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帕金森病中免疫失调和炎症反应的生物标志物

The biomarkers of immune dysregulation and inflammation response in Parkinson disease.

作者信息

Chen Li, Mo Mingshu, Li Guangning, Cen Luan, Wei Lei, Xiao Yousheng, Chen Xiang, Li Shaomin, Yang Xinling, Qu Shaogang, Xu Pingyi

机构信息

Department of Neurology, The First Affiliated Hospital of Guangzhou Medical University, Guangdong, 510120 China.

Department of Neurology, The Affiliated Huadu Hospital of Southern Medical University, Guangzhou, 510800 China.

出版信息

Transl Neurodegener. 2016 Aug 26;5(1):16. doi: 10.1186/s40035-016-0063-3. eCollection 2016.

Abstract

Parkinson's disease (PD) is referring to the multi-systemic α-synucleinopathy with Lewy bodies deposited in midbrain. In ageing, the environmental and genetic factors work together and overactive major histocompatibility complex pathway to regulate immune reactions in central nerve system which resulting in neural degeneration, especially in dopaminergic neurons. As a series of biomarkers, the human leukocyte antigen genes with its related proteomics play cortical roles on the antigen presentation of major histocompatibility complex molecules to stimulate the differentiation of T lymphocytes and i-proteasome activities under their immune response to the PD-related environmental alteration and genetic variation. Furthermore, dopaminergic drugs change the biological characteristic of T lymphatic cells, affect the α-synuclein presentation pathway, and inhibit T lymphatic cells to release cytotoxicity in PD development. Taking together, the serum inflammatory factors and blood T cells are involved in the immune dysregulation of PD and inspected as the potential clinic biomarkers for PD prediction.

摘要

帕金森病(PD)是一种多系统的α-突触核蛋白病,路易小体沉积于中脑。在衰老过程中,环境和遗传因素共同作用,使主要组织相容性复合体途径过度活跃,从而调节中枢神经系统的免疫反应,导致神经变性,尤其是多巴胺能神经元变性。作为一系列生物标志物,人类白细胞抗原基因及其相关蛋白质组学在主要组织相容性复合体分子的抗原呈递中发挥核心作用,以刺激T淋巴细胞的分化和免疫反应中对PD相关环境改变和基因变异的i-蛋白酶体活性。此外,多巴胺能药物改变T淋巴细胞的生物学特性,影响α-突触核蛋白呈递途径,并在PD发展过程中抑制T淋巴细胞释放细胞毒性。综上所述,血清炎症因子和血液T细胞参与了PD的免疫失调,并被视为PD预测的潜在临床生物标志物。

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