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Type I interferon in organ-targeted autoimmune and inflammatory diseases 英文参考文献
Crow Arthritis Research Therapy 2010, 12(Suppl 1):S5
/content/12/S1/S5
RE VIE W
Type I interferon in organ-targeted autoimmune
and in? ammatory diseases
Mary K Crow*
functional interferon activity in lupus patient sera have
Abstract
been con? rmed and extended using current technologies
A signi?cant role for IFNα in the pathogenesis of
systemic lupus erythematosus is well supported, and
clinical trials of anti-IFNα monoclonal antibodies are in
progress in this disease. In other autoimmune diseases
characterized by substantial in?ammation and tissue
destruction, the role of type I interferons is less clear.
Gene expression analysis of peripheral blood cells
from patients with rheumatoid arthritis and multiple
sclerosis demonstrate an interferon signature similar to
but less intense than that seen in patients with lupus.
In both of those diseases, presence of the interferon
signature has been associated with more signi?cant
clinical manifestations. At the same time, evidence
supports an anti-in?ammatory and bene?cial role of
IFNβ locally in the joints of patients with rheumatoid
arthritis and in murine arthritis models, and many
patients with multiple sclerosis show a clinical response
to recombinant IFNβ. As can also be proposed for
type I diabetes mellitus, type I interferon appears to
contribute to the development of autoimmunity and
disease progression in multiple autoimmune diseases,
while maintaining some capacity to control established
disease – particularly at local sites of in?ammation.
Recent studies in both rheumatoid arthritis and
multiple sclerosis suggest that quanti?cation of type I
interferon activity or target gene expression might be
informative in predicting responses to distinct classes
of therapeutic agents.
that permit detection of the broad gene expression
program induced by type I interferons [5-8]. Expression
of an interferon signature – re? ecting expression of often
more than 100 type I interferon-inducible genes
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