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清晰认识多发性硬化症的神经免疫学及其他方面。

A clear look at the neuroimmunology of multiple sclerosis and beyond.

机构信息

Division of Rheumatology, Allergy, and Clinical Immunology, University of California, Davis, United States.

出版信息

Autoimmun Rev. 2012 Jan;11(3):159-62. doi: 10.1016/j.autrev.2011.05.006. Epub 2011 May 23.

Abstract

The term neuroimmunology was first coined to refer to a generic involvement of the immune system in the pathogenesis of neurological diseases, particularly of the central nervous system. Since then, the neuroimmunology spectrum has steadily grown and currently spans from classical autoimmune diseases of the central and peripheral nervous systems to previously unsuspected conditions such as autism spectrum disorders or chronic fatigue syndrome. Multiple sclerosis remains the predominant entity in terms of research efforts and social pressure as well as a good model of organ-specific autoimmune disease with limited therapeutic options. While the fast-pace genome-wide association studies reported a number of genes to be significantly associated with multiple sclerosis, these currently explain only a minor part of disease susceptibility. Further, clinicians are continuously challenged with the clinical classifications of immune-mediated or autoimmune central and peripheral conditions and with other pragmatic questions such as the roles of vaccination and physical therapy. For these reasons the present collection of Autoimmunity Reviews is timely as it will address these major issues related to neuroimmunology.

摘要

神经免疫学一词最初是指免疫系统普遍参与神经系统疾病,尤其是中枢神经系统疾病的发病机制。从那时起,神经免疫学的范围一直在稳步扩大,目前涵盖了从中枢和外周神经系统的经典自身免疫性疾病到以前未被怀疑的疾病,如自闭症谱系障碍或慢性疲劳综合征。多发性硬化症仍然是研究工作和社会压力方面的主要实体,也是一种具有有限治疗选择的器官特异性自身免疫性疾病的良好模型。虽然全基因组关联研究报告了许多与多发性硬化症显著相关的基因,但这些目前仅能解释疾病易感性的一小部分。此外,临床医生不断面临免疫介导或自身免疫性中枢和外周疾病的临床分类以及其他实际问题,如疫苗接种和物理治疗的作用。出于这些原因,本期《自身免疫评论》的出版非常及时,因为它将解决与神经免疫学相关的这些主要问题。

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