Pleyer U, Pohlmann D
Universitäts-Augenklinik, Uveitis Zentrum, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, 13353, Berlin, Deutschland.
Z Rheumatol. 2017 Oct;76(8):656-663. doi: 10.1007/s00393-017-0344-y.
The eye has all the mechanisms necessary for detection and processing (afferent immune reaction) as well as adequate initiation of an (efferent) immune response. Apart from the typical antigen-processing cells, locally present elements (e.g. glial cells and retinal pigment epithelium) can also be involved in the afferent reaction. For the efferent mechanisms a complex regulative system exists, which includes cellular and humoral responses and is essentially determined by surface molecules. In addition, the ocular environment is rich in immunosuppressive molecules that contribute to the regulation of immune cells. The adaptation of the anatomical and biochemical mechanisms for the creation of an immune-privileged microenvironment makes this sense organ unique. The purpose of this article is to highlight the specific features of the eye and to establish a reference to frequent ocular manifestations in rheumatic diseases.
眼睛具备检测和处理(传入免疫反应)以及充分启动(传出)免疫反应所需的所有机制。除了典型的抗原处理细胞外,局部存在的成分(如神经胶质细胞和视网膜色素上皮)也可参与传入反应。对于传出机制,存在一个复杂的调节系统,其包括细胞和体液反应,并且基本上由表面分子决定。此外,眼部环境富含免疫抑制分子,这些分子有助于调节免疫细胞。为营造免疫赦免微环境而进行的解剖学和生化机制的适应性变化,使得这个感觉器官独一无二。本文旨在突出眼睛的特殊特征,并提及风湿性疾病中常见的眼部表现。