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[重温过敏。在石坂发现IgE 35年后]

[Revisiting allergy. 35 years after Ishizaka's discovery of IgE].

作者信息

Burgio G R

机构信息

Dipartimento di Scienze Pediatriche, Università di Pavia, IRCCS Policlinico San Matteo, Pavia.

出版信息

Pediatr Med Chir. 2003 Mar-Apr;25(2):89-95.

Abstract

Some food intolerance ascribable to the individual, namely to the way he reacts to food (in particular, to cheese), was described by Hippocrates (as early as 460-375 B.C.) Since the beginning of modern era, a fascinating literature reports respiratory distress retrospectively viewed as of allergic-asthmatic origin. In the early twenties of 20th century the existence of "reagins" was first signaled, while we have to wait over four decades for the demonstration that these "reagins" were antibodies of the IgE class. However, at the present time, we have reached deep insight into the issue of allergy physio-pathology: from the role of Th2 lymphocytes to that of cytokines selectively involved in the onset of allergic inflammatory reactions, with the future goal of treatments focused more on the physio-pathology of "allergic reactions" than on counteracting its effects.

摘要

希波克拉底(早在公元前460 - 375年)就描述了一些可归因于个体的食物不耐受情况,即个体对食物(特别是奶酪)的反应方式。自现代开始以来,有大量引人入胜的文献报道了呼吸窘迫,回顾性地认为其起源于过敏性哮喘。在20世纪20年代初首次发现了“反应素”的存在,而我们又等了四十多年才证明这些“反应素”是IgE类抗体。然而,目前我们已经对过敏的生理病理学问题有了深入的了解:从Th2淋巴细胞的作用到选择性参与过敏性炎症反应发作的细胞因子的作用,未来治疗的目标更多地集中在“过敏反应”的生理病理学上,而不是对抗其影响。

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