的一个精细免疫检查点。在此阶段BAFF产生过多会破坏B细胞耐受性并导致自身免疫。在一些患有各种自身免疫性疾病的患者中已检测到血清BAFF水平升高。目前正在进行的使用BAFF中和剂的临床试验的积极结果证实,该因子在类风湿性关节炎和系统性红斑狼疮中起主要病理作用。在其发现近十年后,BAFF继续在免疫学领域占据主要地位,每年发表一百多篇与BAFF相关的文章。近年来,我们对该系统中细胞信号传导和自身免疫机制的理解取得了重大进展,为治疗干预带来了新的可能性。