针对免疫介导性肾小球肾炎的脾酪氨酸激酶-Bruton 酪氨酸激酶轴。

Targeting spleen tyrosine kinase-Bruton's tyrosine kinase axis for immunologically mediated glomerulonephritis.

机构信息

Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, Taipei 114, Taiwan.

School of Pharmacy, National Defense Medical Center, Taipei 114, Taiwan.

出版信息

Biomed Res Int. 2014;2014:814869. doi: 10.1155/2014/814869. Epub 2014 Mar 30.

Abstract

The importance of B-cell activation and immune complex-mediated Fc-receptor activation in the pathogenesis of immunologically mediated glomerulonephritis has long been recognized. The two nonreceptor tyrosine kinases, spleen tyrosine kinase (Syk) and Bruton's tyrosine kinase (Btk), are primarily expressed by hematopoietic cells, and participate in B-cell-receptor- and Fc-receptor-mediated activation. Pharmacological inhibitors of Syk or Btk are undergoing preclinical development and clinical trials for several immune diseases; and Syk inhibitors have been shown to reduce disease activity in rheumatoid arthritis patients. However, the clinical therapeutic efficacies of these inhibitors in glomerulonephritis have not been evaluated. Herein, we review recent studies of Syk and Btk inhibitors in several experimental primary and secondary glomerulonephritis models. These inhibitors suppressed development of glomerular injury, and also ameliorated established kidney disease. Thus, targeting Syk and Btk signaling pathways is a potential therapeutic strategy for glomerulonephritis, and further evaluation is recommended.

摘要

B 细胞激活和免疫复合物介导的 Fc 受体激活在免疫介导的肾小球肾炎发病机制中的重要性早已得到认可。两种非受体酪氨酸激酶,脾酪氨酸激酶(Syk)和布鲁顿酪氨酸激酶(Btk)主要由造血细胞表达,并参与 B 细胞受体和 Fc 受体介导的激活。几种免疫疾病的临床前开发和临床试验正在进行 Syk 或 Btk 的药理学抑制剂;并且 Syk 抑制剂已被证明可降低类风湿关节炎患者的疾病活动度。然而,这些抑制剂在肾小球肾炎中的临床治疗效果尚未得到评估。在此,我们回顾了 Syk 和 Btk 抑制剂在几种实验性原发性和继发性肾小球肾炎模型中的最新研究。这些抑制剂抑制了肾小球损伤的发展,并且还改善了已建立的肾脏疾病。因此,靶向 Syk 和 Btk 信号通路是治疗肾小球肾炎的一种潜在治疗策略,建议进一步评估。

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