Ahsan Haseeb
a Department of Biochemistry , Jamia Millia Islamia , New Delhi , India.
J Immunoassay Immunochem. 2017;38(3):235-246. doi: 10.1080/15321819.2017.1319861. Epub 2017 Apr 19.
The immune system provides protection to tissues damaged by infectious microrganisms or physical damage. In autoimmune diseases, the immune system recognizes and attacks its own tissues, i.e., self-destruction. Various agents such as genetic factors and environmental triggers are thought to play a major role in the development of autoimmune diseases. A common feature of all autoimmune diseases is the presence of autoantibodies and inflammation, including mononuclear phagocytes, autoreactive T lymphocytes, and autoantibody producing B cells (plasma cells). It has long been known that B cells produce autoantibodies and, thereby, contribute to the pathogenesis of many autoimmune diseases. Autoimmune diseases can be classified as organ-specific or non-organ specific depending on whether the autoimmune response is directed against a particular tissue or against widespread antigens as in chronic inflammatory autoimmune diseases such as systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA). Both SLE and RA are characterized by the presence of autoantibodies which play a major role in their etiopathogenesis. SLE is characterized by circulating antibodies and immune complex deposition that can trigger an inflammatory damage in organs. RA is a progressive inflammatory disease in which T cells, B cells, and pro-inflammatory cytokines play a key role in its pathophysiology.
免疫系统为受感染微生物或物理损伤破坏的组织提供保护。在自身免疫性疾病中,免疫系统会识别并攻击自身组织,即自我毁灭。诸如遗传因素和环境诱因等多种因素被认为在自身免疫性疾病的发展中起主要作用。所有自身免疫性疾病的一个共同特征是存在自身抗体和炎症,包括单核吞噬细胞、自身反应性T淋巴细胞以及产生自身抗体的B细胞(浆细胞)。长期以来人们都知道,B细胞产生自身抗体,从而促成许多自身免疫性疾病的发病机制。自身免疫性疾病可根据自身免疫反应是针对特定组织还是针对广泛抗原(如在系统性红斑狼疮(SLE)和类风湿关节炎(RA)等慢性炎症性自身免疫性疾病中)分为器官特异性或非器官特异性。SLE和RA的特征均为存在自身抗体,这些自身抗体在其病因发病机制中起主要作用。SLE的特征是循环抗体和免疫复合物沉积,可引发器官的炎症性损伤。RA是一种进行性炎症性疾病,其中T细胞、B细胞和促炎细胞因子在其病理生理学中起关键作用。