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乳糜泻的新进展

New aspects in celiac disease.

作者信息

Torres M I, López Casado M A, Ríos A

出版信息

World J Gastroenterol. 2007 Feb 28;13(8):1156-61. doi: 10.3748/wjg.v13.i8.1156.

Abstract

Celiac disease (CD) is a common autoimmune disorder characterized by an immune response to ingested gluten and has a strong HLA association with HLA-DQ2 and HLA-DQ8 molecules, but human HLA-DQ risk factors do not explain the entire genetic susceptibility to gluten intolerance. CD is caused by the lack of immune tolerance (oral tolerance) to wheat gluten. In this sense, the expression of soluble HLA-G in CD is of special interest because the molecule plays an important role in the induction of immune tolerance. The enhanced expression of soluble HLA-G found in CD may be part of a mechanism to restore the gluten intolerance. In this editorial, we review recent progress in understanding CD in relation to its prevalence, diagnosis and possible mechanisms of pathogenesis.

摘要

乳糜泻(CD)是一种常见的自身免疫性疾病,其特征为对摄入的麸质产生免疫反应,并且与HLA-DQ2和HLA-DQ8分子有很强的HLA关联,但人类HLA-DQ风险因素并不能解释麸质不耐受的全部遗传易感性。CD是由于对小麦麸质缺乏免疫耐受(口服耐受)所致。从这个意义上讲,CD中可溶性HLA-G的表达特别引人关注,因为该分子在诱导免疫耐受中起重要作用。在CD中发现的可溶性HLA-G的表达增强可能是恢复麸质不耐受机制的一部分。在这篇社论中,我们综述了在了解CD的患病率、诊断及可能的发病机制方面的最新进展。

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