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细胞因子信号传导模拟抑制剂作为自身免疫性脑炎的一种治疗方法。

Suppressor of Cytokine Signaling Mimetics as a Therapeutic Approach in Autoimmune Encephalitis.

作者信息

Pandey Rahul, Bakay Marina, Hakonarson Hakon

机构信息

Center for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Department of Pediatrics, The University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA.

出版信息

Eur J Immunol. 2025 Aug;55(8):e70023. doi: 10.1002/eji.70023.

Abstract

Autoimmune encephalitis (AE) is a debilitating neurological condition characterized by the immune system's attack on neuronal cells, often leading to significant cognitive and neurological impairments. Autoantibodies, particularly those targeting N-methyl-D-aspartate receptors (NMDAR), are linked to the disease. Additionally, cytokine dysregulation has been associated with heightened inflammatory responses in AE. Early intervention is critical for favorable outcomes. Recent findings have underscored the importance of suppressor of cytokine signaling (SOCS) proteins, particularly SOCS1, in regulating cytokine signaling pathways and maintaining immune balance. SOCS1 mimetics in particular, designed to enhance SOCS1 activity, represent a novel therapeutic approach aimed at mitigating inflammation and promoting neuroprotection. This review underscores the intricate interactions between cytokines, SOCS family proteins, and the pathophysiology of AE, emphasizing the potential of SOCS1 mimetics and potentially other SOCS mimetics as a targeted treatment. This review also emphasizes the need for further research to validate the efficacy and safety of SOCS1 mimetics in clinical settings and their role in improving outcomes for patients with AE.

摘要

自身免疫性脑炎(AE)是一种使人衰弱的神经系统疾病,其特征是免疫系统攻击神经元细胞,常导致严重的认知和神经功能障碍。自身抗体,尤其是那些靶向N-甲基-D-天冬氨酸受体(NMDAR)的自身抗体,与该疾病有关。此外,细胞因子失调与AE中炎症反应增强有关。早期干预对于取得良好预后至关重要。最近的研究结果强调了细胞因子信号转导抑制因子(SOCS)蛋白,特别是SOCS1,在调节细胞因子信号通路和维持免疫平衡方面的重要性。特别是设计用于增强SOCS1活性的SOCS1模拟物,代表了一种旨在减轻炎症和促进神经保护的新型治疗方法。本综述强调了细胞因子、SOCS家族蛋白与AE病理生理学之间的复杂相互作用,强调了SOCS1模拟物以及潜在的其他SOCS模拟物作为靶向治疗的潜力。本综述还强调需要进一步研究,以验证SOCS1模拟物在临床环境中的疗效和安全性及其在改善AE患者预后方面的作用。

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