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Type I Interferons in Autoimmunity: Implications in Clinical Phenotypes and Treatment Response

Journal

JOURNAL OF RHEUMATOLOGY
Volume 50, Issue 9, Pages 1103-1113

Publisher

J RHEUMATOL PUBL CO
DOI: 10.3899/jrheum.2022-0827

Keywords

autoimmunity; interferons; myositis; systemic lupus erythematosus; Sjogren syndrome

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This article reviews the role and potential drivers of IFN-I dysregulation in five prototypic autoimmune diseases and discusses current therapeutic strategies targeting the IFN-I system.
Type I interferon (IFN-I) is thought to play a role in many systemic autoimmune diseases. IFN-I pathway activation is associated with pathogenic features, including the presence of autoantibodies and clinical phenotypes such as more severe disease with increased disease activity and damage. We will review the role and potential drivers of IFN-I dysregulation in 5 prototypic autoimmune diseases: systemic lupus erythematosus, dermatomyositis, rheumatoid arthritis, primary Sjogren syndrome, and systemic sclerosis. We will also discuss current therapeutic strategies that directly or indirectly target the IFN-I system.

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