09 September 2024 : Case report
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 12ABCDEF*, Morten Kelder Skouboe 23ABCDEF, Trine Hyrup Mogensen 23ABCDEF, Alex Lund Laursen 3ABCDEF, Bent Deleuran 12ABCDEF, Anne Troldborg 124ABCDEF, Mads Nyhuus Bendix Rasch1ABCDEFDOI: 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.