Review Article

Therapeutic Strategies for SLE Involving Cytokines: Mechanism-Oriented Therapies Especially IFN- 𝛾 Targeting Gene Therapy

Table 1

Several gene therapies in lupus model mice.

RouteVectorModelEffectmechanism/(evidence) (Reference)

Cytokine
IL-4i.pnaked DNAB/WF1+Balance shift from Th1 to Th2 [68]
IL-2i.m.naked DNAMRL lpr/lpr Enhanced autoantibodies production [88]
IL-2oralnaked DNAMRL lpr/lpr+Restoration of T cell response, and suppression of autosntibody response [89]
IL-2i.p.vaccinia virusMRL lpr/lpr+Normalization of T cell population [90]
IL-12i.m.naked DNAMRL lpr/lpr+Cytokine balance skewed towards Th1 [77]
TGF- 𝛽 1i.m.naked DNAMRL lpr/lpr+Suppression of function of CD4 (Th1,Th2), CD8 T, B and macrophages. [88]
TGF- 𝛽 1oralnaked DNAMRL lpr/lpr No effect [89]
IL-18i.m.naked DNAMRL lpr/lpr+Elimination of IL-18 by induction of auto-anti-IL-18 antibody [82]
IL-12/IL-18i.m.naked DNAMRL lpr/lpr+Presumably elimination of IL-12/IL-18 induction of anti-IL-12/IL-18 antibodes [87]

Blockade
IFN- 𝛾 R/Fc*i.m.naked DNAMRL lpr/lpr+IFN- 𝛾 blockade [80]
CTLA-4/IgGi.m.adenovirusMRL lpr/lpr+costimulatory blockade [92]
CTLA-4/Igi.v.adenovirusB/WF1+costimulatory blockade [93]
CTLA-4/CD40i.m.AAVB/WF1+costimulatory blockade [94]
PD-L1/anti-B7hi.m.adenovirusBXSB+Negative costimulatory blockade [95]
TACIi.v.adenovirusB6.lpr/lprB/WF1MRL lpr/lpr ± ± Blys blockade [103]
T 𝛽 -ExRi.v.adenovirusMRL/Mp J T n f r s f 6 l p r +TGF- 𝛽 blockade [104]

w orsen, ± : less effective, AAV: adeno-associared virus.