Table 1.
Targeted therapies for treatment of selected monogenic immune dysregulatory conditions.
Immune dysregulatory condition | Molecular pathogenic pathway targeted | Treatment | References |
---|---|---|---|
STAT1 GOF | STAT1 hyperactivation | JAK inhibition (ruxolitinib) | (145) |
STAT3 GOF | STAT3 hyperactivation | JAK inhibition (ruxolitinib, tofacitinib) | (145) |
CANDLE syndrome (proteasome complex component LOF) | Type I IFN hyperactivation | JAK inhibition (baricitinib) | (93) |
SAVI (STING GOF) | Type I IFN hyperactivation | JAK inhibition (baricitinib) | (93) |
CTLA-4 haploinsufficiency | T cell costimulatory pathway hyperactivation | CTLA-4-Fc fusion protein (abatacept, belatacept) | (146) |
LRBA deficiency | Increased CTLA-4 degradation leading to T cell costimulatory pathway hyperactivation | CTLA-4-Fc fusion protein (abatacept) | (84) |
APDS (PASLI) (PIK3CD or PIK3R1 GOF) | PI3K pathway hyperactivation | PI3K inhibition (leniolisib) | (147) |
CHAPLE (CD55 deficiency) | Complement hyperactivation | Eculizumab, pozelimab (in testing) | (148) |
Inflammasomapathies (NLRP1, NLRP3, PSTPIP1 GOF; LPIN2, MEVK, WDR1, DIRA or IL1RN deficiencies, etc.) | IL-1 hyperactivation | IL-1 antagonists (anakinra, canakinumab, rilonacept) | (91) |