[HTML][HTML] IFN-I mediates lupus nephritis from the beginning to renal fibrosis

X Ding, Y Ren, X He - Frontiers in immunology, 2021 - frontiersin.org
X Ding, Y Ren, X He
Frontiers in immunology, 2021frontiersin.org
Lupus nephritis (LN) is a common complication of systemic lupus erythematosus (SLE) and
a major risk factor for morbidity and mortality. The abundant cell-free nucleic (DNA/RNA) in
SLE patients, especially dsDNA, is a key substance in the pathogenesis of SLE and LN. The
deposition of DNA/RNA-immune complexes (DNA/RNA-ICs) in the glomerulus causes a
series of inflammatory reactions that lead to resident renal cell disturbance and eventually
renal fibrosis. Cell-free DNA/RNA is the most effective inducer of type I interferons (IFN-I) …
Lupus nephritis (LN) is a common complication of systemic lupus erythematosus (SLE) and a major risk factor for morbidity and mortality. The abundant cell-free nucleic (DNA/RNA) in SLE patients, especially dsDNA, is a key substance in the pathogenesis of SLE and LN. The deposition of DNA/RNA-immune complexes (DNA/RNA-ICs) in the glomerulus causes a series of inflammatory reactions that lead to resident renal cell disturbance and eventually renal fibrosis. Cell-free DNA/RNA is the most effective inducer of type I interferons (IFN-I). Resident renal cells (rather than infiltrating immune cells) are the main source of IFN-I in the kidney. IFN-I in turn damages resident renal cells. Not only are resident renal cells victims, but also participants in this immunity war. However, the mechanism for generation of IFN-I in resident renal cells and the pathological mechanism of IFN-I promoting renal fibrosis have not been fully elucidated. This paper reviews the latest epidemiology of LN and its development process, discusses the mechanism for generation of IFN-I in resident renal cells and the role of IFN-I in the pathogenesis of LN, and may open a new perspective for the treatment of LN.
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