基础医学与临床 ›› 2008, Vol. 28 ›› Issue (4): 403-410.

• 短篇综述 • 上一篇    下一篇

B细胞活化因子与系统性红斑狼疮

赵丽丹 张烜 唐福林   

  1. 协和医院风湿免疫科 北京协和医院风湿免疫科 北京协和医院风湿免疫科
  • 收稿日期:2007-06-26 修回日期:2007-09-21 出版日期:2008-04-25 发布日期:2008-04-25
  • 通讯作者: 张烜

Role of BAFF in system lupus erythematosus

Li-dan ZHAO, Fu-lin TANG   

  1. PUMC Hospital, CAMS & PUMC PUMC Hospital, CAMS & PUMC
  • Received:2007-06-26 Revised:2007-09-21 Online:2008-04-25 Published:2008-04-25

摘要: B细胞活化因子(BAFF)是近年来发现的对B细胞生存分化具有重要作用的因子,通过结合于3种不同受体发挥促B细胞分化成熟、类别转换、促进体液免疫应答及参与T细胞活化等功能。BAFF过表达时可在小鼠模型引发严重的自身免疫疾病,使用BAFF拮抗剂可使动物模型的自身免疫病得到一定程度的缓解。部分系统性红斑狼疮(SLE)患者中BAFF的水平有不同程度增高,并与抗dsDNA抗体滴度相关。抗BAFF单克隆抗体治疗SLE临床研究初步结果显示安全性好,疾病活动度下降。BAFF拮抗剂有望成为有效的治疗SLE的新型药物。

Abstract: BAFF (B cell activating factor belonging to the tumor necrosis factor family) is a vital ligand required for survival and differentiation of peripheral B cells. By interacting with three receptors, BAFF can promote B cell maturation and class switching, enhance humoral immunity and T cell co-stimulation. Over-expression of BAFF in mice leads to autoimmune diseases such as systemic lupus erythematosus (SLE). Treating the mice model of SLE with BAFF antagonists can ameliorate disease progression and enhance survival. Moreover, in some SLE patients serum level of BAFF is elevated and correlated with serum anti-dsDNA titer. The preliminary clinical trial of anti-BAFF monoclonal antibody has shown to be safe and effective. BAFF antagonists are promising therapeutic drugs for SLE.