The Second Hospital of Hebei Medical University, Shijiazhuang City, Hebei Province, China.
The University of Hong Kong, Pok Fu Lam, Hong Kong, China.
Clin Exp Med. 2023 Dec;23(8):4153-4162. doi: 10.1007/s10238-023-01143-9. Epub 2023 Jul 22.
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by the loss of immune tolerance. Lupus nephritis (LN) is one of the most common manifestations of severe organ damage in SLE, and also an important cause of disability and death. Its pathogenesis is associated with immune abnormalities such as immune cells, cytokines, and immune complex deposition. Traditional immunosuppressive therapy has been unable to meet the treatment needs of patients while bringing them toxic effects. In recent years, targeted therapies have emerged, and several novel biologics have gradually entered people's sight. This review will briefly introduce the pathogenesis of LN and the mechanism of biological targets, and summarize and analyze the clinical trials of new biologics for treating LN. Although not all biologics show positive results in clinical trials, the experience learned from these trials can help researchers adjust and plan future trial programs to seek better treatment methods.
系统性红斑狼疮(SLE)是一种慢性自身免疫性疾病,其特征是免疫耐受的丧失。狼疮肾炎(LN)是 SLE 中最常见的严重器官损害表现之一,也是导致残疾和死亡的重要原因。其发病机制与免疫细胞、细胞因子和免疫复合物沉积等免疫异常有关。传统的免疫抑制疗法在给患者带来毒副作用的同时,也无法满足患者的治疗需求。近年来,靶向治疗方法已经出现,几种新型生物制剂也逐渐进入人们的视野。本文将简要介绍 LN 的发病机制和生物靶点的作用机制,并对治疗 LN 的新型生物制剂的临床试验进行总结和分析。虽然并非所有生物制剂在临床试验中均显示出阳性结果,但从这些试验中获得的经验可以帮助研究人员调整和规划未来的试验方案,以寻求更好的治疗方法。