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文献概要

今月の特集1 The SLE

SLEの成因論

著者: 住友秀次1

所属機関: 1東京大学医学部附属病院アレルギー・リウマチ内科

ページ範囲:P.704 - P.708

Point

●全身性エリテマトーデス(SLE)の病因には遺伝的要因と環境的要因の双方がかかわっている.

●遺伝的要因として,単独で強い影響を与える遺伝子は乏しい.

●免疫学的病因には自然免疫〔Toll様受容体(TLR)・インターフェロン〕と適応免疫の双方の異常があり,治療戦略の基盤となっている.

参考文献

1)Tsokos GC:Systemic lupus erythematosus. N Engl J Med 365:2110-2121,2011
2)Deapen D, Escalante A, Weinrib L, et al:A revised estimate of twin concordance in systemic lupus erythematosus. Arthritis Rheum 35:311-318,1992
3)Harley IT, Kaufman KM, Langefeld CD, et al:Genetic susceptibility to SLE: new insights from fine mapping and genome-wide association studies. Nat Rev Genet 10:285-290,2009
4)Ptacek T, Li X, Kelley JM, et al:Copy number variants in genetic susceptibility and severity of systemic lupus erythematosus. Cytogenet Genome Res 123:142-147,2008
5)Cook HT, Botto M:Mechanisms of Disease: the complement system and the pathogenesis of systemic lupus erythematosus. Nat Clin Pract Rheumatol 2:330-337,2006
6)Lee-Kirsch MA, Chowdhury D, Harvey S, et al:A mutation in TREX1 that impairs susceptibility to granzyme A-mediated cell death underlies familial chilblain lupus. J Mol Med (Berl) 85:531-537,2007
7)Baechler EC, Batliwalla FM, Karypis G, et al:Interferon-inducible gene expression signature in peripheral blood cells of patients with severe lupus. Proc Natl Acad Sci U S A 100:2610-2615,2003
8)Kirou KA, Lee C, George S, et al:Coordinate overexpression of interferon-alpha-induced genes in systemic lupus erythematosus. Arthritis Rheum 50:3958-3967,2004
9)Rönnblom L, Eloranta ML, Alm GV:The type I interferon system in systemic lupus erythematosus. Arthritis Rheum 54:408-420,2006
10)Muñoz LE, Lauber K, Schiller M, et al:The role of defective clearance of apoptotic cells in systemic autoimmunity. Nat Rev Rheumatol 6:280-289,2010
11)Thanou A, Merrill JT:Treatment of systemic lupus erythematosus: new therapeutic avenues and blind alleys. Nat Rev Rheumatol 10:23-34,2014
12)Farkas L, Beiske K, Lund-Johansen F, et al:Plasmacytoid dendritic cells (natural interferon- alpha/beta-producing cells) accumulate in cutaneous lupus erythematosus lesions. Am J Pathol 159:237-243,2001
13)Simard JF, Costenbader KH, Liang MH, et al:Exposure to maternal smoking and incident SLE in a prospective cohort study. Lupus 18:431-435,2009

掲載雑誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1367

印刷版ISSN:0485-1420

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