Interleukin 4 inhibition as a potential therapeutic in pemphigus

Copyright © 2015 Elsevier Ltd. All rights reserved..

Pemphigus is an autoimmune bullous skin disease that results from desmosomal protein desmoglein 3 and 1 loss in pemphigus vulgaris and foliaceus, respectively. It can be considered as a Th2-dominant disease over-expressed by Th2 cell cytokines. Interleukin (IL)-4 is a key cytokine which can exacerbate Th2 over-expression in addition to isotype switching to immunoglobin (Ig)G1 and IgG4 that are responsible for desmoglein loss. Elevation of IL-4 level has also been reported in various studies. Considering the important role of IL-4 in severe phase of pemphigus and lack of effective and safeness therapy for this potentially fatal disease, anti-IL-4 therapy was introduced as a potential curative for pemphigus disease. This study reviewed all studies about any roles of IL-4 that can directly and indirectly be played in the development of pemphigus and IL-4 inhibition with interferons and dupilumab therapy were introduced as a novel pemphigus treatment for patients who are in relapse phase of the disease. Dupilumab was also introduced as a possible treatment for patients with severe pemphigus. It can directly inhibit IL-4 by targeting IL-4 α-chain receptor. IL-4 inhibition can lead to the creation of Th1:Th2 balance by various pathways, discussed in this study.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:77

Enthalten in:

Cytokine - 77(2016) vom: 28. Jan., Seite 189-95

Sprache:

Englisch

Beteiligte Personen:

Tavakolpour, Soheil [VerfasserIn]
Tavakolpour, Vahid [VerfasserIn]

Links:

Volltext

Themen:

207137-56-2
420K487FSG
Anti-cytokine therapy
Antibodies, Monoclonal
Antibodies, Monoclonal, Humanized
Autoimmune disease
Dupilumab
IL4 protein, human
Immunoglobulin G
Interleukin-4
Journal Article
Pemphigus
Receptors, Interleukin-4
Review

Anmerkungen:

Date Completed 14.09.2016

Date Revised 10.12.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.cyto.2015.09.017

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM253424135