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Emerging therapies for systemic lupus erythematosus - Focus on targeting interferon-alpha

机译:系统性红斑狼疮的新兴疗法-专注于靶向干扰素

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摘要

Current therapies for systemic lupus erythematosus (SLE), a debilitating, potentially lethal, multifactorial systemic autoimmune disease, are limited to suppressing disease activity and are associated with multiple adverse effects. Recent advances in basic and translational sciences have elucidated a crucial role for the interferon-alpha (IFNα) pathway in the pathogenesis of this enigmatic disease. The so-called "type I interferon signature" has emerged as a major risk factor for disease activity of SLE. Multiple genes encoding for molecules within the type I interferon pathway have been associated with SLE in genome wide association studies. In addition, innate immune receptors are thought to be triggered by either endogenous and/or exogenous stimuli that lead to hypersecretion of IFNα. We review the multiple emerging treatment strategies targeting IFNα-related pathways. These include monoclonal antibodies against IFNα, anti-IFNα antibody-inducing vaccines, and inhibitors of Toll-like receptors. We also summarize the current status of these pharmaceutical agents in early clinical trials.
机译:目前用于全身性红斑狼疮(SLE)的治疗方法是一种使人衰弱,可能致死的多因素系统性自身免疫性疾病,其作用仅限于抑制疾病活动,并伴有多种不良反应。基础科学和转化科学的最新进展阐明了干扰素-α(IFNα)途径在这种神秘疾病的发病机理中的关键作用。所谓的“ I型干扰素签名”已经成为SLE疾病活动的主要危险因素。在全基因组关联研究中,编码I型干扰素途径内分子的多个基因已与SLE相关。另外,认为先天免疫受体由导致IFNα过度分泌的内源性和/或外源性刺激触发。我们审查了针对IFNα相关途径的多种新兴治疗策略。这些包括针对IFNα的单克隆抗体,抗IFNα抗体诱导疫苗以及Toll样受体的抑制剂。我们还总结了这些药物在早期临床试验中的现状。

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