Review Article

Immune cells in systemic lupus erythematosus: biology and traditional Chinese medicine therapy

Ya-nan Liang1, Luo Chen1, Qing-yu Huang2, Yu-ting Song1, Yu-juan Fan3, Tong-qing Chen1, Jia-hui Ni1, Dong Wang1, Xiao-yan Shen1, Yi-ming Wang2, Yan You1
1 Department of Pharmacology, School of Pharmacy, Fudan University, Shanghai 201203, China
2 Department of Cardiology, Huashan Hospital, Fudan University, Shanghai 201203, China
3 Minhang Hospital, Fudan University, Shanghai 201203, China
Correspondence to: Xiao-yan Shen: shxiaoy@fudan.edu.cn, Yi-ming Wang: wym1126103@hotmail.com, Yan You: yyou@fudan.edu.cn,
DOI: 10.1038/s41401-025-01554-2
Received: 30 October 2024
Accepted: 30 March 2025
Advance online: 17 April 2025

Abstract

Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease characterized by a progressive breakdown of immune tolerance to self-antigens, resulting in multiple tissue damage and clinical symptoms. Innate and adaptive immune cells including dendritic cells, macrophages, myeloid-derived suppressor cells (MDSCs), T cells and B cells are the key drivers in perpetuating and amplifying of this systemic disease. In this review we offer a comprehensive overview of recent advances in understanding the immune-pathogenesis of SLE with particular emphasis on regulatory immune cells exhibiting immunosuppressive properties, as well as newly identified factors influencing immune cell function and lineage differentiation. Furthermore, we discuss traditional Chinese medicine and natural extracts that have shown therapeutic effects on SLE by modulating immune cell differentiation and function, which may provide insights into their clinical applications.
Keywords: SLE; MDSCs; Traditional Chinese medicine; natural extracts

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