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    • 1. 发明申请
    • METHOD AND COMPOSITION FOR TREATING IMMUNE COMPLEX ASSOCIATED DISORDERS
    • 治疗免疫复合相关疾病的方法和组合
    • WO2003022296A1
    • 2003-03-20
    • PCT/US2002/028708
    • 2002-09-09
    • THE TRUSTEES OF BOSTON UNIVERSITYMARSHAK-ROTHSTEIN, AnnLEADBETTER, ElizabethRIFKIN, Ian
    • MARSHAK-ROTHSTEIN, AnnLEADBETTER, ElizabethRIFKIN, Ian
    • A61K38/00
    • C07K16/28A61K2039/505C07K16/18C07K16/44C07K2317/21G01N33/5047G01N33/564G01N2500/00G01N2500/02G01N2800/102
    • The present invention provides methods and compositions for treating immune complex associated diseases (ICAD), such as SLE, rheumatoid arthritis, and hepatitis-C related immune complex disease (e.g., cryoglobulinemia) in a subject having an ICAD or at risk for developing ICAD. The invention is based upon the surprising finding that chromatin-containing immune complexes activate autoreactive B cells and dendritic cells by a dual receptor engagement process which, in both cell types, involves a Toll-like receptor (TLR). The methods of treating ICAD comprise administering a compound to an individual in need thereof that either 1) inhibits formation of the immune complex either by preventing formation and/or binding to the TLR, or 2) interferes with binding of an autoantigen-containing immune complex (or the antigenic component thereof) to the TLR, or 3) inhibits signaling pathways initiated by dual engagement of BCR and TLR (in B cells) or FcR and TLR (in dendritic cells) via immune complexed or uncomplexed autoantigens.
    • 本发明提供用于治疗具有ICAD或处于发展中的ICAD风险的受试者中的免疫复合物相关疾病(ICAD)如SLE,类风湿性关节炎和丙型肝炎相关免疫复合物疾病(例如冷球蛋白血症)的方法和组合物。 本发明基于惊人的发现,即含染色质的免疫复合物通过双重受体接合过程激活自身反应性B细胞和树突状细胞,其在两种细胞类型中涉及Toll样受体(TLR)。 治疗ICAD的方法包括向有需要的个体施用化合物,其可以通过阻止与TLR的形成和/或结合来抑制免疫复合物的形成,或者2)干扰含有自身抗原的免疫复合物的结合 (或其抗原性成分),或3)通过免疫复合或未复合的自身抗原抑制由BCR和TLR(在B细胞中)或FcR和TLR(在树突状细胞中)双重配对引发的信号通路。