Pathogenesis and treatment of neuropsychiatric systemic lupus erythematosus: A review

被引:32
作者
Liu, Yuhong [1 ]
Tu, Zhihua [2 ]
Zhang, Xi [1 ]
Du, Keqian [1 ]
Xie, Zhengquan [2 ]
Lin, Zhiming [1 ]
机构
[1] Sun Yat Sen Univ, Affifiliated Hosp 3, Dept Rheumatol, Guangzhou, Peoples R China
[2] Panyu Hosp Chinese Med, Dept Rheumatol, Guangzhou, Peoples R China
关键词
SLE; NPSLE; pathogenesis; treatment; autoimmune diseases; RIBOSOMAL-P-PROTEIN; ANTIENDOTHELIAL CELL ANTIBODIES; CEREBROSPINAL-FLUID; AUTOANTIBODIES; MANIFESTATIONS; BIOMARKERS; S100B; INHIBITION; MANAGEMENT; DIAGNOSIS;
D O I
10.3389/fcell.2022.998328
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Systemic lupus erythematosus (SLE) is an autoimmune inflammatory disease with a complex pathogenesis. Neuropsychiatric systemic lupus erythematosus (NPSLE) is a serious complication of SLE that involves the nervous system and produces neurological or psychiatric symptoms. After decades of research, it is now believed that the diverse clinical manifestations of NPSLE are associated with intricate mechanisms, and that genetic factors, blood-brain barrier dysfunction, vascular lesions, multiple autoimmune antibodies, cytokines, and neuronal cell death may all contribute to the development of NPSLE. The complexity and diversity of NPSLE manifestations and the clinical overlap with other related neurological or psychiatric disorders make its accurate diagnosis difficult and time-consuming. Therefore, in this review, we describe the known pathogenesis and potential causative factors of NPSLE and briefly outline its treatment that may help in the diagnosis and treatment of NPSLE.
引用
收藏
页数:11
相关论文
共 75 条
[1]   Association of anti-ribosomal P protein antibodies with neuropsychiatric and other manifestations of systemic lupus erythematosus [J].
Abdel-Nasser, Ahmed M. ;
Ghaleb, Rasha M. ;
Mahmoud, Jehan A. ;
Khairy, Wafaa ;
Mahmoud, Refaat M. .
CLINICAL RHEUMATOLOGY, 2008, 27 (11) :1377-1385
[2]   Anti-ribosomal P protein antibodies influence mortality of patients with diffuse psychiatric/neuropsychological syndromes in systemic lupus erythematous involving a severe form of the disease [J].
Arinuma, Yoshiyuki ;
Kikuchi, Hirotoshi ;
Hirohata, Shunsei .
MODERN RHEUMATOLOGY, 2019, 29 (04) :612-618
[3]   Interferon Lambda Regulates Cellular and Humoral Immunity in Pristane-Induced Lupus [J].
Aschman, Tom ;
Schaffer, Sandra ;
Biniaris Georgallis, Stylianos Iason ;
Triantafyllopoulou, Antigoni ;
Staeheli, Peter ;
Voll, Reinhard E. .
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2021, 22 (21)
[4]   EULAR recommendations for the management of systemic lupus erythematosus with neuropsychiatric manifestations: report of a task force of the EULAR standing committee for clinical affairs [J].
Bertsias, G. K. ;
Ioannidis, J. P. A. ;
Aringer, M. ;
Bollen, E. ;
Bombardieri, S. ;
Bruce, I. N. ;
Cervera, R. ;
Dalakas, M. ;
Doria, A. ;
Hanly, J. G. ;
Huizinga, T. W. J. ;
Isenberg, D. ;
Kallenberg, C. ;
Piette, J. C. ;
Schneider, M. ;
Scolding, N. ;
Smolen, J. ;
Stara, A. ;
Tassiulas, I. ;
Tektonidou, M. ;
Tincani, A. ;
van Buchem, M. A. ;
van Vollenhoven, R. ;
Ward, M. ;
Gordon, C. ;
Boumpas, D. T. .
ANNALS OF THE RHEUMATIC DISEASES, 2010, 69 (12) :2074-2082
[5]   Pathogenesis, diagnosis and management of neuropsychiatric SLE manifestations [J].
Bertsias, George K. ;
Boumpas, Dimitrios T. .
NATURE REVIEWS RHEUMATOLOGY, 2010, 6 (06) :358-367
[6]   RETRACTION: Microglia-dependent synapse loss in type I interferon-mediated lupus (Retraction of Vol 546, Pg 539, 2017) [J].
Bialas, Allison R. ;
Presumey, Jessy ;
Das, Abhishek ;
van der Poel, Cees E. ;
Lapchak, Peter H. ;
Mesin, Luka ;
Victora, Gabriel ;
Tsokos, George C. ;
Mawrin, Christian ;
Herbst, Ronald ;
Carroll, Michael C. .
NATURE, 2020, 578 (7793) :177-177
[7]   Anti-Ribosomal P Protein Autoantibodies From Patients With Neuropsychiatric Lupus Impair Memory in Mice [J].
Bravo-Zehnder, Marcela ;
Toledo, Enrique M. ;
Segovia-Miranda, Fabian ;
Serrano, Felipe G. ;
Benito, Maria J. ;
Metz, Claudia ;
Retamal, Claudio ;
Alvarez, Alejandra ;
Massardo, Loreto ;
Inestrosa, Nibaldo C. ;
Gonzalez, Alfonso .
ARTHRITIS & RHEUMATOLOGY, 2015, 67 (01) :204-214
[8]   The impact of anti-endothelial cell antibodies (AECAs) on the development of blood vessel damage in patients with systemic lupus erythematosus: the preliminary study [J].
Cieslik, Pawel ;
Semik-Grabarczyk, Elzbieta ;
Hrycek, Antoni ;
Holecki, Michal .
RHEUMATOLOGY INTERNATIONAL, 2022, 42 (05) :791-801
[9]   Brain histopathology in patients with systemic lupus erythematosus: identification of lesions associated with clinical neuropsychiatric lupus syndromes and the role of complement [J].
Cohen, Danielle ;
Rijnink, Emilie C. ;
Nabuurs, Rob J. A. ;
Steup-Beekman, Gerda M. ;
Versluis, Maarten J. ;
Emmer, Bart J. ;
Zandbergen, Malu ;
van Buchem, Mark A. ;
Allaart, Cornelia F. ;
Wolterbeek, Ron ;
Bruijn, Jan A. ;
van Duinen, Sjoerd G. ;
Huizinga, Tom W. J. ;
Bajema, Ingeborg M. .
RHEUMATOLOGY, 2017, 56 (01) :77-86
[10]   Anti-GAPDH Autoantibodies as a Pathogenic Determinant and Potential Biomarker of Neuropsychiatric Diseases [J].
Delunardo, Federica ;
Soldati, Denise ;
Bellisario, Veronica ;
Berry, Alessandra ;
Camerini, Serena ;
Crescenzi, Marco ;
Alessandri, Cristiano ;
Conti, Fabrizio ;
Ceccarelli, Fulvia ;
Francia, Ada ;
Valesini, Guido ;
Cirulli, Francesca ;
Siracusano, Alberto ;
Siracusano, Alessandra ;
Niolu, Cinzia ;
Rubino, Ivo Alex ;
Ortona, Elena ;
Margutti, Paola .
ARTHRITIS & RHEUMATOLOGY, 2016, 68 (11) :2708-2716