Suppr超能文献

自身免疫性GFAP星形细胞病患者脑脊液中NLRP3水平升高。

Elevated Levels of NLRP3 in Cerebrospinal Fluid of Patients With Autoimmune GFAP Astrocytopathy.

作者信息

Luo Ying, Yan Wei, Zhou Zheyi, Liu Baozhu, Wang Zhanhang, Chen Jinyu, Wang Honghao

机构信息

Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.

Department of Neurology, The First People's Hospital of Kashgar Prefecture, Kashgar, China.

出版信息

Front Neurol. 2019 Oct 17;10:1019. doi: 10.3389/fneur.2019.01019. eCollection 2019.

Abstract

Autoimmune glial fibrillary acidic protein (GFAP) astrocytopathy, a newly defined autoimmune encephalitis, is an antibody-mediated meningoencephalomyelitis. The pathogenesis of the disease is still unclear. Nod-like receptor protein 3 (NLRP3) inflammasome is a complex composed of a variety of proteins that recognizes a variety of ligands and ultimately leads to the development of inflammatory responses. This is important for infectious, inflammatory, and immune diseases. The aims of this study were to detect levels of cerebrospinal fluid (CSF) NLRP3 inflammasome and inflammatory factors in autoimmune GFAP astrocytopathy patients and to study the relationships between these profiles. Twenty autoimmune GFAP astrocytopathy patients, 17 viral meningoencephalitis (VM) patients, and 16 controls (CTLs) were recruited. The levels of NLRP3 inflammasomes, interleukin (IL)-1β, IL-6, and IL-17 were measured by enzyme-linked immunosorbent assay (ELISA). The Expanded Disability Status Scale (EDSS) score was used to assess the severity of clinical manifestations. The results showed that the levels of NLRP3 inflammasome and inflammatory cytokines (IL-1β, IL-6, IL-17) were significantly more elevated in CSF of patients with autoimmune GFAP astrocytopathy than that in CTLs. When compared with VM patients, significantly elevated NLRP3 inflammasome was found in GFAP astrocytopathy patients, while the levels of IL-1β, IL-6, and IL-17 were not different between the two groups. Significant positive correlations were found between NLRP3 inflammasome and inflammatory cytokines and they were all positively related to the severity of the disease. Moreover, we found that patients with positive anti-GFAP antibodies had higher levels of NLRP3 and inflammatory factors. And the severity of the disease was positively correlated with GFAP antibody titers. Taken together, the results suggested that NLRP3 inflammasome was involved in the pathogenesis of autoimmune GFAP astrocytopathy. It can be used to assess the severity of the disease or act as a new target for the therapy.

摘要

自身免疫性胶质纤维酸性蛋白(GFAP)星形细胞病是一种新定义的自身免疫性脑炎,是一种抗体介导的脑膜脑脊髓炎。该病的发病机制仍不清楚。NOD样受体蛋白3(NLRP3)炎性小体是一种由多种蛋白质组成的复合物,可识别多种配体并最终导致炎症反应的发生。这对感染性、炎症性和免疫性疾病很重要。本研究的目的是检测自身免疫性GFAP星形细胞病患者脑脊液(CSF)中NLRP3炎性小体和炎性因子的水平,并研究这些指标之间的关系。招募了20例自身免疫性GFAP星形细胞病患者、17例病毒性脑膜脑炎(VM)患者和16例对照(CTL)。采用酶联免疫吸附测定(ELISA)法检测NLRP3炎性小体、白细胞介素(IL)-1β、IL-6和IL-17的水平。采用扩展残疾状态量表(EDSS)评分评估临床表现的严重程度。结果显示,自身免疫性GFAP星形细胞病患者脑脊液中NLRP3炎性小体和炎性细胞因子(IL-1β、IL-6、IL-17)水平显著高于CTL。与VM患者相比,GFAP星形细胞病患者NLRP3炎性小体显著升高,而两组间IL-1β、IL-6和IL-17水平无差异。NLRP3炎性小体与炎性细胞因子之间存在显著正相关,且均与疾病严重程度呈正相关。此外,我们发现抗GFAP抗体阳性的患者NLRP3和炎性因子水平较高。并且疾病严重程度与GFAP抗体滴度呈正相关。综上所述,结果表明NLRP3炎性小体参与了自身免疫性GFAP星形细胞病的发病机制。它可用于评估疾病严重程度或作为治疗的新靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c0fa/6812676/bc4378b56a20/fneur-10-01019-g0001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验