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rheumatoid arthritis lupus polymyalgia sjogrens fibromyalgia amyloidosis vasculitis urate raynauds myositisYour Article Summary
T-cell and B-cell signaling biomarkers and treatment targets in lupus
Current Opinion in Rheumatology, 08/17/09
Perl A et al. - Mitochondrial hyperpolarization, increased activity of mammalian target of rapamycin (mTOR) and Syk kinases, enhanced receptor recycling and Ca2+ flux have emerged as common T and B-cell biomarkers and targets for treatment in systemic lupus erythematosus (SLE).
Methods- A review of newly recognized genetic factors and mechanisms that underlie abnormal intracellular signal processing and intercellular communication within the immune system in SLE
- Activation of mTOR plays a pivotal role in abnormal activation of T and B-cells in SLE
- In T-cells, increased production of nitric oxide and mitochondrial hyperpolarization were identified as metabolic checkpoints upstream of mTOR activation
- mTOR controls the expression of T-cell receptor-associated signaling proteins CD4 and CD3ζ through increased expression of endosome recycling regulator HRES-1/Rab4 gene
- It mediates enhanced Ca2+ fluxing and skews the expression of tyrosine kinases both in T and B-cells
- Blocks the expression of Foxp3 and the expansion of regulatory T-cells
- Mitochondrial hyperpolarization and the resultant ATP depletion predispose T-cells to necrosis
- This leads to dendritic cell activation, antinuclear autoantibody production, and inflammation
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The HAQ Compared with the MDHAQ: Keep It Simple, Stupid (KISS), with Feasibility and Clinical Value as Primary Criteria for Patient Questionnaires in Usual Clinical Care
Rheumatic Disease Clinics of North America, 12/11/09
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Today in Systemic Lupus (SLE)...keeping you current
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The Use of Micronutrient Supplements Is Not Associated with Better Quality of Life and Disease Activity in Canadian Patients with Systemic Lupus Erythematosus
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