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IL-27 在系统性红斑狼疮中的治疗潜力。

Therapeutic potential of IL-27 in systemic lupus erythematosus.

机构信息

Anhui Medical University, School of Public Health, Department of Epidemiology and Biostatistics, 81 Meishan Road, Hefei, Anhui, 230032, People's Republic of China.

出版信息

Expert Opin Ther Targets. 2010 May;14(5):479-84. doi: 10.1517/14728221003769911.

Abstract

Systemic lupus erythematosus (SLE) is a prototypic autoimmune disease characterized by a diverse array of autoantibody production, complement activation and immune complex deposition, causing tissue and organ damage. Effective medical treatment for SLE is lacking because the etiology and pathogenesis of SLE are incompletely understood. It has been confirmed that cytokine-mediated immunity plays a crucial role in the pathogenesis of various autoimmune diseases including SLE. Recently, IL-27 was identified, which belongs to the IL-12 cytokine family. IL-27 exerts profound anti-inflammatory effects in several experimental autoimmune models. In particular, suppressive effects on T(H)17 cells, which are implicated in the pathogenesis of SLE. Moreover, administration of IL-27 or augmentation of IL-27 signaling suppresses some autoimmune diseases, including autoimmune diabetes and murine lupus, suggesting that IL-27 may be therapeutically relevant in SLE. In this article, we discuss the biological features of IL-27 and summarize recent advances on the role of IL-27 in the pathogenesis and treatment of SLE. Even though IL-27 has shown therapeutic potential in SLE, further research, particularly in humans, is needed in order to establish the precise role of IL-27 in SLE.

摘要

系统性红斑狼疮(SLE)是一种典型的自身免疫性疾病,其特征是产生多种自身抗体、补体激活和免疫复合物沉积,导致组织和器官损伤。由于对 SLE 的病因和发病机制尚未完全了解,目前缺乏有效的医学治疗方法。已经证实,细胞因子介导的免疫在包括 SLE 在内的各种自身免疫性疾病的发病机制中起着至关重要的作用。最近,发现了白细胞介素 27(IL-27),它属于白细胞介素 12 细胞因子家族。IL-27 在几种实验性自身免疫模型中具有显著的抗炎作用。特别是对 SLE 发病机制中涉及的 Th17 细胞具有抑制作用。此外,IL-27 的给药或 IL-27 信号的增强可抑制一些自身免疫性疾病,包括自身免疫性糖尿病和狼疮鼠,这表明 IL-27 在 SLE 中可能具有治疗相关性。本文讨论了 IL-27 的生物学特征,并总结了最近关于 IL-27 在 SLE 发病机制和治疗中的作用的进展。尽管 IL-27 在 SLE 中显示出治疗潜力,但仍需要进一步的研究,特别是在人类中,以确定 IL-27 在 SLE 中的确切作用。

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