New insights into Interferons and Proinflammatory Cytokines in Lupus

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Review
18 December 2023
Th1-related transcription factors and cytokines in systemic lupus erythematosus
Yang-Yang Tang
3 more and 
An-Fang Huang
T-bet performs in lupus pathogenesis by two pathways, namely, dysfunction of itself and aberrant interaction with other immune cells. IFNγ binds to JAK1/JAK3 and then regulates STAT1/TYK2 signalings, leading to overactivation of T-bet, or TLR7/IL-21 binds to JAK1/JAK2/STAT4 signalings and then results in T-bet overexpression. IL-12 can also bind to JAK1/STAT1/STAT3 signaling and finally regulate T-bet function. Transcription factors USF1 and YY1 repressed the promoter expression of the T-bet gene. Deficiency of T-bet in CD4+ T cells inhibits the expression of IFNγ, leading to suppression of Th1 cell differentiation but promotion of Th2 cell activity. T-bet binds to the promoter of perforin and granzyme B, regulating cytotoxic activity in CD8+ T cells. T-bet contributes to B-cell proliferation, surface expression of CD86 and CD21, and antibody IgG2a and IgG2b production by regulating Lyn and Bcl-6. T-bet directly inhibits Tfh differentiation or indirectly suppresses Tfh differentiation by regulating B cells. T-bet inhibits RORγt transcription and then suppresses Th17 cell differentiation and IL-17A production. IFNγ, interferon gamma; JAK, Janus kinase; STAT1, signal transducer and activator of transcription 1; TLR7, toll like receptor 7; IL-21, interleukin-21; MyD88, myeloid differentiation primary response gene 88; USF1, upstream stimulatory factor 1; YY1, Yin Yang 1; Th1, T helper cell 1; Bcl-6, B-cell lymphoma 6; Tfh, follicular T helper cell; RORγt, receptor retinoic acid receptor-related orphan receptor gammat.

Systemic lupus erythematosus (SLE) is an inflammatory disorder related to immunity dysfunction. The Th1 cell family including Th1 cells, transcription factor T-bet, and related cytokines IFNγ, TNFα, IL-2, IL-18, TGF-β, and IL-12 have been widely discussed in autoimmunity, such as SLE. In this review, we will comprehensively discuss the expression profile of the Th1 cell family in both SLE patients and animal models and clarify how the family members are involved in lupus development. Interestingly, T-bet-related age-associated B cells (ABCs) and low-dose IL-2 treatment in lupus were emergently discussed as well. Collection of the evidence will better understand the roles of the Th1 cell family in lupus pathogenesis, especially targeting IL-2 in lupus.

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Review
29 June 2023

Aberrant activation of the Janus kinase (JAK) and signal transducer and activator of transcription (STAT) pathway is common in systemic lupus erythematosus (SLE), conferring immune-mediated properties in target tissues. Multiple cytokines activate different combinations of JAKs and STATs to alter the cell fate of target tissue and induce end-organ damage. Thus, the simultaneous blockade of several different cytokines by small molecules acting downstream intracellular signalling has gained traction. JAK inhibitors have been approved for the treatment of several rheumatic diseases, yet hitherto not for SLE. Nevertheless, JAK inhibitors including tofacitinib, baricitinib, and deucravacitinib have shown merit as treatments for SLE. Tofacitinib, a JAK1/3 inhibitor, reduced cholesterol levels, improved vascular function, and decreased the type I interferon signature in SLE patients. Baricitinib, a JAK1/2 inhibitor, demonstrated significant improvements in lupus rashes and arthritis in a phase 2 and a phase 3 randomised controlled trial, but the results were not replicated in another phase 3 trial. Deucravacitinib, a selective tyrosine kinase 2 (TYK2) inhibitor, yielded greater response rates than placebo in a phase 2 trial of SLE and will be investigated in larger phase 3 trials. TYK2 is activated in response to cytokines actively involved in lupus pathogenesis; this review highlights the potential of targeting TYK2 as a promising therapy for SLE.

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15 citations
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