Mirshafiey Abbas, Kianiaslani Mahsa
Departmant of Immunology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Allergy Asthma Immunol. 2013 Aug 28;12(4):292-303.
Multiple sclerosis (MS) is an autoimmune disease characterized by recurrent episodes of demyelination and axonal lesion mediated by CD4+ T cells with a proinflammatory T helper (Th)1 and Th17 phenotypes, macrophages, and soluble inflammatory mediators. The overactive pro-inflammatory Th1 cells and clonal expansion of B cells initiate an inflammatory cascade with several cellular and molecular immune components participating in MS pathogenic mechanisms. In this scenario, autoantibodies and autoantigens have a significant role in immunopathogenesis, diagnosis and therapeutic targets of MS. In this review, we try to introduce the autoantigens and autoantibodies and explain their roles in pathogenesis of MS.
多发性硬化症(MS)是一种自身免疫性疾病,其特征为CD4 + T细胞介导的复发性脱髓鞘和轴突损伤,这些T细胞具有促炎性辅助性T细胞(Th)1和Th17表型、巨噬细胞以及可溶性炎症介质。过度活跃的促炎性Th1细胞和B细胞的克隆扩增引发了炎症级联反应,有几种细胞和分子免疫成分参与了MS的致病机制。在这种情况下,自身抗体和自身抗原在MS的免疫发病机制、诊断和治疗靶点中具有重要作用。在本综述中,我们试图介绍自身抗原和自身抗体,并解释它们在MS发病机制中的作用。