Genetic Medicine, University of Manchester, Manchester Academic Health Science Centre, Central Manchester Foundation Trust University Hospitals, United Kingdom.
Ann N Y Acad Sci. 2011 Nov;1238:91-8. doi: 10.1111/j.1749-6632.2011.06220.x.
The concept of grouping Mendelian disorders associated with an upregulation of type I interferon is not currently recognized in the medical literature. Here, we argue that such a concept has scientific validity and clinical utility. Specifically, we discuss a group of conditions, including Aicardi-Goutières syndrome, spondyloenchondrodysplasia, and cases of systemic lupus erythematosus with complement deficiency, in which an upregulation of type I interferons is apparently central to their pathogenesis. We believe that these diseases can usefully be considered to represent a novel set of inborn errors of immunity, and that the recognition of such diseases as type I interferonopathies will have significance in the development and use of targeted therapies.
将孟德尔疾病与 I 型干扰素上调相关联的概念在医学文献中尚未得到认可。在这里,我们认为这个概念具有科学合理性和临床实用性。具体来说,我们讨论了一组病症,包括 Aicardi-Goutières 综合征、脊椎骨骺发育不良和伴有补体缺陷的系统性红斑狼疮,其中 I 型干扰素的上调显然是其发病机制的核心。我们认为,这些疾病可以被视为一组新的先天性免疫缺陷,将这些疾病识别为 I 型干扰素病将对靶向治疗的发展和应用具有重要意义。