Jensen Mark A, Niewold Timothy B
Division of Rheumatology, Department of Immunology, Mayo Clinic, Rochester, Minn.
Division of Rheumatology, Department of Immunology, Mayo Clinic, Rochester, Minn.
Transl Res. 2015 Feb;165(2):283-95. doi: 10.1016/j.trsl.2014.10.002. Epub 2014 Oct 13.
The pathogenesis of systemic lupus erythematosus (SLE) is multifactorial, and the interferon regulatory factors (IRFs) play an important role. Autoantibodies formed in SLE target nuclear antigens, and immune complexes formed by these antibodies contain nucleic acid. These immune complexes can activate antiviral pattern recognition receptors (PRRs), resulting in the downstream activation of IRFs, which can induce type I interferon (IFN-I) and other inflammatory mediators. Genetic variations in IRFs have been associated with susceptibility to SLE, and current evidence supports the idea that these polymorphisms are gain of function in humans. Recent studies suggest that these genetic variations contribute to the break in humoral tolerance that allows for nucleic acid binding autoantibodies, and that the same polymorphisms also augment IFN-I production in the presence of these autoantibody immune complexes, forming a feed-forward loop. In this review, we will outline major features of the PRR/IRF systems and describe the role of the IRFs in human SLE pathogenesis.
系统性红斑狼疮(SLE)的发病机制是多因素的,干扰素调节因子(IRF)发挥着重要作用。SLE中形成的自身抗体靶向核抗原,这些抗体形成的免疫复合物含有核酸。这些免疫复合物可激活抗病毒模式识别受体(PRR),导致IRF的下游激活,进而诱导I型干扰素(IFN-I)和其他炎症介质。IRF的基因变异与SLE易感性相关,目前的证据支持这些多态性在人类中具有功能获得性的观点。最近的研究表明,这些基因变异导致体液耐受性的破坏,从而产生核酸结合自身抗体,并且相同的多态性在这些自身抗体免疫复合物存在的情况下也会增加IFN-I的产生,形成一个前馈回路。在这篇综述中,我们将概述PRR/IRF系统的主要特征,并描述IRF在人类SLE发病机制中的作用。