炎症性肠病中的免疫功能障碍。

Immune dysfunction in inflammatory bowel disease.

作者信息

Neuman Manuela G

机构信息

Department of Pharmacology and Institute of Drug Research, University of Toronto, Toronto, Ontario, Canada.

出版信息

Transl Res. 2007 Apr;149(4):173-86. doi: 10.1016/j.trsl.2006.11.009.

Abstract

Ulcerative colitis (UC) and Crohn's disease (CD) are idiopathic inflammatory bowel diseases (IBDs) that are characterized by chronic periods of exacerbation and remission. Research into the immunopathogenesis of IBD adds support to the theory that the disease results from a dysfunctional regulation of the immune system that leads to the polarization of intestinal immune cells toward a Th1 (T helper) response. The immunologic factors that mediate alterations in intestinal homeostasis and the development of intestinal mucosal inflammation have been at the forefront of IBD research. Cytokines, which are important regulators of leukocyte trafficking and apoptotic cell death, have emerged as essential immune molecules in the pathogenesis of IBD. In this study, recent advances in the understanding of the dynamism of cytokines and the consequences for mucosal immunity and inflammation in IBD are discussed. Furthermore, this study highlights the potential use of cytokines, anti-cytokine antibodies, and cytokine-related biologic therapies as novel targets for the treatment of IBD.

摘要

溃疡性结肠炎(UC)和克罗恩病(CD)是特发性炎症性肠病(IBD),其特征为疾病呈慢性发作与缓解交替。对IBD免疫发病机制的研究支持了这样一种理论,即该疾病是由免疫系统调节功能失调导致肠道免疫细胞向Th1(辅助性T)反应极化所引起的。介导肠道内环境稳态改变及肠道黏膜炎症发展的免疫因素一直是IBD研究的前沿热点。细胞因子作为白细胞迁移和凋亡性细胞死亡的重要调节因子,已成为IBD发病机制中的关键免疫分子。在本研究中,我们将讨论对细胞因子动态变化的最新认识以及其对IBD黏膜免疫和炎症的影响。此外,本研究还强调了细胞因子、抗细胞因子抗体及细胞因子相关生物疗法作为IBD治疗新靶点的潜在用途。

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