向乳酸代谢以恢复免疫平衡:一种精确的治疗范式,用于类风湿性关节炎
Lin Zheng1,2, Xinyu A1,2, Shiyu Ma3
1Guanghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Frontiers in immunology
|November 10, 2025
概括
在类风湿性关节炎 (RA) 中,乳酸的升高通过改变免疫反应和新陈代谢来推动疾病的进展. 针对乳酸代谢提供了一个新的精准医学方法来治疗RA并预防关节损伤.
科学领域:
- 免疫学 免疫学 免疫学
- 代谢过程中的代谢.
- 类风湿病学 类风湿病学
背景情况:
- 牛乳酸在类风湿性关节炎 (RA) 中的结膜液中的积累与疾病活性相关.
- 升高的乳酸盐在RA中充当生物标志物和致病媒介.
- 乳酸驱动的代谢重编程是RA中免疫代谢骨破坏轴的核心.
研究的目的:
- 突出乳酸代谢作为RA的治疗点.
- 探索针对 RA 治疗的新型精准医学策略.
- 讨论针对乳酸代谢进行持续缓解和关节保护的潜力.
主要方法:
- 关于乳酸在RA病变发生过程中的作用的证据的审查.
- 针对乳酸代谢的治疗策略的分析,包括LDHA抑制剂和MCT.
- 基于代谢概况的组合疗法和患者分层的评估.
主要成果:
- 乳酸积累会触发免疫调节效应,并在RA中引发炎症和组织破坏的循环.
- 针对乳酸代谢,包括LDHA抑制剂和MCT,显示出有希望.
- 组合疗法和代谢分析提高了治疗效率和个性化.
结论:
- 向乳酸代谢代表了RA治疗向代谢恢复的范式转变.
- 整合代谢调节剂为持续缓解和预防长期关节损伤提供了潜力.
- 乳酸代谢是创新的RA治疗的关键目标.
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