Taming lupus-a new understanding of pathogenesis is leading to clinical advances
Open accessAbstract
Systemic lupus erythematosus (SLE) is an autoimmune disease that is characterized by the loss of tolerance to nuclear self antigens, the production of pathogenic autoantibodies and damage to multiple organ systems. Over the years, patients with SLE have been managed largely with empiric immunosuppressive therapies, which are associated with substantial toxicities and do not always provide adequate control of the disease. The development of targeted therapies that specifically address disease pathogenesis or progression has lagged, largely because of the complex and heterogeneous nature of the disease, as well as difficulties in designing uniform outcome measures for clinical trials. Recent advances that could improve the treatment of SLE include the identification of genetic variations that influence the risk of developing the disease, an enhanced understanding of innate and adaptive immune activation and regulation of tolerance, dissection of immune cell activation and inflammatory pathways and elucidation of mechanisms and markers of tissue damage. These discoveries, together with improvements in clinical trial design, form a platform from which to launch the development of a new generation of lupus therapies.
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- [145]Stohl W Belimumab reduces autoantibodies, normalizes low complement, and reduces select B-cell populations in patients with systemic lupus erythematosus Arthritis Rheum published online 10.1002/art.34400 24 1 2012 PMC3350827 22275291 · DOI
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Janus kinase-targeting therapies in rheumatology: A mechanisms-based approach
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Steroidogenesis in the skin: Implications for local immune functions
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The impact of senescence-associated T cells on immunosenescence and age-related disorders
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- Authors
- Liu, Z., & Davidson, A.
- Affiliations
- Feinstein Institute for Medical Research (US)
- Corresponding author
- Davidson, Anne
- Venue
- Nature Medicine
- Published
- 2012-06
- Volume
- 18
- Issue
- 6
- Pages
- 871-882
- ISSN
- 1078-8956 (ISSN-L)
- 1546-170X
- PMC
- PMC3607103
- OpenAlex
- W1978259263
- Cited by
- 433
- References
- 144
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 25 · 2023: 26 · 2022: 37 · 2021: 35 · 2020: 32 · 2019: 30 · 2018: 29 · 2017: 21 · 2016: 45 · 2015: 47 · 2014: 41 · 2013: 34 · 2012: 4
- FWCI
- 6.01
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Allergy and Infectious Diseases (R01AI083901)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK085241)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R21AR057930)
- Topics
- Health Sciences › Medicine › Rheumatology › Systemic Lupus Erythematosus Research
- Health Sciences › Medicine › Pathology and Forensic Medicine › Systemic Sclerosis and Related Diseases
- Health Sciences › Medicine › Complementary and alternative medicine › Natural Compounds in Disease Treatment
- Keywords
- systemic lupus erythematosus, lupus pathogenesis, autoantibodies, immune tolerance, innate and adaptive immunity, genetic susceptibility, targeted therapy, immunosuppressive therapy, tissue damage, clinical trial design, lupus treatment
- MeSH terms
- Blood-Brain Barrier, Female, Humans, Immunity, Innate, Lupus Erythematosus, Systemic, Male, Sex Characteristics, Genetic Predisposition to Disease, Toll-Like Receptors, Adaptive Immunity
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