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Immunometabolism in systemic lupus erythematosus
1Department of Pathology, Immunology, and Laboratory Medicine, University of Florida, Gainesville, Florida 32610, USA.
Nature Reviews. Rheumatology
|April 1, 2017
Summary
Systemic lupus erythematosus (SLE) involves immune cell metabolic dysregulation, particularly in CD4+ T cells. Targeting these metabolic changes shows therapeutic promise for SLE.
Area of Science:
- Immunology
- Metabolic pathways
- Autoimmune diseases
Background:
- Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by autoantibodies against nucleoprotein complexes.
- Immune cell dysregulation, including B cells, T cells, dendritic cells, macrophages, and neutrophils, is central to SLE pathogenesis.
- Metabolic processes are critical for immune cell function and are implicated in autoimmune diseases.
Purpose of the Study:
- To review current knowledge on immune cell metabolic alterations in SLE.
- To discuss the role of these metabolic changes in SLE pathogenesis.
- To explore potential therapeutic strategies targeting immune cell metabolism in SLE.
Main Methods:
- Review of existing literature on immune cell metabolism in SLE and normal immune responses.
- Analysis of data from SLE patients and lupus-prone mouse models.
- Discussion of metabolic regulation in various immune cell types.
Main Results:
- Patients with SLE and lupus-prone mice exhibit activated CD4+ T cell metabolism.
- Metabolic inhibitors targeting activated CD4+ T cells show therapeutic potential in SLE.
- Metabolic requirements of B cells and myeloid cells in SLE are less understood.
Conclusions:
- Immune cell metabolic reprogramming is a key feature of SLE.
- Targeting T cell metabolism offers a promising therapeutic avenue for SLE.
- Further research is needed to elucidate the metabolic basis of B cell and myeloid cell dysfunction in SLE.