The role of innate immunity in autoimmune tissue injury

R Allam, HJ Anders - Current opinion in rheumatology, 2008 - journals.lww.com
Current opinion in rheumatology, 2008journals.lww.com
In systemic lupus erythematosus, autoantibodies and expansion of autoreactive T cells
indicate systemic autoimmunity, but organ damage involves additional mechanisms of
inflammation and tissue remodelling. Targeting local release of proinflammatory cytokines,
for example, by blocking Toll-like receptors or single cytokines, may enhance treatment
efficacy in autoimmunity without increasing systemic immunosuppression.
Summary
In systemic lupus erythematosus, autoantibodies and expansion of autoreactive T cells indicate systemic autoimmunity, but organ damage involves additional mechanisms of inflammation and tissue remodelling. Targeting local release of proinflammatory cytokines, for example, by blocking Toll-like receptors or single cytokines, may enhance treatment efficacy in autoimmunity without increasing systemic immunosuppression.
Lippincott Williams & Wilkins