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Type I Interferons in Autoimmune Disease
Mary K Crow1, Mikhail Olferiev1, Kyriakos A Kirou1
1Mary Kirkland Center for Lupus Research, Hospital for Special Surgery, New York, New York 10021, USA;
Annual Review of Pathology
|October 18, 2018
Summary
Type I interferons are crucial for antiviral defense but drive autoimmune diseases like lupus when chronically activated. Understanding this pathway offers new therapeutic targets for immune system restoration.
Area of Science:
- Immunology
- Autoimmunity
- Virology
Background:
- Type I interferons (IFNs) are key antiviral mediators.
- They are increasingly implicated in the immunopathology of systemic autoimmune diseases, notably systemic lupus erythematosus (SLE).
Purpose of the Study:
- To review recent insights into the mechanisms of Type I IFN pathway activation and its immunologic consequences in SLE.
- To explore how lessons from viral infections inform our understanding of chronic IFN activation in lupus.
- To identify potential therapeutic targets for restoring immune homeostasis.
Main Methods:
- Review of recent scientific literature, focusing on studies of patients with systemic lupus erythematosus.
- Analysis of data concerning the induction and consequences of chronic Type I IFN pathway activation.
Main Results:
- Sustained production of Type I IFNs can shift immune system components towards pathologic functions, leading to tissue damage.
- Endogenous nucleic acids are implicated in activating the Type I IFN pathway via cytosolic sensors and endosomal Toll-like receptors (TLRs).
Conclusions:
- Chronic activation of the Type I IFN pathway is a central mechanism in the immunopathology of systemic autoimmune diseases like lupus.
- Targeting the mechanisms of IFN pathway activation, particularly those involving endogenous nucleic acids and TLRs, holds promise for novel therapeutics.
- Restoring immune system balance is a key goal for treating these conditions.
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