低剂量白细胞介素2治疗系统性红斑狼疮。

Rheumatology and immunology research Pub Date : 2023-09-27 eCollection Date: 2023-09-01 DOI:10.2478/rir-2023-0021
Antonio La Cava
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引用次数: 0

摘要

在系统性红斑狼疮(SLE)中,T调节细胞(Tregs)通过抑制自身反应性免疫细胞来抑制自身免疫反应。白细胞介素(IL)-2在Tregs的产生、功能和稳态中起着重要作用,在SLE中降低。包括随机试验在内的几项临床研究表明,低剂量IL-2治疗SLE患者是安全有效的,可以减少疾病表现。这篇综述讨论了低剂量IL-2治疗SLE的基本原理、患者的临床反应以及这种治疗对不同类型T细胞的影响。对低剂量IL-2方案在SLE中的应用现状和未来方向进行了考虑。
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Low-dose interleukin-2 therapy in systemic lupus erythematosus.

In systemic lupus erythematosus (SLE), T regulatory cells (Tregs) contribute to the inhibition of autoimmune responses by suppressing self-reactive immune cells. Interleukin (IL)-2 plays an essential role in the generation, function and homeostasis of the Tregs and is reduced in SLE. Several clinical studies, including randomized trials, have shown that low-dose IL-2 therapy in SLE patients is safe and effective and can reduce disease manifestations. This review discusses the rationale for the use of low-dose IL-2 therapy in SLE, the clinical responses in patients, and the effects of this therapy on different types of T cells. Considerations are made on the current and future directions of use of low-dose IL-2 regimens in SLE.

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