Deligeorgakis Dimitrios, Skouvaklidou Elpida, Adamichou Christina
Department of Rheumatology, 4th Department of Internal Medicine, Hippokration Hospital, Thessaloniki, Greece.
Mediterr J Rheumatol. 2024 Jun 30;35(Suppl 2):354-364. doi: 10.31138/mjr.010324.iis. eCollection 2024 Jun.
Despite advances in the management of systemic lupus erythematosus (SLE), it remains a chronic disease with frequent flares, requiring constant medical care, laboratory exams, hospitalisations, and the use of immunosuppressive drugs and corticosteroids, increasing the morbidity and mortality of these patients. The past decade of research has brought to light multiple observations on the role of interferons (IFNs) in the pathogenesis of SLE, which paved the way for the development of potential novel therapies targeting the interferon pathway. Following two phase III trials, anifrolumab, a monoclonal antibody which binds to the type I IFN receptor, blocking the activity of type I IFNs, was approved for active SLE. This review summarises the latest research on the role and mechanisms of type I IFNs in SLE and the development and advances on new therapeutic drugs based on IFN inhibition for SLE.
尽管系统性红斑狼疮(SLE)的管理取得了进展,但它仍然是一种慢性疾病,频繁发作,需要持续的医疗护理、实验室检查、住院治疗,以及使用免疫抑制药物和皮质类固醇,这增加了这些患者的发病率和死亡率。过去十年的研究揭示了关于干扰素(IFN)在SLE发病机制中的作用的多项观察结果,为开发针对干扰素途径的潜在新疗法铺平了道路。经过两项III期试验后,阿尼鲁单抗,一种与I型干扰素受体结合、阻断I型干扰素活性的单克隆抗体,被批准用于活动性SLE。本综述总结了关于I型干扰素在SLE中的作用和机制的最新研究,以及基于干扰素抑制的SLE新治疗药物的开发和进展。