Marcińska Katarzyna, Szczepanik Marian
Zakład Biologii Rozwoju Człowieka, Instytut Pielęgniarstwa i Położnictwa, Uniwersytet Jagielloński Collegium Medicum, 31-034 Kraków.
Postepy Hig Med Dosw (Online). 2010 Aug 4;64:372-85.
Rheumatoid arthritis (RA) represents an example of the autoimmune disease. With a prevalence of 1% worldwide, the pathogenesis of RA is not clear yet. At present it is thought that the pathogenesis of RA results from an inflammatory response mediated by CD4+ Th1 cells that recognize unidentified antigens present in bone joints. Recently, there is a growing evidence for a role for Th17 lymphocytes in autoimmunity, including RA, suggesting that this population of helper cells may be more important in the pathogenesis of RA than Th1 cells. Thus far, treatment modalities for RA are limited, with the prevailing one acting nonspecifically on the immune system. However, such an approach results in a general immunosuppression and is accompanied by severe side-effects. There is a large demand for developing RA therapy that particularly targets pathogenic antigen-specific T cells. Research on pathogenesis of the autoimmune diseases, and development of new drugs is now possible thanks to experimental animal models that mimic human diseases. Collagen-induced arthritis (CIA) in genetically susceptible strains of mice, rats, rabbits or rhesus monkeys has been used as an experimental model of RA, as it shares many histological and immunological features. The knowledge gained using this model allows to better understand the pathogenesis of RA and, consequently, to manipulate particular components of the immune system to develop efficient therapies.
类风湿性关节炎(RA)是自身免疫性疾病的一个例子。其在全球的患病率为1%,RA的发病机制尚不清楚。目前认为,RA的发病机制是由识别存在于骨关节中未知抗原的CD4 + Th1细胞介导的炎症反应所致。最近,越来越多的证据表明Th17淋巴细胞在包括RA在内的自身免疫中发挥作用,这表明这群辅助性细胞在RA发病机制中可能比Th1细胞更重要。迄今为止,RA的治疗方式有限,主要的治疗方式对免疫系统起非特异性作用。然而,这种方法会导致全身免疫抑制,并伴有严重的副作用。迫切需要开发特别针对致病性抗原特异性T细胞的RA治疗方法。由于存在模拟人类疾病的实验动物模型,现在对自身免疫性疾病发病机制的研究和新药的开发成为可能。在基因易感的小鼠、大鼠、兔子或恒河猴品系中诱导的胶原诱导性关节炎(CIA)已被用作RA的实验模型,因为它具有许多组织学和免疫学特征。利用该模型获得的知识有助于更好地理解RA的发病机制,从而操纵免疫系统的特定成分以开发有效的治疗方法。