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09 September 2024 : Case report  Denmark

Dangers of Herpesvirus Infection in SLE Patients Under Anifrolumab Treatment: Case Reports and Clinical Implications

Unusual clinical course, Adverse events of drug therapy

Mads Lamm Larsen ORCID logo12ABCDEF*, Morten Kelder Skouboe ORCID logo23ABCDEF, Trine Hyrup Mogensen ORCID logo23ABCDEF, Alex Lund Laursen ORCID logo3ABCDEF, Bent Deleuran ORCID logo12ABCDEF, Anne Troldborg ORCID logo124ABCDEF, Mads Nyhuus Bendix Rasch1ABCDEF

DOI: 10.12659/AJCR.944505

Am J Case Rep 2024; 25:e944505

Figure 1. Mechanisms of action of type 1 interferon-linked monoclonal antibodies. The type 1 interferon (IFN-I) receptor (IFNAR) comprises the 2 subunits IFNAR1 and IFNAR2. Upon activation, intracellular receptor-linked kinases initiate phosphorylation and coupling of specific proteins, subsequently translocating to the nucleus. Here, they activate the expression of INF-stimulated genes, which mediate the antiviral effector functions of IFN-I. Anifrolumab (underlined red) targets IFNAR1, thereby preventing IFN-I (here illustrated with IFN-α and IFN-β) from activating IFNAR. Sifalimumab and rontalizumab selectively bind to IFN-α, allowing the other cytokine members of the IFN-I family (such as IFN-β) to still activate IFNAR.Created with BioRender.com.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923