Diós Ádám, Gyetvai Ágnes, Papp Gábor, Tarr Tünde
Division of Clinical Immunology, Institute of Internal Medicine, Faculty of Medicine, University of Debrecen, H-4032 Debrecen, Hungary.
Int J Mol Sci. 2025 Jul 31;26(15):7397. doi: 10.3390/ijms26157397.
Systemic lupus erythematosus (SLE) is a severe autoimmune disease characterized by autoantibody production and multi-organ involvement. Anifrolumab, a monoclonal antibody targeting the type I interferon (IFN) receptor, has been approved for the treatment of SLE. Our aim was to investigate the long-term effects of inhibited type I IFN signaling on circulating follicular helper T subsets (T), follicular regulatory T cells (T), and B lymphocyte subpopulations, reflecting the ongoing germinal center reactions in SLE patients. Peripheral blood samples were obtained from ten SLE patients before the initiation of anifrolumab treatment, and at months 6 and 12 of the intervention period. Flow cytometry analysis was performed to assess the frequencies of circulating T cell subsets, T cells, and certain B cell subpopulations. Serological parameters, including autoantibody levels and complement components, were determined as part of the routine diagnostic evaluation. We observed a significant and sustained reduction in the percentage of activated circulating T cells. Notably, the frequency of CXCR3CCR6 T17 cells decreased, whereas the proportion of CXCR3CCR6 T1 cells increased significantly. Furthermore, the proportion of the IgDCD27 double-negative B lymphocytes was also significantly reduced. These findings suggest that anifrolumab therapy attenuates T cell activation, which may contribute to its clinical efficacy by modulating germinal center responses in SLE.
系统性红斑狼疮(SLE)是一种严重的自身免疫性疾病,其特征为自身抗体产生和多器官受累。阿尼鲁单抗是一种靶向I型干扰素(IFN)受体的单克隆抗体,已被批准用于治疗SLE。我们的目的是研究抑制I型IFN信号传导对循环滤泡辅助性T细胞亚群(Tfh)、滤泡调节性T细胞(Tfr)和B淋巴细胞亚群的长期影响,以反映SLE患者中正在进行的生发中心反应。在开始阿尼鲁单抗治疗前以及干预期的第6个月和第12个月,从10例SLE患者中采集外周血样本。进行流式细胞术分析以评估循环T细胞亚群、Tfr细胞和某些B细胞亚群的频率。作为常规诊断评估的一部分,测定了包括自身抗体水平和补体成分在内的血清学参数。我们观察到活化循环Tfh细胞的百分比显著且持续降低。值得注意的是,CXCR3+CCR6+ T17细胞的频率降低,而CXCR3+CCR6- T1细胞的比例显著增加。此外,IgD-CD27双阴性B淋巴细胞的比例也显著降低。这些发现表明,阿尼鲁单抗治疗可减轻Tfh细胞活化,这可能通过调节SLE中的生发中心反应而有助于其临床疗效。
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