van der Vliet Hans J J, Nieuwenhuis Edward E
Department of Medical Oncology, Vrije Universiteit Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands.
Clin Dev Immunol. 2007;2007:89017. doi: 10.1155/2007/89017.
Immunodysregulation, polyendocrinopathy, enteropathy, X-linked (IPEX) syndrome is a rare disorder caused by mutations in the FOXP3 gene that result in the defective development of CD4+CD25+ regulatory T cells which constitute an important T cell subset involved in immune homeostasis and protection against autoimmunity. Their deficiency is the hallmark of IPEX and leads to severe autoimmune phenomena including autoimmune enteropathy, dermatitis, thyroiditis, and type 1 diabetes, frequently resulting in death within the first 2 years of life. Apart from its clinical implications, IPEX illustrates the importance of immunoregulatory cells such as CD4+CD25+ regulatory T cells.
免疫失调、多内分泌腺病、肠病、X连锁(IPEX)综合征是一种罕见的疾病,由FOXP3基因突变引起,该突变导致CD4+CD25+调节性T细胞发育缺陷,而CD4+CD25+调节性T细胞是参与免疫稳态和预防自身免疫的重要T细胞亚群。它们的缺乏是IPEX的标志,会导致严重的自身免疫现象,包括自身免疫性肠病、皮炎、甲状腺炎和1型糖尿病,常导致在生命的头2年内死亡。除了其临床意义外,IPEX还说明了免疫调节细胞如CD4+CD25+调节性T细胞的重要性。