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自身免疫机制在帕金森病病因发病机制中的可能作用。

The possible role of an autoimmune mechanism in the etiopathogenesis of Parkinson's disease.

作者信息

Dalitis Savvas, Filippidou Natalia, Krashias George, Christodoulou Christina, Pantzaris Marios, Lambrianides Anastasia

机构信息

Cyprus School of Molecular Medicine, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.

Cyprus School of Molecular Medicine, The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus.

出版信息

J Clin Neurosci. 2018 Aug;54:63-68. doi: 10.1016/j.jocn.2018.06.004. Epub 2018 Jun 12.

Abstract

The clinical diagnosis of Parkinson's disease (PD) is established through clinical signs such as bradykinesia, rigidity, and resting tremor. Recently, immune system involvement has been implicated as a major pathogenic factor in the onset and progression of PD. We examine the presence of autoantibodies against phosphatidylserine (PS), cardiolipin (CL) and dsDNA in 45 PD patients and 38 healthy controls and provide evidence to the possible connection to oxidative stress. We report higher frequency of IgG anti-PS and anti-dsDNA in PD patients (24.4% and 15.6%), compared to controls (2.6% in both cases, p < 0.05). Moreover, the presence of these autoantibodies is not analogous with increased levels of oxidative stress in PD. A great need exists for improved understanding of the pathogenesis and identification of relevant biomarkers and future studies in clarifying the role of autoantibodies in PD are required to address its role as a potential risk factor.

摘要

帕金森病(PD)的临床诊断是通过诸如运动迟缓、僵硬和静止性震颤等临床体征来确立的。最近,免疫系统的参与被认为是PD发病和进展的一个主要致病因素。我们检测了45例PD患者和38例健康对照中抗磷脂酰丝氨酸(PS)、心磷脂(CL)和双链DNA自身抗体的存在情况,并为其与氧化应激的可能联系提供了证据。我们报告称,与对照组相比(两种情况均为2.6%,p<0.05),PD患者中IgG抗PS和抗双链DNA的频率更高(分别为24.4%和15.6%)。此外,这些自身抗体的存在与PD中氧化应激水平的升高并无相似之处。目前非常需要更好地理解其发病机制并识别相关生物标志物,并且需要进一步的研究来阐明自身抗体在PD中的作用,以确定其作为潜在风险因素的角色。

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