2017
DOI: 10.1093/rheumatology/kew427
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Pathways leading to an immunological disease: systemic lupus erythematosus

Abstract: SLE is a chronic autoimmune disease caused by perturbations of the immune system. The clinical presentation is heterogeneous, largely because of the multiple genetic and environmental factors that contribute to disease initiation and progression. Over the last 60 years, there have been a number of significant leaps in our understanding of the immunological mechanisms driving disease processes. We now know that multiple leucocyte subsets, together with inflammatory cytokines, chemokines and regulatory mediators… Show more

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Cited by 135 publications
(119 citation statements)
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“…Systemic lupus erythematosus (SLE) is a systemic autoimmune disease characterized by the loss of immunological tolerance against nuclear antigens [1]. The clinical and paraclinical tools to assess disease activity and predict the disease course are inadequate, and identification of easily accessible biomarkers is required for SLE [2].…”
Section: Introductionmentioning
confidence: 99%
“…Systemic lupus erythematosus (SLE) is a systemic autoimmune disease characterized by the loss of immunological tolerance against nuclear antigens [1]. The clinical and paraclinical tools to assess disease activity and predict the disease course are inadequate, and identification of easily accessible biomarkers is required for SLE [2].…”
Section: Introductionmentioning
confidence: 99%
“…This action favors the probability of presentation of self-antigens. 174 Mice with SLE in which DCs are extracted present a decreased disease activity, in addition to a decrease in the number of regulatory and inflammatory T cells. So it was shown that in SLE, the DCs are not required for initial activation of T cells and B cells; however, they do promote their proliferation and are essential in the progression of tissue damage.…”
Section: Dendritic Cellsmentioning
confidence: 99%
“…The disease prevalence rate estimated about 5 million people worldwide and it occurs mostly before age 45 years [3][4][5]. The loss of central and peripheral tolerance to self is proposed to be a crucial first step in the progress of SLE [6]. The autoimmunity can be provoked in genetically susceptible individuals by some environmental triggers like hormones (eight times higher in women), infections (microbes, virus …), ultraviolet light, toxins and etc.…”
Section: Introductionmentioning
confidence: 99%