New and emerging therapies for systemic lupus erythematosus

Clin Immunol. 2024 Jun:263:110200. doi: 10.1016/j.clim.2024.110200. Epub 2024 Apr 4.

Abstract

Systemic Lupus Erythematosus (SLE) and lupus nephritis treatment is still based on non-specific immune suppression despite the first biological therapy for the disease having been approved more than a decade ago. Intense basic and translational research has uncovered a multitude of pathways that are actively being evaluated as treatment targets in SLE and lupus nephritis, with two new medications receiving FDA approval in the last 3 years. Herein we provide an overview of targeted therapies for SLE including medications targeting the B lymphocyte compartment, intracellular signaling, co-stimulation, and finally the interferons and other cytokines.

Keywords: B cells; BLyS; Interferon; Systemic lupus erythematosus; Treatment.

Publication types

  • Review

MeSH terms

  • Animals
  • B-Lymphocytes / drug effects
  • B-Lymphocytes / immunology
  • Cytokines / antagonists & inhibitors
  • Cytokines / immunology
  • Humans
  • Interferons / therapeutic use
  • Lupus Erythematosus, Systemic* / drug therapy
  • Lupus Erythematosus, Systemic* / immunology
  • Lupus Nephritis / drug therapy
  • Lupus Nephritis / immunology
  • Signal Transduction / drug effects