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抑制性T细胞在自身免疫发展中的意义。

The significance of T suppressor cells in the development of autoimmunity.

作者信息

Tomer Y, Shoenfeld Y

机构信息

Corob Research Center, Department of Medicine 'B', Sheba Medical Center, Tel-Hashomer, Israel.

出版信息

J Autoimmun. 1989 Dec;2(6):739-58. doi: 10.1016/0896-8411(89)90002-4.

Abstract

Despite intensive research, autoimmune-disease pathogenesis is still an enigma, but in the past decade Ts-cell defects have assumed a central role in this pathogenesis. Ts-cell dysfunctions have been reported in numerous autoimmune diseases (e.g. SLE, autoimmune thyroid disease, myasthenia gravis) and in animal models of autoimmune diseases. Therefore, it is currently believed that Ts cells are responsible for maintaining self-tolerance and that perturbations in suppressor functions may initiate development of autoimmune diseases. Ts-cell abnormalities can result from LCTA production, intrinsic biochemical alterations, genetic susceptibility, or environmental factors. Since Ts-cells dysfunctions are believed to initiate autoimmunity, it may be possible to treat autoimmune diseases by correcting the suppressor defects, and indeed, preliminary trials in this direction are promising.

摘要

尽管进行了深入研究,但自身免疫性疾病的发病机制仍是一个谜,不过在过去十年中,T抑制细胞缺陷在这一发病机制中占据了核心地位。在许多自身免疫性疾病(如系统性红斑狼疮、自身免疫性甲状腺疾病、重症肌无力)以及自身免疫性疾病的动物模型中,均已报道了T抑制细胞功能障碍。因此,目前认为T抑制细胞负责维持自身耐受性,而抑制功能的紊乱可能引发自身免疫性疾病的发展。T抑制细胞异常可能由淋巴细胞毒性抗体(LCTA)产生、内在生化改变、遗传易感性或环境因素导致。由于T抑制细胞功能障碍被认为会引发自身免疫,通过纠正抑制缺陷来治疗自身免疫性疾病或许是可行的,事实上,朝这个方向进行的初步试验前景乐观。

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