类风湿关节炎加速衰老的神经内分泌-免疫方面

Neuroendocrine-immune aspects of accelerated aging in rheumatoid arthritis.

作者信息

Härle Peter, Straub Rainer H

机构信息

Lab. Exp. Rheumatology & Neuroendocrino-Immunology, Div. of Rheumatology, Dept. of Internal Medicine I, University Hospital, 93042 Regensburg, Germany.

出版信息

Curr Rheumatol Rep. 2005 Oct;7(5):389-94. doi: 10.1007/s11926-005-0027-6.

Abstract

The normal process of aging brings about changes in immune function, hormonal status, overall metabolism, and enhanced occurrence of neuropsychiatric disorders. These alterations are also evident at an accelerating pace in chronic inflammatory diseases. Treatment with immunosuppressive therapeutics is often not sufficiently effective. Treating neuroendocrine-immune alterations to regain homeostasis might enhance remission inducing and maintaining effects. This paper summarizes the phenomena related to normal aging and related to chronic inflammatory disease. Furthermore, a multimodal concept is being proposed to control more effectively chronic inflammatory disease on a neuroendocrine-immune basis.

摘要

正常的衰老过程会导致免疫功能、激素状态、整体新陈代谢发生变化,并增加神经精神疾病的发生率。这些改变在慢性炎症性疾病中也以加速的速度明显出现。免疫抑制疗法的治疗效果往往不够理想。治疗神经内分泌 - 免疫改变以恢复内环境稳定可能会增强诱导缓解和维持缓解的效果。本文总结了与正常衰老以及慢性炎症性疾病相关的现象。此外,还提出了一种多模式概念,以便在神经内分泌 - 免疫基础上更有效地控制慢性炎症性疾病。

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