Blackburn Kyle M, Wang Cynthia
Department of Neurology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390, USA.
Department of Neurology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Ther Adv Neurol Disord. 2020 Aug 30;13:1756286420952901. doi: 10.1177/1756286420952901. eCollection 2020.
A multitude of environmental factors can result in breakdown of immune tolerance in susceptible hosts. Infectious pathogens are among the most important environmental triggers in the pathogenesis of autoimmunity. Certain autoimmune disorders have a strong association with specific infections. Several neurological autoimmune disorders are thought to occur through post-infectious mechanisms. In this review, we discuss the proposed mechanisms underlying pathogen-induced autoimmunity, and highlight the clinical presentation and treatment of several post-infectious autoimmune neurological disorders. We also highlight post-infectious neurological disorders in the setting of recent outbreaks.
多种环境因素可导致易感宿主的免疫耐受破坏。感染性病原体是自身免疫发病机制中最重要的环境触发因素之一。某些自身免疫性疾病与特定感染密切相关。几种神经自身免疫性疾病被认为是通过感染后机制发生的。在本综述中,我们讨论了病原体诱导的自身免疫的潜在机制,并重点介绍了几种感染后自身免疫性神经疾病的临床表现和治疗方法。我们还强调了近期疫情爆发背景下的感染后神经疾病。