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[人类白细胞抗原分子与自身免疫性疾病的关联]

[Association of HLA molecules with autoimmune diseases].

作者信息

Kolostová K, Cerná M, Andĕl M

机构信息

Oddĕlení bunĕcné a molekulární biologie 3. LF UK, Praha.

出版信息

Cas Lek Cesk. 2002 Dec 6;141(24):755-62.

Abstract

The etiology of autoimmunity diseases includes an immunological reaction against various autoantigens. The HLA molecules play an important role in the antigen presentation process to the immune system. The HLA genes were found as the most significant genetic predisposition factor. The strongest association described in the literature is the association of HLA-B27 with ankylosing spondylitis. Associations were since usually observed with HLA-DR and DQ genes. We are also focused on Diabetes mellitus 1. type. Diabetes is an organ specific autoimmune disease characterised by destruction of beta-cells of Langerhansen pancreatic islets. The cause of the destruction process is not known yet, but it seems to be triggered by repeated presentation of self-antigen hGAD65 to the immune system. This review presents the most interesting solutions and hypotheses of the unanswered question about HLA association mechanism.

摘要

自身免疫性疾病的病因包括针对各种自身抗原的免疫反应。HLA分子在向免疫系统呈递抗原的过程中发挥重要作用。HLA基因被发现是最重要的遗传易感性因素。文献中描述的最强关联是HLA - B27与强直性脊柱炎的关联。此后通常观察到与HLA - DR和DQ基因的关联。我们也关注1型糖尿病。糖尿病是一种器官特异性自身免疫性疾病,其特征是朗格汉斯胰岛的β细胞被破坏。破坏过程的原因尚不清楚,但似乎是由自身抗原hGAD65反复呈递给免疫系统所触发的。本综述介绍了关于HLA关联机制这一未解决问题的最有趣的解决方案和假设。

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