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超越传统治疗:系统性红斑狼疮的新型细胞疗法

Beyond conventional treatment: Novel cell therapies for systemic lupus erythematosus.

作者信息

Zarei-Behjani Zeinab, Hosseinpouri Arghavan, Fotoohi Maryam, Shafiee Akram, Asadi Dorna

机构信息

Department of Tissue Engineering and Applied Cell Sciences, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran.

Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Transl Autoimmun. 2025 Aug 27;11:100308. doi: 10.1016/j.jtauto.2025.100308. eCollection 2025 Dec.

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by its heterogeneity, as it can affect various organs and exhibit a diverse clinical progression. The identification of SLE relies on the presence of distinct clinical manifestations in the skin, joints, kidneys, and the central nervous system, along with serological markers like antinuclear antibodies such as antibodies targeting dsDNA. The present therapeutic approaches for SLE encompass the use of antimalarial agents, glucocorticoids, immunosuppressive medications, and biological therapies. Despite the advancements in therapeutic strategies, SLE continues to be linked with adverse outcomes. The complicity and unpredictable nature of disease, characterized by episodes of relapses and remissions, coupled with the side effects of current treatment options, the progressive accumulation of organ damage, and persistent mortality rates despite therapeutic improvements, underscores the urgent necessity for the creation of innovative, effective, and specifically targeted therapies. Cell-based therapies, although still in their nascent stages, have attracted considerable interest in the realm of SLE treatment due to their potential for long-term disease suppression or even the possibility of a cure. Various cell types have emerged as promising candidates for SLE management. This review aims to provide a brief overview of the most recent research on novel cell-based therapeutic approaches that have progressed to either pre-clinical or clinical trial phases for the treatment of SLE.

摘要

系统性红斑狼疮(SLE)是一种自身免疫性疾病,其特点是具有异质性,因为它可累及多个器官并呈现出多样的临床进展。SLE的诊断依赖于皮肤、关节、肾脏和中枢神经系统中独特临床表现的存在,以及抗核抗体等血清学标志物,如针对双链DNA的抗体。目前SLE的治疗方法包括使用抗疟药、糖皮质激素、免疫抑制药物和生物疗法。尽管治疗策略有所进步,但SLE仍与不良预后相关。该疾病的复杂性和不可预测性,表现为复发和缓解期,加上当前治疗方案的副作用、器官损害的逐渐累积以及尽管治疗有所改善但死亡率持续存在,凸显了创建创新、有效且靶向性治疗方法的迫切必要性。基于细胞的疗法尽管仍处于起步阶段,但因其具有长期抑制疾病甚至治愈的潜力,在SLE治疗领域引起了相当大的关注。多种细胞类型已成为SLE治疗的有前景的候选者。本综述旨在简要概述已进入治疗SLE的临床前或临床试验阶段的新型基于细胞的治疗方法的最新研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/522d/12444481/d863a2d9773d/gr1.jpg

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