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IgA 血管炎:病因、治疗、生物标志物和表观遗传改变。

IgA Vasculitis: Etiology, Treatment, Biomarkers and Epigenetic Changes.

机构信息

Department of Dermatology, University of Occupational and Environmental Health,1-1, Iseigaoka, Yahatanishi-Ku, Kitakyushu, Fukuoka 807-8555, Japan.

出版信息

Int J Mol Sci. 2021 Jul 14;22(14):7538. doi: 10.3390/ijms22147538.

Abstract

IgA, previously called Henoch-Schönlein vasculitis, is an essential immune component that drives the host immune response to the external environment. As IgA has the unique characteristic of a flexible response to broad types of microorganisms, it sometimes causes an autoreactive response in the host human body. IgA vasculitis and related organ dysfunction are representative IgA-mediated autoimmune diseases; bacterial and viral infections often trigger IgA vasculitis. Recent drug developments and the presence of COVID-19 have revealed that these agents can also trigger IgA vasculitis. These findings provide a novel understanding of the pathogenesis of IgA vasculitis. In this review, we focus on the characteristics of IgA and symptoms of IgA vasculitis and other organ dysfunction. We also mention the therapeutic approach, biomarkers, novel triggers for IgA vasculitis, and epigenetic modifications in patients with IgA vasculitis.

摘要

IgA,以前称为亨诺克-舍恩莱因血管炎,是一种重要的免疫成分,它驱动宿主对外部环境的免疫反应。由于 IgA 具有对广泛类型的微生物灵活反应的独特特征,因此它有时会在宿主人体中引起自身免疫反应。IgA 血管炎和相关的器官功能障碍是代表性的 IgA 介导的自身免疫性疾病;细菌和病毒感染经常引发 IgA 血管炎。最近的药物开发和 COVID-19 的存在表明,这些药物也可以引发 IgA 血管炎。这些发现为 IgA 血管炎的发病机制提供了新的认识。在这篇综述中,我们重点介绍了 IgA 的特性以及 IgA 血管炎和其他器官功能障碍的症状。我们还提到了 IgA 血管炎的治疗方法、生物标志物、新的触发因素以及 IgA 血管炎患者的表观遗传修饰。

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