Abstract

Systemic lupus erythematosus is systemic autoimmune disease causing significant morbidity and mortality worldwide, particularly in the women of child-bearing age. It is typically associated with antinuclear antibodies, in particular antidouble-stranded DNA antibodies, which form immune complexes and can cause multiorgan damage by activating various cell types in genetically susceptible individuals. Due to the chronic and heterogenous nature of the condition, clinical trials of novel therapeutics or treatment strategies are challenging, with some newer drugs failing to meet their primary endpoint in trial. SLE manifestations are protean, with the treatment of lupus nephritis (LN) being a priority area for study given its association with end-stage renal failure (ESRF). SLE remains a disease with significant unmet need, but there is hope that the study of larger, well-characterized cohorts along with further genetic and experimental medicine studies, will lead to new treatments and improved patient outcomes.

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