Poznyak Anastasia V, Gerasimova Elena V, Orekhov Nikolay A, Karimova Amina Eldarovna, Vergun Maria Andreevna, Lapshina Ksenia Olegovna, Sukhorukov Vasily N, Orekhov Alexander N
Institute for Atherosclerosis Research, Moscow, Russia.
Department of Systemic Rheumatic Diseases, V.A. Nasonova Research Institute of Rheumatology, Moscow, Russia.
Front Immunol. 2025 Aug 1;16:1523392. doi: 10.3389/fimmu.2025.1523392. eCollection 2025.
Autoimmunity arises when the immune system erroneously attacks self-antigens, potentially resulting in organ dysfunction. This review focuses on the proliferation-inducing ligand, APRIL, and its critical role in regulating antibody-producing B cells. We explore the implications of APRIL in autoimmune diseases such as systemic lupus erythematosus, rheumatoid arthritis, and Sjögren's syndrome. Emerging evidence indicates that APRIL may modulate autoimmune pathology and influence B cell survival, particularly through its interactions with receptors like B-cell maturation antigen (BCMA) and transmembrane activator and CAML interactor (TACI). We emphasize the contrasting roles of APRIL and BAFF in autoimmunity, highlighting the conflicting data regarding their contributions to disease progression and activity levels. Furthermore, we evaluate therapeutic strategies aimed at inhibiting APRIL and compare them with existing B-cell-targeted therapies, such as rituximab and belimumab. The potential benefits of specific APRIL antagonism are discussed, especially for patients with antibody-driven autoimmune disorders. This highlights the necessity for further research into APRIL-targeted therapies in clinical practice. Ultimately, this review seeks to provide a comprehensive overview of the current understanding of APRIL's role in autoimmunity and outline future directions for targeting this ligand in the treatment of autoimmune diseases.
当免疫系统错误地攻击自身抗原时,自身免疫就会出现,这可能导致器官功能障碍。本综述聚焦于增殖诱导配体(APRIL)及其在调节产生抗体的B细胞中的关键作用。我们探讨了APRIL在系统性红斑狼疮、类风湿性关节炎和干燥综合征等自身免疫性疾病中的意义。新出现的证据表明,APRIL可能调节自身免疫病理并影响B细胞存活,特别是通过其与B细胞成熟抗原(BCMA)和跨膜激活剂及CAML相互作用分子(TACI)等受体的相互作用。我们强调了APRIL和B细胞活化因子(BAFF)在自身免疫中的对比作用,突出了关于它们对疾病进展和活动水平贡献的相互矛盾的数据。此外,我们评估了旨在抑制APRIL的治疗策略,并将其与现有的B细胞靶向疗法(如利妥昔单抗和贝利木单抗)进行比较。讨论了特异性APRIL拮抗作用的潜在益处,特别是对于抗体驱动的自身免疫性疾病患者。这凸显了在临床实践中进一步研究APRIL靶向疗法的必要性。最终,本综述旨在全面概述目前对APRIL在自身免疫中作用的理解,并概述在自身免疫性疾病治疗中靶向该配体的未来方向。
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