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特应性皮炎的新认识:皮肤屏障和免疫失调的作用。

New insights into atopic dermatitis: role of skin barrier and immune dysregulation.

机构信息

Division of Pediatric Allergy-Immunology, Department of Pediatrics, National Jewish Health, Denver, CO 80206, USA.

出版信息

Allergol Int. 2013 Jun;62(2):151-61. doi: 10.2332/allergolint.13-RAI-0564.

DOI:10.2332/allergolint.13-RAI-0564
PMID:23712284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8609663/
Abstract

Atopic dermatitis (AD) is a chronic inflammatory skin disease that is often associated with the development of food allergy and asthma. New insights into AD reveals an important role for structural abnormalities in the epidermis resulting in a leaky epithelial barrier as well as chronic immune activation that contribute to the pathophysiology of this common skin disease. Patients with AD have a predisposition to colonization or infection by microbial organisms, most notably Staphylococcus aureus and herpes simplex virus (HSV). Measures directed at healing and protecting the skin barrier and controlling the immune activation are needed for effective management of AD. Early intervention may improve outcomes for AD as well as reduce the systemic allergen sensitization that may lead to associated allergic diseases in other organs.

摘要

特应性皮炎(AD)是一种慢性炎症性皮肤病,常与食物过敏和哮喘的发展有关。AD 的新见解揭示了表皮结构异常在导致上皮屏障通透性增加以及慢性免疫激活方面的重要作用,这有助于理解这种常见皮肤病的病理生理学。AD 患者容易被微生物定植或感染,最常见的是金黄色葡萄球菌和单纯疱疹病毒(HSV)。需要采取措施来修复和保护皮肤屏障,控制免疫激活,以有效管理 AD。早期干预可能改善 AD 的预后,并减少可能导致其他器官相关过敏性疾病的全身性过敏原致敏。

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本文引用的文献

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Vitamin D in allergic disease: shedding light on a complex problem.维生素 D 在过敏性疾病中的作用:揭示一个复杂问题。
J Allergy Clin Immunol. 2013 Feb;131(2):324-9. doi: 10.1016/j.jaci.2012.12.1562.
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Atopic dermatitis: a practice parameter update 2012.特应性皮炎:2012 年实践参数更新。
J Allergy Clin Immunol. 2013 Feb;131(2):295-9.e1-27. doi: 10.1016/j.jaci.2012.12.672.
3
The multifunctional role of filaggrin in allergic skin disease.丝聚合蛋白在过敏性皮肤疾病中的多功能作用。
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The cutaneous innate immune response in patients with atopic dermatitis.特应性皮炎患者的皮肤固有免疫反应。
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5
Coal tar induces AHR-dependent skin barrier repair in atopic dermatitis.煤焦油诱导特应性皮炎中 AHR 依赖性皮肤屏障修复。
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Filaggrin-dependent secretion of sphingomyelinase protects against staphylococcal α-toxin-induced keratinocyte death.丝氨酸棕榈酰转移酶 2 基因启动子区突变与寻常型鱼鳞病的相关性研究
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