Systemic Lupus Erythematosus Risk: The Role of Environmental Factors

Jia Li Liu, Jennifer M.P. Woo, Christine G. Parks, Karen H. Costenbader, Søren Jacobsen, Sasha Bernatsky*

*Corresponding author for this work

Abstract

Systemic lupus erythematosus (SLE) is a complex, chronic autoimmune disease. The etiology of SLE is multifactorial and includes potential environmental triggers, which may occur sequentially (the "multi-hit" hypothesis). This review focuses on SLE risk potentially associated with environmental factors including infections, the microbiome, diet, respirable exposures (eg, crystalline silica, smoking, air pollution), organic pollutants, heavy metals, and ultraviolet radiation.

Original languageEnglish
JournalRheumatic Disease Clinics of North America
Volume48
Issue number4
Pages (from-to)827-843
Number of pages17
ISSN0889-857X
DOIs
Publication statusPublished - 2022

Keywords

  • Environmental triggers
  • Infections
  • Microbiome
  • Pollution
  • Smoking
  • Systemic lupus erythematosus

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