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    Vamorolone通过调节Th17/Treg细胞平衡改善系统性红斑狼疮小鼠的肾脏损伤

    Vamorolone ameliorates renal injury in mice with systemic lupus erythematosus by modulating Th17/Treg cell balance

    • 摘要: 传统糖皮质激素治疗系统性红斑狼疮虽有效但长期使用副作用严重。本研究旨在探究新型解离型类固醇药物Vamorolone对系统性红斑狼疮的治疗效果,并阐明其关键的免疫调节机制。本研究首次在两种经典的系统性红斑狼疮动物模型中系统性地验证了Vamorolone的疗效,为其作为传统糖皮质激素的替代疗法提供了关键的临床前证据。在自发性狼疮MRL/lpr和Pristane诱导的两种系统性红斑狼疮小鼠模型中,Vamorolone均显著提高了小鼠存活率,降低了血清anti-dsDNA抗体水平,并有效改善了蛋白尿、血肌酐等肾功能指标。肾脏病理学分析显示,Vamorolone能显著减轻肾小球的细胞增生、基底膜增厚及IgG免疫复合物沉积。机制上,Vamorolone通过重塑免疫平衡发挥作用:在MRL/lpr模型中主要提升了具有免疫抑制功能的Treg细胞水平,而在Pristane模型中则主要降低了促炎性的Th17细胞比例,最终均实现了关键的Th17/Treg比值的有效降低。综上,本研究首次证实Vamorolone在治疗系统性红斑狼疮上具有显著疗效,通过调节Th17/Treg细胞平衡,有效改善了两种不同病理背景下系统性红斑狼疮小鼠的肾脏损伤。本研究使其有望成为新一代安全、有效的系统性红斑狼疮治疗药物。

       

      Abstract: While traditional glucocorticoids are effective in treating systemic lupusthematosus (SLE), their long-term use is associated with severe side effects. This study aims to explore the therapeutic effects of the novel dissociative steroid Vamorolone on SLE and elucidate its key immunomodulatory mechanisms. For the first time, we systematically evaluated efficacy of Vamorolone in two classical SLE animal models, providing critical preclinical evidence for its potential as an alternative to conventional glucocorticoids. In both the spontaneous lupus MRL/lpr and Pristane-induced SLE mice models, Vamorolone significantly improved survival rates, reduced serum anti-dsDNA antibody levels, and effectively ameliorated renal function indicators such as proteinuria and serum creatinine. Renal histopathological analysis revealed that Vamorolone significantly alleviated glomerular cell proliferation, basement membrane thickening, and IgG immune deposition. Mechanistically, Vamorolone exerted its effects by reshaping immune balance: it primarily increased the levels of immunosuppressive Treg cells in the MRL/lpr model, while predominantly reducing the proportion of pro-inflammatory Th17 cells in the Pristane model, achieving an effective reduction in the Th17/Treg ratio. This study confirms the significant efficacy of Vamorolone in treating SLE, demonstrating that by modulating the Th17/Treg cell balance, it effectively mitigates renal damage in SLE mice with differing pathological backgrounds. This suggests Vamorolone holds promise as a new generation of safe and effective SLE therapeutics.

       

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