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新疗法在格雷夫斯病和甲状腺相关性眼病中的应用:动物模型及向人类临床试验的转化

Application of new therapies in Graves' disease and thyroid-associated ophthalmopathy: animal models and translation to human clinical trials.

作者信息

Banga J Paul, Nielsen Claus H, Gilbert Jacqueline A, El Fassi Daniel, Hegedus Laszlo

机构信息

Division of Gene and Cell Based Therapy, King's College London School of Medicine, London, United Kingdom.

出版信息

Thyroid. 2008 Sep;18(9):973-81. doi: 10.1089/thy.2007.0406.

DOI:10.1089/thy.2007.0406
PMID:18752425
Abstract

Most current approaches for treating Graves' disease are based essentially upon regimes developed nearly 50 years ago. Moreover, therapeutic approaches for complications such as thyroid-associated ophthalmopathy (TAO) and dermopathy are singularly dependent on conventional approaches of nonspecific immunosuppression. The recent development of an induced model of experimental Graves' disease, although incomplete as it lacks the extrathyroidal manifestations, provided opportunities to investigate immune intervention strategies, including influence upon the autoreactive B and T cell players in the autoimmune process. These major advances are generating new possibilities for therapeutic interventions for patients with Graves' disease and TAO.

摘要

目前大多数治疗格雷夫斯病的方法基本上是基于近50年前制定的方案。此外,对于甲状腺相关眼病(TAO)和皮肤病等并发症的治疗方法完全依赖于非特异性免疫抑制的传统方法。实验性格雷夫斯病诱导模型的最新进展,尽管由于缺乏甲状腺外表现而不完整,但为研究免疫干预策略提供了机会,包括对自身免疫过程中自身反应性B细胞和T细胞参与者的影响。这些重大进展为格雷夫斯病和TAO患者的治疗干预带来了新的可能性。

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引用本文的文献

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Decrease in proportion of CD19+ CD24(hi) CD27+ B cells and impairment of their suppressive function in Graves' disease.Graves 病患者外周血 CD19+ CD24(hi) CD27+ B 细胞比例下降及其抑制功能受损
PLoS One. 2012;7(11):e49835. doi: 10.1371/journal.pone.0049835. Epub 2012 Nov 26.
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Orbital fibrosis in a mouse model of Graves' disease induced by genetic immunization of thyrotropin receptor cDNA.
Graves 病小鼠模型中,通过促甲状腺激素受体 cDNA 的基因免疫诱导眼眶纤维化。
J Endocrinol. 2011 Sep;210(3):369-77. doi: 10.1530/JOE-11-0162. Epub 2011 Jun 29.
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Update on the medical treatment of Graves' ophthalmopathy.格雷夫斯眼病的医学治疗进展。
Int J Gen Med. 2009 Dec 29;2:263-9. doi: 10.2147/ijgm.s6856.
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Clonal relationships between thyroid-stimulating hormone receptor-stimulating antibodies illustrate the effect of hypermutation on antibody function.促甲状腺激素受体刺激抗体之间的克隆关系说明了超突变对抗体功能的影响。
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