Chinese Journal of Practical Pediatrics ›› 2024, Vol. 39 ›› Issue (6): 444-448.DOI: 10.19538/j.ek2024060608

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Research progress of typeⅠinterferonopathy

  

  1. Department of Pediatrics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing  100730,China
  • Online:2024-06-06 Published:2024-07-11

Ⅰ型干扰素病研究进展

  

  1. 中国医学科学院  北京协和医学院  北京协和医院儿科,北京  100730
  • 通讯作者: 马明圣,电子信箱:mamingsheng@pumch.cn
  • 基金资助:
    国家重点研发计划(2021YFC2702001);北京协和医院中央高水平医院临床科研专项(2022-PUMCH-B-079)

Abstract: Type I interferonopathy is a group of novel diseases characterized by excessive upregulation of type I interferons due to specific gene mutations, leading to systemic multi-systemic inflammatory reactions. This article reviews recent research progress in the pathogenesis, disease types, and therapeutic advances of type 1 interferonopathy.It highlights key pathogenic mechanisms such as abnormalities in nucleic acid sensing pathways and various new type 1 interferonopathies including ARF1 defects,STAT2 loss-of-function mutations, JAK1 gain-of-function mutations, ATAD3A mutations,and RELA mutations. Although evidence-based therapeutic strategies are currently lacking,treatments such as glucocorticoids,anti-IL-1,anti-IL-6,anti-interferon receptor therapies,and JAK inhibitors can partially alleviate disease progression.

Key words: interferonopathy, autoinflammation, research progress

摘要: Ⅰ型干扰素病(type I interferonopathy)是一组新型疾病,是由特定基因突变引起Ⅰ型干扰素的过度上调,从而导致全身多系统炎症反应。文章综述了近年来在Ⅰ型干扰素病发病机制、疾病种类和治疗进展方面的研究。重点介绍了核酸感知通路的异常等关键发病机制和ARF1缺陷、STAT2功能丧失突变、JAK1功能获得突变、ATAD3A突变和RELA突变等多种新的Ⅰ型干扰素病。尽管目前尚缺乏有循证医学证据的治疗方案,但糖皮质激素、抗白介素(IL)-1、抗IL-6、抗干扰素受体等疗法和JAK抑制剂等药物可部分缓解疾病进展。

关键词: 干扰素病, 自身炎症, 研究进展