靶向Th17细胞的疗法对系统性红斑狼疮有效吗?
Is Th17-Targeted Therapy Effective in Systemic Lupus Erythematosus?
作者信息
Petrić Marin, Radić Mislav
机构信息
Division of Rheumatology and Clinical Immunology, Department of Internal Medicine, University Hospital of Split, Center of Excellence for Systemic Sclerosis Ministry of Health Republic of Croatia, Šoltanska 1, 21000 Split, Croatia.
Department of Internal Medicine, School of Medicine, University of Split, Šoltanska 2, 21000 Split, Croatia.
出版信息
Curr Issues Mol Biol. 2023 May 15;45(5):4331-4343. doi: 10.3390/cimb45050275.
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with a broad spectrum of clinical manifestations. The proposed pathophysiological hypotheses of SLE are numerous, involving both innate and adaptive abnormal immune responses. SLE is characterized by the overproduction of different autoantibodies that form immune complexes, which cause damage in different organs. Current therapeutic modalities are anti-inflammatory and immunosuppressive. In the last decade, we have witnessed the development of many biologicals targeting different cytokines and other molecules. One of them is interleukin-17 (IL-17), a central cytokine of a proinflammatory process that is mediated by a group of helper T cells called Th17. Direct inhibitors of IL-17 are used in psoriatic arthritis, spondyloarthritis, and other diseases. Evidence about the therapeutic potential of Th17-targeted therapies in SLE is scarce, and probably the most promising is related to lupus nephritis. As SLE is a complex heterogeneous disease with different cytokines involved in its pathogenesis, it is highly unlikely that inhibition of only one molecule, such as IL-17, will be effective in the treatment of all clinical manifestations. Future studies should identify SLE patients that are eligible for Th17-targeted therapy.
系统性红斑狼疮(SLE)是一种临床表现多样的慢性自身免疫性疾病。关于SLE的病理生理假设有很多,涉及先天性和适应性异常免疫反应。SLE的特征是产生过多形成免疫复合物的自身抗体,这些免疫复合物会对不同器官造成损害。目前的治疗方式是抗炎和免疫抑制。在过去十年中,我们见证了许多针对不同细胞因子和其他分子的生物制剂的研发。其中之一是白细胞介素-17(IL-17),它是一种促炎过程的核心细胞因子,由一组称为Th17的辅助性T细胞介导。IL-17的直接抑制剂用于治疗银屑病关节炎、脊柱关节炎和其他疾病。关于以Th17为靶点的治疗方法在SLE中的治疗潜力的证据很少,可能最有前景的是与狼疮性肾炎相关的治疗。由于SLE是一种复杂的异质性疾病,其发病机制涉及多种细胞因子,仅抑制一种分子(如IL-17)来治疗所有临床表现的可能性非常小。未来的研究应该确定适合接受以Th17为靶点治疗的SLE患者。