Kyogoku C, Tsuchiya N
Department of Rheumatic and Autoimmune Diseases, University of Minnesota, Minneapolis, MN, USA.
Genes Immun. 2007 Sep;8(6):445-55. doi: 10.1038/sj.gene.6364409. Epub 2007 Jun 21.
It was more than 20 years ago that patients with systemic lupus erythematosus (SLE) were first reported to display elevated serum levels of type I interferon (IFN). Since then, extensive studies revealed a crucial role for type I IFN in SLE pathogenesis. The current model proposes that small increase of type I IFN production by plasmacytoid dendritic cells (pDCs) is sufficient to induce unabated activation of immature peripheral DCs. IFN-matured DCs select and activate autoreactive T cells and B cells, rather than deleting them, resulting in peripheral tolerance breakdown, a characteristic feature of SLE. Furthermore, immune complexes provide an amplification loop to pDCs for further IFN production. In the past 5 years, high-throughput technologies such as expression profiling and single-nucleotide polymorphism (SNP) typing established the role of altered type I IFN system in SLE, and a detailed picture of its molecular mechanisms is beginning to emerge. In this review, we discuss two major lines of genetics studies on type I IFN pathway related to human SLE: (1) expression profiling of IFN-responsive genes and (2) disease-associated SNPs of IFN-related genes, especially IRF5 (IFN-regulatory factor 5). Lastly, we discuss how such genetic alterations in type I IFN pathway fit in the current model of SLE pathogenesis.
20多年前,首次有报道称系统性红斑狼疮(SLE)患者血清I型干扰素(IFN)水平升高。从那时起,大量研究揭示了I型干扰素在SLE发病机制中的关键作用。目前的模型认为,浆细胞样树突状细胞(pDC)产生的I型干扰素略有增加就足以诱导未成熟外周树突状细胞持续激活。IFN成熟的树突状细胞选择并激活自身反应性T细胞和B细胞,而不是将它们清除,从而导致外周耐受破坏,这是SLE的一个特征。此外,免疫复合物为pDC提供了一个放大循环,以进一步产生IFN。在过去5年中,诸如表达谱分析和单核苷酸多态性(SNP)分型等高通量技术确立了I型干扰素系统改变在SLE中的作用,其分子机制的详细情况也开始显现。在这篇综述中,我们讨论了与人类SLE相关的I型干扰素途径的两大遗传学研究方向:(1)IFN反应基因的表达谱分析和(2)IFN相关基因,特别是IRF5(IFN调节因子5)的疾病相关SNP。最后,我们讨论了I型干扰素途径中的这种基因改变如何与当前的SLE发病机制模型相契合。