Suppr超能文献

针对 B 细胞中的 NF-κB 信号转导作为治疗抗中性粒细胞胞浆抗体相关性血管炎的一种新的潜在治疗方法。

Targeting NF-κB signaling in B cells as a potential new treatment modality for ANCA-associated vasculitis.

机构信息

Department of Rheumatology and Clinical Immunology, Amsterdam Rheumatology and immunology Center, Amsterdam University Medical Centers, University of Amsterdam, the Netherlands; Department of Experimental Immunology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands.

Department of Experimental Immunology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, the Netherlands.

出版信息

J Autoimmun. 2024 Jan;142:103133. doi: 10.1016/j.jaut.2023.103133. Epub 2023 Nov 8.

Abstract

B lineage cells are critically involved in ANCA-associated vasculitis (AAV), evidenced by alterations in circulating B cell subsets and beneficial clinical effects of rituximab (anti-CD20) therapy. This treatment renders a long-term, peripheral B cell depletion, but allows for the survival of long-lived plasma cells. Therefore, there is an unmet need for more reversible and full B lineage cell targeting approaches. To find potential novel therapeutic targets, RNA sequencing of CD27 memory B cells of patients with active AAV was performed, revealing an upregulated NF-κB-associated gene signature. NF-κB signaling pathways act downstream of various B cell surface receptors, including the BCR, CD40, BAFFR and TLRs, and are essential for B cell responses. Here we demonstrate that novel pharmacological inhibitors of NF-κB inducing kinase (NIK, non-canonical NF-κB signaling) and inhibitor-of-κB-kinase-β (IKKβ, canonical NF-κB signaling) can effectively inhibit NF-κB signaling in B cells, whereas T cell responses were largely unaffected. Moreover, both inhibitors significantly reduced B cell proliferation, differentiation and production of antibodies, including proteinase-3 (PR3) autoantibodies, in B lineage cells of AAV patients. These findings indicate that targeting NF-κB, particularly NIK, may be an effective, novel B lineage cell targeted therapy for AAV and other autoimmune diseases with prominent B cell involvement.

摘要

B 细胞谱系细胞在抗中性粒细胞胞质抗体(ANCA)相关性血管炎(AAV)中起着至关重要的作用,这一点可以从循环 B 细胞亚群的改变和利妥昔单抗(抗 CD20)治疗的有益临床效果中得到证明。这种治疗方法会导致长期的外周 B 细胞耗竭,但允许长寿浆细胞存活。因此,需要更具可逆性和更全面的 B 细胞谱系靶向方法。为了寻找潜在的新治疗靶点,对活动期 AAV 患者的 CD27 记忆 B 细胞进行了 RNA 测序,结果显示 NF-κB 相关基因的表达谱上调。NF-κB 信号通路作用于各种 B 细胞表面受体(包括 BCR、CD40、BAFFR 和 TLR)下游,是 B 细胞反应所必需的。在这里,我们证明了 NF-κB 诱导激酶(NIK,非经典 NF-κB 信号)和 IκB 激酶-β(IKKβ,经典 NF-κB 信号)的新型药理学抑制剂可以有效地抑制 B 细胞中的 NF-κB 信号,而 T 细胞反应则基本不受影响。此外,两种抑制剂均显著减少了 AAV 患者 B 细胞谱系中的 B 细胞增殖、分化和抗体产生,包括蛋白酶 3(PR3)自身抗体。这些发现表明,靶向 NF-κB,特别是 NIK,可能是一种有效的、新型的 B 细胞谱系靶向治疗方法,可用于 AAV 和其他自身免疫性疾病,这些疾病中存在显著的 B 细胞参与。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验