Wang Lai, Jiang Jiao, Yin Haoyuan, Wang Xiaoke, Li Qilin, Li Hongyang, Wu Junhui, Lu Qianjin
Hospital for Skin Diseases, Institute of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, China.
Key Laboratory of Basic and Translational Research on Immune-Mediated Skin Diseases, Chinese Academy of Medical Sciences, Nanjing, China.
Int Rev Immunol. 2025;44(5):273-287. doi: 10.1080/08830185.2025.2491644. Epub 2025 Apr 21.
Systemic lupus erythematosus (SLE) is a prototypical autoimmune disease characterized by excessive production of type I interferons (IFNs) and autoantibodies with limited effective clinical treatments. Solute carrier family 15 member 4 (SLC15A4), a proton-coupled oligopeptide transporter, facilitates the transmembrane transport of L-histidine and some di- and tripeptides from the lysosome to the cytosol. A growing body of evidence has elucidated the critical role of SLC15A4 in pathogenesis and disease progression of SLE. Genome-wide association studies have identified SLC15A4 as a new susceptibility locus of SLE. Further mechanistical studies have demonstrated that SLC15A4 involves in the production of type I IFNs in plasmacytoid dendritic cells (pDCs) and its necessity in B cells for autoantibody production in lupus models. These studies strongly support the potential of SLC15A4 as a promising therapeutic target for SLE. This review aims to summarize recent advances in understanding the role of SLC15A4 in disease progression of SLE and the development of SLC15A4-targeted inhibitors as well as discuss its potential as a target for SLE treatment.
系统性红斑狼疮(SLE)是一种典型的自身免疫性疾病,其特征是I型干扰素(IFN)过度产生和自身抗体产生,临床有效治疗方法有限。溶质载体家族15成员4(SLC15A4)是一种质子偶联寡肽转运体,可促进L-组氨酸以及一些二肽和三肽从溶酶体到细胞质的跨膜转运。越来越多的证据阐明了SLC15A4在SLE发病机制和疾病进展中的关键作用。全基因组关联研究已将SLC15A4确定为SLE的一个新的易感基因座。进一步的机制研究表明,SLC15A4参与浆细胞样树突状细胞(pDC)中I型IFN的产生,并且在狼疮模型中B细胞产生自身抗体方面具有必要性。这些研究有力地支持了SLC15A4作为SLE有前景的治疗靶点的潜力。本综述旨在总结在理解SLC15A4在SLE疾病进展中的作用以及SLC15A4靶向抑制剂开发方面的最新进展,并讨论其作为SLE治疗靶点的潜力。