Jeong Hoim, Lee Beomgu, Han Seung Jin, Sohn Dong Hyun
Department of Microbiology and Immunology, Pusan National University School of Medicine, Yangsan, Republic of Korea.
Department of Medical Biotechnology, Inje University, Gimhae, Republic of Korea.
Anim Cells Syst (Seoul). 2023 Jul 16;27(1):149-158. doi: 10.1080/19768354.2023.2234986. eCollection 2023.
Autoimmune diseases are conditions in which the immune system mistakenly targets and damages healthy tissue in the body. In recent decades, the incidence of autoimmune diseases has increased, resulting in a significant disease burden. The current autoimmune therapies focus on targeting inflammation or inducing immunosuppression rather than addressing the underlying cause of the diseases. The activity of metabolic pathways is elevated in autoimmune diseases, and metabolic changes are increasingly recognized as important pathogenic processes underlying these. Therefore, metabolically targeted therapies may represent an important strategy for treating autoimmune diseases. This review provides a comprehensive overview of the evidence surrounding glucose metabolic reprogramming and its potential applications in drug discovery and development for autoimmune diseases, such as type 1 diabetes, multiple sclerosis, systemic lupus erythematosus, rheumatoid arthritis, and systemic sclerosis.
自身免疫性疾病是免疫系统错误地攻击并损害体内健康组织的病症。近几十年来,自身免疫性疾病的发病率有所上升,导致了重大的疾病负担。目前的自身免疫性疾病疗法侧重于针对炎症或诱导免疫抑制,而非解决疾病的根本原因。自身免疫性疾病中代谢途径的活性升高,代谢变化越来越被认为是这些疾病潜在的重要致病过程。因此,以代谢为靶点的疗法可能是治疗自身免疫性疾病的重要策略。本综述全面概述了围绕葡萄糖代谢重编程的证据及其在自身免疫性疾病(如1型糖尿病、多发性硬化症、系统性红斑狼疮、类风湿性关节炎和系统性硬化症)药物发现与开发中的潜在应用。