Crampton Steve P, Morawski Peter A, Bolland Silvia
Laboratory of Immunogenetics, National Institute of Allergic and Infectious Diseases, National Institutes of Health, Rockville, MD 20852, USA.
Laboratory of Immunogenetics, National Institute of Allergic and Infectious Diseases, National Institutes of Health, Rockville, MD 20852, USA
Dis Model Mech. 2014 Sep;7(9):1033-46. doi: 10.1242/dmm.016451.
Systemic lupus erythematosus (SLE) represents a challenging autoimmune disease from a clinical perspective because of its varied forms of presentation. Although broad-spectrum steroids remain the standard treatment for SLE, they have many side effects and only provide temporary relief from the symptoms of the disease. Thus, gaining a deeper understanding of the genetic traits and biological pathways that confer susceptibility to SLE will help in the design of more targeted and effective therapeutics. Both human genome-wide association studies (GWAS) and investigations using a variety of mouse models of SLE have been valuable for the identification of the genes and pathways involved in pathogenesis. In this Review, we link human susceptibility genes for SLE with biological pathways characterized in mouse models of lupus, and discuss how the mechanistic insights gained could advance drug discovery for the disease.
从临床角度来看,系统性红斑狼疮(SLE)是一种具有挑战性的自身免疫性疾病,因为其表现形式多样。尽管广谱类固醇仍然是SLE的标准治疗方法,但它们有许多副作用,只能暂时缓解疾病症状。因此,更深入地了解导致SLE易感性的遗传特征和生物学途径将有助于设计更有针对性和更有效的治疗方法。人类全基因组关联研究(GWAS)以及使用各种SLE小鼠模型的研究对于确定发病机制中涉及的基因和途径都很有价值。在本综述中,我们将SLE的人类易感基因与狼疮小鼠模型中表征的生物学途径联系起来,并讨论所获得的机制性见解如何推动该疾病的药物发现。