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[系统性红斑狼疮(SLE)的发病机制——补体的核心作用]

[Pathogenesis of systemic lupus erythematosus (SLE)--the central role of complement].

作者信息

Trendelenburg M

机构信息

Medizinische Klinik B, Kantonsspital Basel.

出版信息

Ther Umsch. 2005 May;62(5):285-91. doi: 10.1024/0040-5930.62.5.285.

Abstract

The traditional view of the pathogenesis of SLE is that immune complexes containing autoantigens and autoantibodies activate complement, and that this causes inflammatory injury to tissues. Although this model is biologically plausible, it cannot account for all of the clinical observations that link the complement system and SLE. In particular, the observation that complement deficiency causes lupus is hard to reconcile with the concept that complement activation products are the major cause of inflammatory injury in the disease. More recent data suggests that the role of complement in SLE is rather protective. Bindung of complement might prevent an autoimmune response by supporting the clearance of immuncomplexes and apoptotic cell debrid.

摘要

系统性红斑狼疮(SLE)发病机制的传统观点认为,含有自身抗原和自身抗体的免疫复合物激活补体,进而导致组织发生炎性损伤。尽管该模型在生物学上看似合理,但它无法解释所有将补体系统与SLE联系起来的临床观察结果。特别是,补体缺陷会引发狼疮这一观察结果,很难与补体激活产物是该疾病炎性损伤主要原因的概念相协调。最近的数据表明,补体在SLE中的作用具有相当的保护性质。补体的结合可能通过促进免疫复合物的清除和凋亡细胞碎片的清除来预防自身免疫反应。

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