Ramos-Bello Dolores, Ramos-Niembro Francisco
Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, NL, México.
Gac Med Mex. 2008 Jan-Feb;144(1):55-65.
Initially identified as a defense mechanism against viral infections, in the last 50 years interferons have been defined a group of substances belonging to the cytokine family indispensable for the normal functioning of the immune system. Derived from their pleiotropic functions interferons were the first biological products used to treat several diseases. Their properties have progressively placed them as the first treatment choice for chronic infection with hepatitis B virus, hepatitis C virus, multiple sclerosis, some forms of leukemia, melanoma, etc. It has been noted however that the administration of supra physiological doses of interferons with therapeutic objectives, independently of its primary indication, has been associated with significant toxicity, including autoimmunity and induction of more than thirty different autoimmune diseases.
最初被确定为一种针对病毒感染的防御机制,在过去50年里,干扰素已被定义为一组属于细胞因子家族的物质,对免疫系统的正常运作不可或缺。由于其多效性功能,干扰素是最早用于治疗多种疾病的生物制品。它们的特性逐渐使它们成为治疗乙型肝炎病毒、丙型肝炎病毒慢性感染、多发性硬化症、某些形式的白血病、黑色素瘤等疾病的首选治疗方法。然而,已经注意到,出于治疗目的给予超生理剂量的干扰素,无论其主要适应症如何,都与显著的毒性有关,包括自身免疫以及诱发三十多种不同的自身免疫性疾病。