Moulton Vaishali R, Tsokos George C
J Clin Invest. 2015 Jun;125(6):2220-7. doi: 10.1172/JCI78087. Epub 2015 May 11.
Systemic lupus erythematosus (SLE) is a prototype systemic autoimmune disease that results from a break in immune tolerance to self-antigens, leading to multi-organ destruction. Autoantibody deposition and inflammatory cell infiltration in target organs such as kidneys and brain lead to complications of this disease. Dysregulation of cellular and humoral immune response elements, along with organ-defined molecular aberrations, form the basis of SLE pathogenesis. Aberrant T lymphocyte activation due to signaling abnormalities, linked to defective gene transcription and altered cytokine production, are important contributors to SLE pathophysiology. A better understanding of signaling and gene regulation defects in SLE T cells will lead to the identification of specific novel molecular targets and predictive biomarkers for therapy.
系统性红斑狼疮(SLE)是一种典型的系统性自身免疫性疾病,它源于对自身抗原的免疫耐受破坏,导致多器官损害。自身抗体在肾脏和大脑等靶器官中的沉积以及炎性细胞浸润会引发该疾病的并发症。细胞和体液免疫反应元件的失调,以及器官特异性分子异常,构成了SLE发病机制的基础。由于信号异常导致的异常T淋巴细胞活化,与基因转录缺陷和细胞因子产生改变有关,是SLE病理生理学的重要因素。更好地理解SLE T细胞中的信号和基因调控缺陷将有助于识别治疗的特定新分子靶点和预测性生物标志物。