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格雷夫斯病中的树突状细胞。

Dendritic cells in Graves' disease.

作者信息

Purnamasari Dyah, Soewondo Pradana, Djauzi Samsuridjal

机构信息

Department of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

出版信息

Acta Med Indones. 2015 Jan;47(1):61-9.

Abstract

Dendritic cells are major antigen-presenting cells (APC) that stimulate naive T cells, which induce adaptive immune responses. Graves' disease (GD) is an autoimmune disease characterized by the presence of autoantibodies against Thyroid Stimulating Hormone Receptor (TSHR). The autoantibodies bind with TSHR and stimulate thyroid hormone production. Dendritic cells are still the major APC in GD immune response although thyrocytes in GD can also express Major Histocompatibility Class (MHC) class II molecule. Studies about DC in GD have been conducted by isolating intra-thyroid DC or DC in peripheral circulation. Results of DC studies in GD are still controversial. Changes in number and profile of DC are found, which indicate altered immune response activity and defects of regulator T cell (Treg) in GD.

摘要

树突状细胞是主要的抗原呈递细胞(APC),可刺激初始T细胞,进而诱导适应性免疫反应。格雷夫斯病(GD)是一种自身免疫性疾病,其特征是存在针对促甲状腺激素受体(TSHR)的自身抗体。这些自身抗体与TSHR结合并刺激甲状腺激素的产生。尽管GD中的甲状腺细胞也可表达主要组织相容性复合体(MHC)II类分子,但树突状细胞仍是GD免疫反应中的主要APC。关于GD中树突状细胞的研究通过分离甲状腺内的树突状细胞或外周循环中的树突状细胞来进行。GD中树突状细胞研究的结果仍存在争议。研究发现树突状细胞的数量和特征发生了变化,这表明GD中免疫反应活性改变以及调节性T细胞(Treg)存在缺陷。

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