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多发性硬化症中的自身抗原与自身抗体

Autoantigens and autoantibodies in multiple sclerosis.

作者信息

Mirshafiey Abbas, Kianiaslani Mahsa

机构信息

Departmant of Immunology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Allergy Asthma Immunol. 2013 Aug 28;12(4):292-303.

Abstract

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.

摘要

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。

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