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Published on: September 20, 2024
Overview on the Link Between the Complement System and Auto-Immune Articular and Pulmonary Disease
Paola Triggianese1, Paola Conigliaro1, Erica De Martino1
1Department of Systems Medicine, Rheumatology, Allergology and Clinical Immunology, University of Rome Tor Vergata, Rome, Italy.
Complement system (CS) dysregulation contributes to autoimmune diseases like rheumatoid arthritis (RA) and interstitial lung disease (ILD). Targeting the CS may offer new therapeutic strategies for these conditions.
Area of Science:
- Immunology
- Rheumatology
- Pulmonology
Background:
- Complement system (CS) dysregulation is implicated in autoimmune disease pathogenesis.
- Rheumatoid arthritis (RA) involves synovitis and extra-articular manifestations, with activated CS contributing to tissue damage and disease initiation.
- Interstitial lung disease (ILD), a common RA manifestation, can lead to fibrosis.
Purpose of the Study:
- To review evidence of CS dysregulation in RA and ILD.
- To highlight the role of CS in innate and adaptive immunity in disease development, using idiopathic pulmonary fibrosis as a model.
- To explore potential therapeutic targeting of the CS in RA and ILD.
Main Methods:
- Literature review focusing on CS activation in RA and ILD.
- Analysis of the role of CS in immune responses.
- Examination of existing RA and ILD treatments for indirect effects on CS.
Main Results:
- CS is activated in RA and contributes to pathogenesis and tissue damage.
- CS plays a role in both innate and adaptive immune responses in RA and ILD.
- Current treatments for RA and ILD may indirectly modulate CS activity.
Conclusions:
- CS dysregulation is a significant factor in RA and ILD.
- The CS is a potential therapeutic target for managing RA and associated ILD.
- Further research into CS-targeted therapies could benefit patients with these complex diseases.
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