Systemic Lupus Erythematosus Clinical Trial
Official title:
Regulatory BCells in Systemic Lupus Erythematosus and Its Relation to Atherosclerosis and Disease Activity
Systemic lupus erythematosus , the archetypal multisystem autoimmune disease, presents many diagnostic and management challenges. One such challenge is the excess cardiovascular disease observed in patients with Systemic lupus erythematosus . Coronary heart disease and other manifestations of atherosclerosis continue to be a major cause of death in patients with Systemic lupus erythematosus.Regulatory B-cells have been identified as a negative regulator of the immune system that inhibit pathological immune response by suppressing both uncontrolled protective immune response and damaging autoimmune responses
Regulatory B cells have been identified as an IL10 producing B cells subsets that are
characterized by the expression of CD19 CD24hiCD38hi . Breg cells can inhibit inflammatory
responses in autoimmune disease, like Systemic lupus erythematosus, via the production of
IL-10 (an antiatherogenic cytokine) which will suppress TNF- α production by monocytes
leading to inhibition of T cell-mediated inflammation. Regulatory B have a vital role in
immune tolerance and their deficiency resulted in exacerbation of autoimmunity . Evidence
suggests Breg in autoimmune disease may be dysfunctional .
In this proposal, We suggest IL-10 production by Breg confers an atheroprotective role. In
Systemic lupus erythematosus, Regulatory B ability to control atherosclerosis is reduced
therefore, we will test the hypothesis that Regulatory B play an important role in both
autoimmunity and accelerated atherosclerosis and dysfunction in Regulatory B from autoimmune
disease may or may not result in a reduced ability to control atherosclerosis .
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