Published: 19 March 2022
Author(s): Gema M. Lledó, Marc Xipell, Adriana García-Herrera, Laura Bueno, Ricard Cervera, Maria Galindo, Jose A. Gómez-Puerta, Enrique Morales, Manuel Praga, Jorge E. Rojas, Guillermo Ruiz-Irastorza, Olga Sánchez Pernaute, David Jayne, Gerard Espinosa, Luis F. Quintana, Multidisciplinary Group for the Study of Lupus Nephritis
Issue: May 2022
Section: Clinical Insights

Systemic lupus erythematosus (SLE) is the classical systemic autoimmune disease with heterogeneous manifestations and unpredictable behaviour in which almost 70% may have a relapsing-remitting course, while 30% are divided equally between prolonged remission and persistently active disease [1]. According to the mosaic of autoimmunity [2], immune responses (innate and adaptative), as well as interaction of genes with environmental factors (ultraviolet radiation, smoking and drugs, such as, procainamide, hydralazine and anti-tumour necrosis factor agents) lead to numerous immunologic abnormalities that culminate in persistent immune responses against autologous nucleic acids.

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