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自身免疫性疾病中的氧化应激:被忽视的恶意。

Oxidative Stress in Autoimmune Diseases: An Under Dealt Malice.

机构信息

Department of Integrative and Functional Genomics, CSIR- Institute of Genomics and Integrative Biology, New Delhi, 110007, India.

Department of Biotechnology, Indian Institute of Technology, Roorkee, 247667, India.

出版信息

Curr Protein Pept Sci. 2020;21(6):611-621. doi: 10.2174/1389203721666200214111816.

DOI:10.2174/1389203721666200214111816
PMID:32056521
Abstract

Oxidative stress is the off-balance of antioxidants and free radicals. All kinds of diseases and disorders give rise to oxidative damage including autoimmune diseases. An autoimmune disorder is a pathological condition characterized by the breakdown of self-tolerance of the immune system in the body. Immunological processes against tissues and organs lead to enhanced oxidative stress and, in turn, misbalance of oxidative stress aggravates the pathobiology of the disease. Highly reactive nature of free radicals, for example hydroxyl and superoxide ions, alters DNA, protein, and lipids in the body which augment the pathologic processes of diseases. The damaged biomolecules are responsible for systemic complications and secondary disease co-morbidities. In this review, we discuss the role of oxidative stress in some incapacitating autoimmune diseases like Rheumatoid arthritis, Systemic Lupus Erythematosus, Type 1 Diabetes, and Multiple Sclerosis. Oxidative stress plays a central and course defining role in these diseases and it has become a necessity to study the pathological mechanism involved in oxidative stress to better understand and offer treatment holistically. Presently there are no clinically available parameters for measurement and treatment of pathological oxidative stress, therefore it requires intensive research. Probably, in the future, the discovery of easily detectable markers of oxidative stress can aid in the diagnosis, prognosis, and treatment of progressively destructive autoimmune diseases.

摘要

氧化应激是指抗氧化剂和自由基之间的失衡。各种疾病和失调都会导致氧化损伤,包括自身免疫性疾病。自身免疫性疾病是一种病理状态,其特征是体内免疫系统对自身的耐受性丧失。针对组织和器官的免疫过程会导致氧化应激增强,而氧化应激的失衡反过来又会加重疾病的病理生物学过程。自由基(例如羟基和超氧离子)的高反应性会改变体内的 DNA、蛋白质和脂质,从而加剧疾病的病理过程。受损的生物分子是导致全身并发症和继发性疾病合并症的原因。在这篇综述中,我们讨论了氧化应激在一些使人丧失能力的自身免疫性疾病中的作用,如类风湿性关节炎、系统性红斑狼疮、1 型糖尿病和多发性硬化症。氧化应激在这些疾病中起着核心和决定性的作用,因此研究涉及氧化应激的病理机制以全面理解并提供治疗方法变得非常必要。目前,还没有临床可用的参数来测量和治疗病理性氧化应激,因此需要进行深入研究。也许在未来,发现易于检测的氧化应激标志物可以帮助诊断、预后和治疗进行性破坏性自身免疫性疾病。

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