Azienda Ospedaliera S. Andrea, Rome, Italy.
Int Rev Immunol. 2010 Jun;29(3):239-46. doi: 10.3109/08830181003792795.
Vaccine administration is a very effective tool to prevent infectious diseases, but its powerful stimulus on the immune system has generated the fear of exacerbating previously diagnosed autoimmune diseases. Such a fear is also a consequence of the generally anecdotal observation of post-vaccine autoimmune reactions in few previously healthy susceptible individuals. However, patients with autoimmune diseases have an approximately double risk than the general population of developing infections. Thus, the matter has been analyzed from a double point of view, the possible induction of autoimmunity by vaccinations in healthy people and the vaccination safety and immunogenicity in patients with autoimmune diseases.
疫苗接种是预防传染病的非常有效手段,但它对免疫系统的强大刺激作用引发了人们对疫苗接种会加重先前诊断的自身免疫性疾病的担忧。这种担忧也是基于少数先前健康易感个体接种疫苗后出现自身免疫反应的一般传闻观察得出的结果。然而,与普通人群相比,自身免疫性疾病患者发生感染的风险大约高出两倍。因此,人们从两个角度对此问题进行了分析,即疫苗在健康人群中是否可能引发自身免疫,以及患有自身免疫性疾病患者的疫苗接种安全性和免疫原性。