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老年人的自身免疫:对癌症的影响。

Autoimmunity in the elderly: Implications for cancer.

作者信息

Malaguarnera Michele, Cristaldi Erika, Romano Giulia, Malaguarnera Lucia

机构信息

Department of Internal Medicine and Systemic Pathologies, University of Catania, Italy.

出版信息

J Cancer Res Ther. 2012 Oct-Dec;8(4):520-7. doi: 10.4103/0973-1482.106527.

Abstract

Immunosenescence is the aging process involving the immune system competencies. These changes imply a reduced level of immunosurveillance against cancer onset and the occurrence of autoimmune phenomena. The clinical presentation of autoimmune diseases in the elderly is characterized in most cases by atypical features, insidious presentation and poor specificity of laboratory parameters. The role of autoimmune reactivity in the elderly either as a consequence of or as a risk factor for cancer development has aroused great interest among clinicians and researchers, as well as the influence of a chronic inflammatory state as a predisposing factor for autoimmunity and cancer occurrence. Particularly, we have investigated the pathogenetic effect of two cell subsets, Treg cells and Th17 lymphocytes, involved in the control mechanisms both of autoimmune reactions and cancer onset, as the possible future approach to treat cancer in older adults.

摘要

免疫衰老指的是涉及免疫系统功能的衰老过程。这些变化意味着针对癌症发生的免疫监视水平降低以及自身免疫现象的出现。老年人自身免疫性疾病的临床表现大多具有非典型特征、隐匿性起病以及实验室参数特异性差的特点。老年人自身免疫反应作为癌症发生的结果或危险因素所起的作用,以及慢性炎症状态作为自身免疫和癌症发生的 predisposing 因素的影响,引起了临床医生和研究人员的极大兴趣。特别是,我们研究了两个细胞亚群,即调节性 T 细胞(Treg 细胞)和辅助性 T 细胞 17(Th17)淋巴细胞,在自身免疫反应和癌症发生的控制机制中的致病作用,作为未来治疗老年人癌症的可能方法。 注:原文中“predisposing”未准确翻译出,结合语境推测可能是“诱发、 predisposing 因素”等意思,这里先保留原文未完整翻译的词。

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