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周围神经蛋白作为急性和慢性炎症性脱髓鞘性多发性神经病的潜在自身抗原。

Peripheral nerve proteins as potential autoantigens in acute and chronic inflammatory demyelinating polyneuropathies.

机构信息

Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Unit 09-01, Centre for Translational Medicine, 14 Medical Drive, 117599, Singapore.

Aix-Marseille Université, CNRS, CRN2M-UMR7286, 13344 Marseille cedex 15, Marseille, France.

出版信息

Autoimmun Rev. 2014 Oct;13(10):1070-8. doi: 10.1016/j.autrev.2014.08.005. Epub 2014 Aug 27.

Abstract

Guillain-Barré syndrome is classified into acute inflammatory demyelinating polyneuropathy and acute motor axonal neuropathy. Whereas autoantibodies to GM1 or GD1a induce the development of acute motor axonal neuropathy, pathogenic autoantibodies have yet to be identified in acute inflammatory demyelinating polyneuropathy and chronic inflammatory demyelinating polyneuropathy. This review highlights the importance of autoantibodies to peripheral nerve proteins in the physiopathology of acute and chronic inflammatory demyelinating polyneuropathies. Moreover, we listed up other potential antigens, which may become helpful biomarkers for acquired, dysimmune demyelinating neuropathies based on their critical functions during myelination and their implications in hereditary demyelinating neuropathies.

摘要

格林-巴利综合征分为急性炎症性脱髓鞘性多发性神经病和急性运动轴索性神经病。虽然抗 GM1 或 GD1a 抗体可诱导急性运动轴索性神经病的发生,但在急性炎症性脱髓鞘性多发性神经病和慢性炎症性脱髓鞘性多发性神经病中尚未发现致病性自身抗体。这篇综述强调了外周神经蛋白自身抗体在急性和慢性炎症性脱髓鞘性多发性神经病发病机制中的重要性。此外,我们还列出了其他潜在的抗原,这些抗原根据其在髓鞘形成过程中的关键功能及其在遗传性脱髓鞘神经病中的意义,可能成为获得性、免疫性脱髓鞘神经病的有帮助的生物标志物。

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