T cells from patients with systemic lupus erythematosus (SLE) display a number of biochemical abnormalities which include altered expression of key signaling molecules, heightened calcium responses, and skewed expression of transcription factors. These defects are involved in the altered behavior of SLE T cells and are probably central in the disease pathogenesis. The aim of this communication is to review the defects that have been consistently documented in SLE T cells, highlighting molecules and pathways that represent therapeutic targets.
Keywordsautoimmunity; CD3ζ; pathogenesis; PP2A; systemic lupus erythematosus; therapyIn patients with autoimmune diseases, the immune system mounts full-scale responses against self constituents; it destroys self tissues using the same mechanisms it relies on when dealing with foreign noxious agents. Accordingly, the therapeutic actions of the drugs designed for the treatment of these conditions -whether conventional or biological-depend on their capacity to inhibit immune effector mechanisms. Thus, different degrees of immune suppression are implicit in their therapeutic capacity. The suppression of the immune system permits patients with autoimmune diseases to live better, longer lives, but is not able to cure them. Although in these conditions immune suppression is evidently useful, its use is always associated with the risk of infectious and malignant diseases.Patients with systemic lupus erythematosus (SLE) develop an immune response against a variety of ubiquitous antigens. Clinically, it manifests as a waxing and waning inflammatory disease whose intensity and organ involvement varies significantly. High concordance rates in monozygotic twins indicate that genetic factors play a major role in SLE development. In fact, polymorphisms of a number of genes have been linked to SLE. The mechanisms by which such polymorphisms contribute to disease expression are mostly unknown, however, the general assumption is that their presence causes functional changes in the immune response that make the system prone to autoreactivity when exposed to certain environmental or hormonal triggers. The risk imposed by the presence of each of the genetic factors associated