Institute of Medical Science, St. Marianna University School of Medicine, Kanagawa, 2-16-1 Sugao, Miyamae-ku, Kawasaki-shi, Kanagawa, Japan.
Nat Rev Rheumatol. 2010 Feb;6(2):106-11. doi: 10.1038/nrrheum.2009.257.
Asia is home to more than half of the world's population and is a region of diverse ethnicity, culture, microbial endemicity, and economic backgrounds. This diversity is also reflected in the heterogeneity among Asian patients with rheumatic diseases in terms of clinical manifestations, disease courses, treatment responses and outcomes, which provides opportunities for researchers to conduct some unique studies. Several disease entities, such as Behçet syndrome, Takayasu arteritis, Kawasaki disease, and immunological disorders associated with human T-lymphotropic virus type 1 (HTLV-1), were first observed and defined in Asia. In addition, the region's researchers have been at the forefront of research in some interesting scientific topics, which has opened up new research avenues in rheumatology, such as the direct targeting of synovial cells in patients with rheumatoid arthritis via activation of the agonistic Fas pathway, establishment of the field of osteoimmunology, the discovery of regulatory T cells and synoviolin, and the development of tocilizumab, a humanized monoclonal antibody against interleukin-6 receptor.
亚洲拥有世界上一半以上的人口,是一个种族、文化、微生物地方性和经济背景多样化的地区。这种多样性也反映在亚洲风湿性疾病患者的临床表现、疾病过程、治疗反应和结果的异质性中,这为研究人员提供了开展一些独特研究的机会。一些疾病实体,如贝切特综合征、大动脉炎、川崎病和与人类 T 淋巴细胞病毒 1(HTLV-1)相关的免疫性疾病,首先在亚洲被观察到并定义。此外,该地区的研究人员一直处于某些有趣科学主题研究的前沿,这为风湿病学开辟了新的研究途径,例如通过激活激动性 Fas 途径直接靶向类风湿关节炎患者的滑膜细胞、骨免疫学领域的建立、调节性 T 细胞和滑膜蛋白的发现,以及白细胞介素-6 受体的人源化单克隆抗体托珠单抗的开发。