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遗传性自身炎症性疾病。

Inherited Autoinflammatory Syndromes.

机构信息

Division of Rheumatology, Children's Hospital of Philadelphia, Perelman School of Medicine at The University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA; email:

出版信息

Annu Rev Pathol. 2022 Jan 24;17:227-249. doi: 10.1146/annurev-pathmechdis-030121-041528. Epub 2021 Oct 26.

Abstract

Autoinflammation describes a collection of diverse diseases caused by indiscriminate activation of the immune system in an antigen-independent manner. The rapid advancement of genetic diagnostics has allowed for the identification of a wide array of monogenic causes of autoinflammation. While the clinical picture of these syndromes is diverse, it is possible to thematically group many of these diseases under broad categories that provide insight into the mechanisms of disease and therapeutic possibilities. This review covers archetypical examples of inherited autoinflammatory diseases in five major categories: inflammasomopathy, interferonopathy, unfolded protein/cellular stress response, relopathy, and uncategorized. This framework can suggest where future work is needed to identify other genetic causes of autoinflammation, what types of diagnostics need to be developed to care for this patient population, and which options might be considered for novel therapeutic targeting.

摘要

自身炎症性疾病是一组由免疫系统在抗原非依赖性方式下无差别激活而引起的多种疾病。遗传诊断技术的快速发展已经能够鉴定出大量的自身炎症性疾病的单基因病因。虽然这些综合征的临床表现多种多样,但我们可以将其中的许多疾病按照提供疾病机制和治疗可能性见解的广泛类别进行主题分组。本综述涵盖了五个主要类别中遗传性自身炎症性疾病的典型范例:炎症小体病、干扰素病、未折叠蛋白/细胞应激反应、Rel 病和未分类。该框架可以提示未来需要在何处寻找其他自身炎症的遗传病因,需要开发哪种类型的诊断方法来治疗此类患者群体,以及可以考虑针对新型治疗靶点的哪些选择。

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