Ceglarek Laura, Gerhards Ramona, Boldrini Vinicius, Wichmann Christian, Peters Anneli, Meinl Edgar
Institute of Clinical Neuroimmunology, Biomedical Center and University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Center for Human Immunology, University of Zurich, Zurich, Switzerland.
Eur J Immunol. 2025 Feb;55(2):e202450985. doi: 10.1002/eji.202450985.
In pDCs, BTK-inhibition (BTKi) blocks the IFN-α production via TLR-9, but not via TLR-7. Upon TLR-7 stimulation, BTKi enhances the production of IFN-α by blocking the inhibitory BDCA-2 pathway. This might explain partially the failure of BTKi in SLE and is of interest for BTKi trials in multiple sclerosis.
在浆细胞样树突状细胞(pDCs)中,布鲁顿酪氨酸激酶抑制(BTKi)可通过Toll样受体9(TLR-9)阻断Ⅰ型干扰素(IFN-α)的产生,但不能通过Toll样受体7(TLR-7)。在TLR-7刺激下,BTKi通过阻断抑制性的血树突状细胞抗原2(BDCA-2)途径增强IFN-α的产生。这可能部分解释了BTKi在系统性红斑狼疮(SLE)治疗中失败的原因,并且对于在多发性硬化症中进行BTKi试验具有重要意义。