Department of Allergy and Rheumatology, Graduate School of Medicine, The University of Tokyo, 113-8655 Tokyo, Japan.
Cells. 2019 Feb 10;8(2):140. doi: 10.3390/cells8020140.
Systemic lupus erythematosus (SLE) is an autoimmune disorder with a wide range of clinical symptoms. Enormous progress has been made in the immunological and genetic understanding of SLE. However, the biology of disease heterogeneity in SLE has remained largely unexplored. Human immune profiling studies, helped by recent technological advances especially in single-cell and "omics" analyses, are now shedding light on the cellular and molecular basis of clinical symptoms and disease flares in individual patients. Peripheral blood immunophenotyping analysis with flow cytometry or mass cytometry are identifying responsible cell subsets and markers characteristic of disease heterogeneity. Transcriptome analysis is discovering molecular networks responsible for disease activity, disease subtype and future relapse. In this review, we summarize recent advances in the immune profiling analysis of SLE patients and discuss how they will be used for future precision medicine.
系统性红斑狼疮(SLE)是一种自身免疫性疾病,具有广泛的临床症状。在 SLE 的免疫学和遗传学理解方面已经取得了巨大的进展。然而,SLE 疾病异质性的生物学仍然在很大程度上未被探索。人类免疫谱研究,得益于最近的技术进步,特别是单细胞和“组学”分析,现在正在揭示个体患者临床症状和疾病发作的细胞和分子基础。流式细胞术或液质联用分析的外周血免疫表型分析正在确定疾病异质性的责任细胞亚群和标志物。转录组分析正在发现负责疾病活动、疾病亚型和未来复发的分子网络。在这篇综述中,我们总结了 SLE 患者免疫谱分析的最新进展,并讨论了它们将如何用于未来的精准医学。