2013
DOI: 10.1016/j.coi.2013.10.006
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TLRs and interferons: a central paradigm in autoimmunity

Abstract: Investigations into the pathogenesis of lupus have largely focused on abnormalities in components of the adaptive immune system. Despite important advances, however, the question about the origin of the pathogenic process, the primary disease trigger, and the dominance of autoantibodies against nuclear components, remained unanswered. Discoveries in the last decade have provided some resolution to these questions by elucidating the central role of nucleic acid-sensing TLRs and the attendant inflammatory respon… Show more

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Cited by 50 publications
(34 citation statements)
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“…The requirement for endosomal TLR signaling in systemic autoimmunity is well established in models of lupus and is consistent with the genetics and pathogenesis of human SLE (4). Notably, mice with nonfunctional UNC93B1 ( Unc93b1 3d/3d , 3d ), which regulates trafficking of TLRs from the endoplasmic reticulum (ER) to endolysosomes, do not respond to ligands of endolysosomal TLR3, TLR7, and TLR9 (36) and consequently 3d lupus-prone B6- Fas lpr and BXSB mice fail to develop severe disease (37).…”
Section: Introductionsupporting
confidence: 64%
See 1 more Smart Citation
“…The requirement for endosomal TLR signaling in systemic autoimmunity is well established in models of lupus and is consistent with the genetics and pathogenesis of human SLE (4). Notably, mice with nonfunctional UNC93B1 ( Unc93b1 3d/3d , 3d ), which regulates trafficking of TLRs from the endoplasmic reticulum (ER) to endolysosomes, do not respond to ligands of endolysosomal TLR3, TLR7, and TLR9 (36) and consequently 3d lupus-prone B6- Fas lpr and BXSB mice fail to develop severe disease (37).…”
Section: Introductionsupporting
confidence: 64%
“…They are critical mediators of both innate and adaptive immune responses, and are required for the eradication of certain viral and bacterial infections (2, 3). It is therefore not surprising that type I IFNs play a significant role in autoimmunity (46). Indeed, lupus and other autoimmune diseases may occur following type I IFN treatment for cancer, hepatitis, and other disorders (7).…”
Section: Introductionmentioning
confidence: 99%
“…While new information regarding TLR-independent pathways driving IFN-I production suggests mechanisms that might act early in the pre-autoimmune phase of lupus, activation of endosomal TLRs, particularly TLR7, remains a highly significant pathway for amplification of the IFN-I response and lupus disease once autoantibodies have been produced [47]. It is well established that immune complexes carrying potentially stimulatory nucleic acids and their associated proteins access the endosomal compartments after binding the Fc receptor FCGR2A, and TLR7 activation is closely associated with presence of autoantibody specificities targeting RNA-associated proteins in lupus patients [48].…”
Section: Mechanisms Of Induction and Amplification Of Ifn-imentioning
confidence: 99%
“…A type I interferon (IFN-α, β, ω, τ, IFN-I) molecular signature is found in patients with systemic lupus erythematosus (SLE), a heterogeneous systemic disease with autoantibodies to nuclear antigens (ANA) and double-stranded DNA (dsDNA) (Ronnblom and Pascual, 2008, Kono et al, 2013, Lipsky, 2001). An IFN-I-stimulated gene (ISG) profile is significantly correlated with the levels of anti-dsDNA antibody and disease severity.…”
Section: Introductionmentioning
confidence: 99%