4.4 Review

Type 1 interferons: A target for immune-mediated inflammatory diseases (IMIDs)

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Deucravacitinib, a Tyrosine Kinase 2 Inhibitor, in Systemic Lupus Erythematosus: A Phase II, Randomized, Double-Blind, Placebo-Controlled Trial

Eric Morand et al.

Summary: Deucravacitinib treatment showed higher response rates for SRI-4 and other endpoints compared to placebo, with an acceptable safety profile, in adult patients with active SLE.

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2022 EULAR points to consider for the measurement, reporting and application of IFN-I pathway activation assays in clinical research and practice

Javier Rodriguez-Carrio et al.

Summary: This study developed evidence-based points to consider for the measurement and reporting of IFN-I assays in clinical research. The study provides recommendations on terminology, assay characteristics, and reporting practices, as well as explores the clinical applications of IFN-I assays in diagnosis and outcome assessments.

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Systemic Lupus Erythematosus Pathogenesis: Interferon and Beyond

Simone Caielli et al.

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Article Dermatology

Rapid efficacy of anifrolumab across multiple subtypes of recalcitrant cutaneous lupus erythematosus parallels changes in discrete subsets of blood transcriptomic and cellular biomarkers

Lucy M. Carter et al.

Summary: In a prospective real-world cohort study, anifrolumab showed rapid efficacy and significant quality-of-life impact across multiple subtypes of refractory cutaneous lupus. The response was associated with suppression of blood interferon signatures and normalization of circulating monocyte subsets.

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Clinical Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Anifrolumab

Weifeng Tang et al.

Summary: The type I interferon (IFN) signaling pathway is implicated in systemic lupus erythematosus (SLE) and anifrolumab, a monoclonal antibody targeting this pathway, has been approved for the treatment of moderate to severe SLE patients. The approved dosing regimen is 300mg intravenously every 4 weeks. Studies have shown that anifrolumab treatment is associated with significant improvements in disease activity and has an acceptable safety profile. Pharmacokinetic and pharmacodynamic analyses have identified covariates for anifrolumab exposure and clearance, and the relationship between serum exposure and clinical responses, safety risks, and the type I IFN gene signature (21-IFNGS) has been evaluated. In this review, the clinical pharmacokinetics, pharmacodynamics, and immunogenicity of anifrolumab are discussed, along with the results of population-pharmacokinetics and exposure-response analyses.

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New biologics and targeted therapies in systemic lupus: From new molecular targets to new indications. A systematic review

Renaud Felten et al.

Summary: Despite available therapies, persistently active and corticosteroid-dependent Systemic Lupus Erythematosus (SLE) represent a significant therapeutic challenge. This systematic review provides an updated view of targeted therapies currently in clinical development in SLE, with a special focus on the most promising ones.

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Assessment of Clinical Response to Anifrolumab in Patients With Refractory Discoid Lupus Erythematosus

Katharina Shaw et al.

Summary: This case series investigates the effectiveness of anifrolumab as a treatment option for patients with lupus erythematosus.

JAMA DERMATOLOGY (2023)

Review Rheumatology

Association between type I interferon pathway activation and clinical outcomes in rheumatic and musculoskeletal diseases: a systematic literature review informing EULAR points to consider

Javier Rodriguez-Carrio et al.

Summary: This article provides a systematic review of assays measuring IFN-I pathway activation and summarizes the potential clinical utility in various rheumatic and musculoskeletal diseases. The results show that IFN-I pathway activation is associated with disease diagnosis, disease activity assessment, prognosis, response to treatment, and assay responsiveness. However, the heterogeneity in techniques and technical conditions are major limitations.

RMD OPEN (2023)

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Rapid efficacy of anifrolumab in refractory cutaneous lupus erythematosus

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Phase II randomised trial of type I interferon inhibitor anifrolumab in patients with active lupus nephritis

David Jayne et al.

Summary: This study evaluated the efficacy and safety of anifrolumab, a type I interferon receptor antibody, in patients with active lupus nephritis. The results showed that anifrolumab IR had numerical improvements over placebo in several endpoints, including complete renal response. However, the primary endpoint of improvement in 24-hour urine protein-creatinine ratio was not met.

ANNALS OF THE RHEUMATIC DISEASES (2022)

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Efficacy of anifrolumab across organ domains in patients with moderate-to-severe systemic lupus erythematosus: a post-hoc analysis of pooled data from the TULIP-1 and TULIP-2 trials

Eric F. Morand et al.

Summary: This post-hoc analysis aimed to evaluate the efficacy of anifrolumab on organ domain-specific SLE disease activity. The results demonstrated that anifrolumab treatment improved multiple organ systems in SLE patients, particularly the musculoskeletal system, mucocutaneous system, and immunological system.

LANCET RHEUMATOLOGY (2022)

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Anifrolumab efficacy and safety by type I interferon gene signature and clinical subgroups in patients with SLE: post hoc analysis of pooled data from two phase III trials

Edward M. Vital et al.

Summary: This study characterizes the efficacy and safety of anifrolumab in patients with moderate-to-severe SLE. It shows that anifrolumab has consistent efficacy and safety across different subgroups of patients. However, the limited sample size in some subgroups limits the conclusions about treatment benefit with anifrolumab.

ANNALS OF THE RHEUMATIC DISEASES (2022)

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Phase 2 Trial of Iberdomide in Systemic Lupus Erythematosus

Joan T. Merrill et al.

Summary: This phase 2 trial investigated the efficacy of Iberdomide, a drug for systemic lupus erythematosus (SLE). The results indicated that the 0.45 mg dose of Iberdomide showed a higher treatment response compared to the placebo group at 24 weeks.

NEW ENGLAND JOURNAL OF MEDICINE (2022)

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Scoring personalized molecular portraits identify Systemic Lupus Erythematosus subtypes and predict individualized drug responses, symptomatology and disease progression

Daniel Toro-Dominguez et al.

Summary: This study developed MyPROSLE, an omic-based analytical workflow, to measure the molecular characteristics of individual patients and support therapeutic decisions. Through analysis of nearly 6100 lupus patients and 750 healthy samples, it was found that dysregulation of certain gene-modules is strongly associated with specific clinical manifestations, relapses, long-term remission, and drug response. Therefore, MyPROSLE can accurately predict these clinical outcomes.

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Genome-wide association study identifies Sjogren's risk loci with functional implications in immune and glandular cells

Bhuwan Khatri et al.

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NATURE COMMUNICATIONS (2022)

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Variability of Primary Sjogren's Syndrome Is Driven by Interferon α and Interferon α Blood Levels Are Associated With the Class II HLA-DQ Locus

Diana Trutschel et al.

Summary: By integrating transcriptomic, proteomic, cellular, and genetic data with clinical phenotypes, this study identified IFNα as a key driver of primary SS variability and its association with HLA gene polymorphisms.

ARTHRITIS & RHEUMATOLOGY (2022)

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Trial of Anti-BDCA2 Antibody Litifilimab for Systemic Lupus Erythematosus

Richard A. Furie et al.

Summary: Litifilimab, a humanized monoclonal antibody that binds to BDCA2, showed a greater reduction in the number of swollen and tender joints in participants with SLE compared to placebo over a period of 24 weeks. Longer and larger trials are needed to determine the safety and efficacy of litifilimab for the treatment of SLE.

NEW ENGLAND JOURNAL OF MEDICINE (2022)

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Integrative Analysis Reveals a Molecular Stratification of Systemic Autoimmune Diseases

Guillermo Barturen et al.

Summary: The study identified and validated four clusters, one healthy and three pathological, for systemic autoimmune diseases based on molecular patterns. Patients remained stable within their pathological clusters over time, with distinct molecular signatures characterizing each individual. This reclassification has significant implications for future clinical trials and understanding nonresponse to therapy, indicating a paradigm shift in the understanding of systemic autoimmune diseases.

ARTHRITIS & RHEUMATOLOGY (2021)

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Depleting plasmacytoid dendritic cells reduces local type I interferon responses and disease activity in patients with cutaneous lupus

Jodi L. Karnell et al.

Summary: Plasmacytoid dendritic cells (pDCs) are specialized in producing IFN and regulating immune responses, with persistent activation in autoimmune diseases. VIB7734, a monoclonal antibody, effectively depletes pDCs, reduces IFN activity, and improves clinical disease activity in animal models and patients. Biomarker analysis suggests that VIB7734 may be more effective in individuals with high baseline IFN activity, supporting further development in IFN-associated diseases.

SCIENCE TRANSLATIONAL MEDICINE (2021)

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Trial of Anifrolumab in Active Systemic Lupus Erythematosus

Eric F. Morand et al.

NEW ENGLAND JOURNAL OF MEDICINE (2020)

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Shared development of targeted therapies among autoimmune and inflammatory diseases: a systematic repurposing analysis

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Molecular Profiling of Cutaneous Lupus Lesions Identifies Subgroups Distinct from Clinical Phenotypes

Celine C. Berthier et al.

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Photosensitivity and type I IFN responses in cutaneous lupus are driven by epidermal-derived interferon kappa

Mrinal K. Sarkar et al.

ANNALS OF THE RHEUMATIC DISEASES (2018)

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Type I Interferons in Autoimmune Disease

Mary K. Crow et al.

Annual Review of Pathology-Mechanisms of Disease (2018)

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Type I interferonopathies: Mendelian type I interferon up-regulation

Yanick J. Crow

CURRENT OPINION IN IMMUNOLOGY (2015)

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Type I interferons in infectious disease

Finlay McNab et al.

NATURE REVIEWS IMMUNOLOGY (2015)

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Autoimmunity and Klinefelter's syndrome: When men have two X chromosomes

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Type I interferon correlates with serological and clinical manifestations of SLE

MC Dall'Era et al.

ANNALS OF THE RHEUMATIC DISEASES (2005)

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Interferon and granulopoiesis signatures in systemic lupus erythematosus blood

L Bennett et al.

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