MasukoHongo K, Kato T
Rheumatology, Immunology and Genetics Program, St. Marianna University.
Nihon Rinsho. 1999 Aug;57(8):1873-7.
Although the association between autoimmune thyroid diseases (especially Graves' and Hashimoto's diseases) and rheumatic diseases has been well accepted, its precise mechanism is unclear. Autoreactive T cells may recognize autoantigens not only those expressed on thyroid but also those on other organs. Rheumatoid arthritis and psoriatic arthritis are among the examples of that suggested to occur with high incidence in association with positive anti-thyroid autoantibodies. Systemic lupus erythematosus and systemic sclerosis are also known to often coincide with autoimmune thyroid disease. Anticardiolipin antibody is suggested to be induced in the patients with thyroid autoimmunity. Overall, it would be important to analyze the pathogenic autoimmune response at the molecular level to further understand the relationship between thyroid and rheumatic autoimmune diseases.
尽管自身免疫性甲状腺疾病(尤其是格雷夫斯病和桥本氏病)与风湿性疾病之间的关联已被广泛认可,但其确切机制尚不清楚。自身反应性T细胞可能识别自身抗原,这些自身抗原不仅存在于甲状腺上,也存在于其他器官上。类风湿性关节炎和银屑病关节炎就是与抗甲状腺自身抗体阳性相关且发病率较高的例子。系统性红斑狼疮和系统性硬化症也常与自身免疫性甲状腺疾病同时出现。有人认为甲状腺自身免疫患者会诱导产生抗心磷脂抗体。总体而言,从分子水平分析致病性自身免疫反应对于进一步理解甲状腺与风湿性自身免疫疾病之间的关系至关重要。