Hu Shi-Zhi, Yuan Zhan-Yuan, Zhang Xiao-Xun, Yu Xiao-Jing, Ni Hai-Yan, Sun Sheng-Jia, Xu Tao, Zhan He-Qin
Department of Pathology, The Second Affiliated Hospital of Anhui Medical University, 678 Furong Road, Hefei, Anhui, 230601, China; Department of Pathology, School of Basic Medical Sciences, Anhui Medical University, 81 Meishan Road, Hefei, Anhui, 230032, China.
Department of Plastic and Reconstructive Surgery, The Second Affiliated Hospital of Anhui Medical University, 678 Furong Road, Hefei, Anhui, 230601, China.
J Autoimmun. 2024 Dec;149:103329. doi: 10.1016/j.jaut.2024.103329. Epub 2024 Nov 5.
Autoimmune diseases (AIDs) are common diseases in the world. Some cases are difficult to cure and can only delay the progression of the diseases. The B lymphocyte stimulator (BLyS)/a proliferation-inducing ligand (APRIL) plays an important role in B cell homeostasis, regulation of both innate and adaptive immune responses. After binding to their receptors, BLyS/APRIL primarily affects the survival and development of marginal, transitional, and mature B cells. Of note, elevated BLyS/APRIL is seen in many AIDs, such as systemic lupus erythematosus, rheumatoid arthritis, immunoglobulin A nephropathy, etc. Moreover, there is evidence that blocking these two cytokines can control the number of serum autoantibodies, promote the depletion of B lymphocytes, inhibit the activation of T cells and dendritic lymphocytes, and reduce inflammatory stress. Currently, some clinical studies are underway targeting BLyS/APRIL inhibitors for the treatment of AIDs. However, due to the scattered knowledge on the relationship between BLyS/APRIL and AIDs, it is necessary to sort out the existing data. Therefore, in this review, we describe the basic biological characteristics and functions of BLyS/APRIL in AIDs, summarize the potential clinical applications of related inhibitors, especially monoclonal antibodies and recombinant fusion proteins targeting BLyS/APRIL in AIDs, and also outline promising research directions.
自身免疫性疾病(AIDs)是世界范围内的常见疾病。有些病例难以治愈,只能延缓疾病进展。B淋巴细胞刺激因子(BLyS)/增殖诱导配体(APRIL)在B细胞稳态以及先天性和适应性免疫反应的调节中发挥重要作用。与受体结合后,BLyS/APRIL主要影响边缘B细胞、过渡性B细胞和成熟B细胞的存活与发育。值得注意的是,在许多自身免疫性疾病中,如系统性红斑狼疮、类风湿性关节炎、免疫球蛋白A肾病等,都可见BLyS/APRIL水平升高。此外,有证据表明,阻断这两种细胞因子可控制血清自身抗体数量,促进B淋巴细胞耗竭,抑制T细胞和树突状淋巴细胞的活化,并减轻炎症应激。目前,一些针对BLyS/APRIL抑制剂治疗自身免疫性疾病的临床研究正在进行。然而,由于关于BLyS/APRIL与自身免疫性疾病之间关系的知识较为零散,有必要梳理现有数据。因此,在本综述中,我们描述了BLyS/APRIL在自身免疫性疾病中的基本生物学特性和功能,总结了相关抑制剂的潜在临床应用,尤其是针对自身免疫性疾病中BLyS/APRIL的单克隆抗体和重组融合蛋白,并概述了有前景的研究方向。
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