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中枢神经系统损伤的自身免疫和炎症机制。

Autoimmune and inflammatory mechanisms of CNS damage.

机构信息

Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.

出版信息

Prog Neurobiol. 2011 Nov;95(3):301-33. doi: 10.1016/j.pneurobio.2011.08.008. Epub 2011 Aug 26.

Abstract

Brain morphology and function are susceptible to various psysiological influences, including changes in the immune system. Inflammation and autoimmunity are two principal immunological responses that can compromise the function of multiple organs and tissues, including the central nervous system. The present article reviews clinical and experimental evidence pointing to structural brain damage induced by chronic autoimmune and/or inflammatory processes. Largely due to the vast complexity of neuroendocrine and immune systems, most of the principal pathogenic circuits are far from elucidated. In addition to summarizing the current knowledge, this article aims to highlight the importance of interdisciplinary research and combined efforts of physicians and scientists in revealing the intricate links between immunity and mental health.

摘要

大脑形态和功能易受多种生理影响,包括免疫系统变化的影响。炎症和自身免疫是两种主要的免疫反应,可损害包括中枢神经系统在内的多个器官和组织的功能。本文综述了指向慢性自身免疫和/或炎症过程引起的结构性脑损伤的临床和实验证据。主要是由于神经内分泌和免疫系统的巨大复杂性,大多数主要的致病回路仍远未阐明。除了总结现有知识外,本文还旨在强调跨学科研究和医生与科学家共同努力的重要性,以揭示免疫与心理健康之间错综复杂的联系。

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