Zubair Adeel, Frieri Marianne
Mayo Medical School, Rochester, Minnesota - USA.
J Nephrol. 2013 Nov-Dec;26(6):953-9. doi: 10.5301/jn.5000272. Epub 2013 Jun 14.
Physicians should be knowledgeable regarding several aspects of autoimmune disorders, especially systemic lupus erythematosus (SLE), with which patients can present in their office with urticaria or vasculitis and which may masquerade as another condition. This paper reviews the link between NF-κB and SLE, including B-cell development, signaling and cytokines which play a crucial role in the pathogenesis of SLE and T-cell development, a key player in T-cell activation. The roles of dendritic cells, which can promote tolerance or immunity to antigens, of polymorphisms and of NF-κB, which are linked with SLE, are also discussed. The role of Toll-like receptors which are important in the pathogenesis of SLE and lupus nephritis is also discussed.
医生应该了解自身免疫性疾病的几个方面,尤其是系统性红斑狼疮(SLE),患者可能会因荨麻疹或血管炎前来就诊,而这种疾病可能会伪装成另一种病症。本文综述了核因子κB(NF-κB)与SLE之间的联系,包括在SLE发病机制中起关键作用的B细胞发育、信号传导和细胞因子,以及T细胞活化中的关键参与者T细胞发育。还讨论了可促进对抗原的耐受性或免疫性的树突状细胞、多态性以及与SLE相关的NF-κB的作用。此外,还讨论了在SLE和狼疮性肾炎发病机制中起重要作用的Toll样受体的作用。