In the Pursuit of Precision: Novel Target Therapies Revolutionizing SLE Care

Author:

Velikova Tsvetelina1ORCID,Miteva Dimitrina12ORCID,Kokudeva Maria3,Vasilev Georgi H.14ORCID,Monov Simeon5,Shumnalieva Russka15ORCID

Affiliation:

1. Medical Faculty, Sofia University “St. Kliment Ohridski”, 1 Kozyak Str., 1407 Sofia, Bulgaria

2. Department of Genetics, Faculty of Biology, Sofia University “St. Kliment Ohridski”, 8 Dragan Tzankov Str., 1164 Sofia, Bulgaria

3. Department of Pharmacology and Toxicology, Faculty of Pharmacy, Medical University of Sofia, ul. Dunav 2, 1000 Sofia, Bulgaria

4. Laboratory of Hematopathology and Immunology, National Specialized Hospital for Active Treatment of Hematological Diseases, 6 Plovdivsko pole Str., 1756 Sofia, Bulgaria

5. Clinic of Rheumatology, Department of Rheumatology, Faculty of Medicine, Medical University-Sofia, 13 Urvich Str., 1612 Sofia, Bulgaria

Abstract

Systemic lupus erythematosus (SLE) is a chronic, autoimmune, immune complex-mediated disease affecting mainly females at a young age. The disease etiology is still unknown, and different genetic and epigenetic factors related to disease onset and manifestations are being explored. The standard treatment regimen for SLE includes the long-term use of corticosteroids and non-specific immunosuppressive agents, often limited by co-morbidities or related side effects. However, recent advances in disease pathogenesis clarifying the role of inflammatory cytokines, chemokines, immune cells, and co-stimulation molecules have made a more practical, targeted approach possible, leading to personalized treatment strategies. This review summarizes current knowledge about SLE-targeted therapies in clinical practice.

Funder

European Union project NextGenerationEU, through the National Recovery and Resilience Plan of the Republic of Bulgaria

Publisher

MDPI AG

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