分子模拟作为中枢神经系统自身免疫性脱髓鞘疾病的诱导触发因素。

Molecular mimicry as an inducing trigger for CNS autoimmune demyelinating disease.

机构信息

Department of Microbiology-Immunology and Interdepartmental Immunobiology Center, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.

出版信息

Immunol Rev. 2012 Jan;245(1):227-38. doi: 10.1111/j.1600-065X.2011.01076.x.

Abstract

Multiple sclerosis (MS) is an autoimmune disease of the central nervous system (CNS) that affects about 0.1% of the worldwide population. This deleterious disease is marked by infiltration of myelin-specific T cells that attack the protective myelin sheath that surrounds CNS nerve axons. Upon demyelination, saltatory nerve conduction is disrupted, and patients experience neurologic deficiencies. The exact cause for MS remains unknown, although most evidence supports the hypothesis that both genetic and environmental factors contribute to disease development. Epidemiologic evidence supports a role for environmental pathogens, such as viruses, as potentially key contributors to MS induction. Pathogens can induce autoimmunity via several well-studied mechanisms with the most postulated being molecular mimicry. Molecular mimicry occurs when T cells specific for peptide epitopes derived from pathogens cross-react with self-epitopes, leading to autoimmune tissue destruction. In this review, we discuss an in vivo virus-induced mouse model of MS developed in our laboratory, which has contributed greatly to our understanding of the mechanisms underlying molecular mimicry-induced CNS autoimmunity.

摘要

多发性硬化症(MS)是一种影响全球约 0.1%人口的中枢神经系统(CNS)自身免疫性疾病。这种有害疾病的特征是浸润髓鞘特异性 T 细胞,攻击围绕 CNS 神经轴突的保护性髓鞘鞘。脱髓鞘后,神经传导出现跳跃性中断,患者出现神经功能缺陷。MS 的确切病因尚不清楚,尽管大多数证据支持这样一种假设,即遗传和环境因素都有助于疾病的发展。流行病学证据支持环境病原体(如病毒)在多发性硬化症诱导中可能起到关键作用。病原体可以通过几种经过充分研究的机制诱导自身免疫,其中最推测的是分子模拟。当针对病原体衍生肽表位的 T 细胞与自身表位发生交叉反应时,就会发生分子模拟,导致自身免疫性组织破坏。在这篇综述中,我们讨论了我们实验室开发的一种体内病毒诱导的 MS 小鼠模型,该模型极大地促进了我们对分子模拟诱导的 CNS 自身免疫机制的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ebb/7165709/e90e62c50831/IMR-245-227-g001.jpg

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