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类风湿关节炎的发病机制与牛奶或鸡蛋过敏有关。

The Pathogenesis of Rheumatoid Arthritis is Associated with Milk or Egg Allergy.

作者信息

Li Jianjie, Yan Hao, Chen He, Ji Qiongmei, Huang Shengguang, Yang Pingchang, Liu Zhigang, Yang Bo

机构信息

Institue of Allergy and Immunology, School of Medicine, Shen Zhen University, Shenzhen, China.

Department of Rheumatism, Traditional Chinese Medicine, The Sixth People's Hospital of Shenzhen City, Shenzhen, China.

出版信息

N Am J Med Sci. 2016 Jan;8(1):40-6. doi: 10.4103/1947-2714.175206.

Abstract

BACKGROUND

Rheumatoid arthritis (RA) is a very complicated autoimmune disease with apparent synovial hyperplasia and cartilage and bone destruction.

AIMS

In the present study, we aimed to determine whether the pathogenesis of RA correlates with food allergy and which allergen(s) are relevant.

MATERIALS AND METHODS

We used type-II collagen (CII) to induce arthritis (collagen-induced arthritis, CIA) model in Wistar rats, and the development of arthritis was evaluated accordingly by scoring system. Proinflammatory cytokine levels in plasma were measured by enzyme-linked immunosorbent assay (ELISA), and concentrations of circulating immune complexes (CICs) were analyzed by C1q solid phase method. Furthermore, food-specific immunoglobulin G (IgG) and immunoglobulin E (IgE) levels were determined in the CIA model.

RESULTS

In the CIA model, we found that levels of tumor necrosis factor-alpha (TNF-a), interleukin (IL)-1, IL-6, and IL-17, as well as CICs, were elevated significantly. Moreover, concentrations of milk- or egg-specific IgG and IgE were enhanced strikingly in CIA rats.

CONCLUSION

The results suggest that pathogenesis of RA correlates closely to increased egg- or milk-specific antibodies.

摘要

背景

类风湿性关节炎(RA)是一种非常复杂的自身免疫性疾病,伴有明显的滑膜增生以及软骨和骨破坏。

目的

在本研究中,我们旨在确定RA的发病机制是否与食物过敏相关以及哪些过敏原与之相关。

材料与方法

我们使用II型胶原蛋白(CII)在Wistar大鼠中诱导关节炎(胶原诱导的关节炎,CIA)模型,并通过评分系统相应地评估关节炎的发展情况。采用酶联免疫吸附测定法(ELISA)测量血浆中促炎细胞因子水平,并通过C1q固相法分析循环免疫复合物(CIC)的浓度。此外,在CIA模型中测定食物特异性免疫球蛋白G(IgG)和免疫球蛋白E(IgE)水平。

结果

在CIA模型中,我们发现肿瘤坏死因子-α(TNF-α)、白细胞介素(IL)-1、IL-6和IL-17的水平以及CIC均显著升高。此外,CIA大鼠中牛奶或鸡蛋特异性IgG和IgE的浓度显著增强。

结论

结果表明,RA的发病机制与鸡蛋或牛奶特异性抗体增加密切相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/455c/4784182/632a3be637ad/NAJMS-8-40-g001.jpg

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