炎症性肠病细胞因子谱的变化。
Changes of the cytokine profile in inflammatory bowel diseases.
机构信息
2nd Department of Internal Medicine, Semmelweis University, 1088 Budapest, Hungary.
出版信息
World J Gastroenterol. 2012 Nov 7;18(41):5848-61. doi: 10.3748/wjg.v18.i41.5848.
Cytokines are indispensable signals of the mucosa-associated immune system for maintaining normal gut homeostasis. An imbalance of their profile in favour of inflammation initiation may lead to disease states, such as that is observed in inflammatory bowel diseases (IBD). Although Crohn's disease (CD) is often described as a prototype of T-helper 1-type diseases, and ulcerative colitis (UC) is traditionally viewed as a T-helper 2-mediated condition, the classic paradigm, which categorises cytokines into pro- and anti-inflammatory groups, has recently been changed. The inflammation regulatory pathways may not be mutually exclusive as individual cytokines can have diverse and even opposing functions in various clinical and immunological settings. None the less there are many common immunological responses in IBD that are mediated by cytokines. Although they regulate and influence the development, course and recurrence of the inflammatory process, the concrete pathogenic role of these small signaling molecules is sometimes not unambiguous in the subtypes of the disease. Our aim is to review the current information about pro- and anti-inflammatory effects of traditionally studied and recently discovered cytokines in the pathogenesis of UC and CD. The better understanding of their production and functional activity may lead to the development of new therapeutic modalities.
细胞因子是黏膜相关免疫系统维持正常肠道内稳态所必需的信号。其谱的失衡有利于炎症的启动,可能导致疾病状态,如炎症性肠病 (IBD) 中观察到的状态。虽然克罗恩病 (CD) 通常被描述为 T 辅助 1 型疾病的原型,溃疡性结肠炎 (UC) 传统上被视为 T 辅助 2 介导的疾病,但最近经典范式已将细胞因子分为促炎和抗炎细胞因子。炎症调节途径可能不是相互排斥的,因为单个细胞因子在不同的临床和免疫学环境中可能具有不同甚至相反的功能。尽管如此,IBD 中有许多共同的免疫反应是由细胞因子介导的。尽管它们调节和影响炎症过程的发展、进程和复发,但这些小分子信号分子在疾病的亚型中的具体致病作用有时并不明确。我们的目的是综述传统研究和最近发现的细胞因子在 UC 和 CD 发病机制中的促炎和抗炎作用的最新信息。更好地了解它们的产生和功能活性可能会导致新的治疗方法的发展。