Niederkorn Jerry Y
Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9057, USA.
Nat Immunol. 2006 Apr;7(4):354-9. doi: 10.1038/ni1328.
Immune-mediated inflammation and allograft rejection are greatly reduced in certain organs, a phenomenon called 'immune privilege'. Immune privilege is well developed in three regions of the body: the eye, the brain and the pregnant uterus. Immune-mediated inflammation has devastating consequences in the eye and brain, which have limited capacity for regeneration. Likewise, loss of immune privilege at the maternal-fetal interface culminates in abortion in rodents. However, all three regions share many adaptations that restrict the induction and expression of immune-mediated inflammation. A growing body of evidence from rodent studies suggests that a breakdown in immune privilege contributes to multiple sclerosis, uveitis, corneal allograft rejection and possibly even immune abortion.
在某些器官中,免疫介导的炎症和同种异体移植排斥反应会大大减轻,这种现象被称为“免疫赦免”。免疫赦免在身体的三个区域发育良好:眼睛、大脑和妊娠子宫。免疫介导的炎症在眼睛和大脑中会产生毁灭性后果,因为它们的再生能力有限。同样,母胎界面处免疫赦免的丧失在啮齿动物中最终会导致流产。然而,这三个区域都有许多适应性变化,可限制免疫介导炎症的诱导和表达。来自啮齿动物研究的越来越多的证据表明,免疫赦免的破坏会导致多发性硬化症、葡萄膜炎、角膜移植排斥反应,甚至可能导致免疫性流产。