Centre for Clinical Research, The University of Queensland, Brisbane, QLD, Australia.
Department of Neurology, Concord Hospital, University of Sydney, Sydney, NSW, Australia.
Front Immunol. 2022 Dec 9;13:1038411. doi: 10.3389/fimmu.2022.1038411. eCollection 2022.
Guillain Barré syndrome (GBS) and its variants, and chronic inflammatory demyelinating polyradiculoneuropathy (CIDP and its variants, are regarded as immune mediated neuropathies. Unlike in many autoimmune disorders, GBS and CIDP are more common in males than females. Sex is not a clear predictor of outcome. Experimental autoimmune neuritis (EAN) is an animal model of these diseases, but there are no studies of the effects of sex in EAN. The pathogenesis of GBS and CIDP involves immune response to non-protein antigens, antigen presentation through non-conventional T cells and, in CIDP with nodopathy, IgG4 antibody responses to antigens. There are some reported sex differences in some of these elements of the immune system and we speculate that these sex differences could contribute to the male predominance of these diseases, and suggest that sex differences in peripheral nerves is a topic worthy of further study.
格林-巴利综合征(GBS)及其变异型和慢性炎症性脱髓鞘性多发性神经病(CIDP 及其变异型)被认为是免疫介导的神经病。与许多自身免疫性疾病不同,GBS 和 CIDP 在男性中比女性更常见。性别并不是预后的明确预测因素。实验性自身免疫性神经炎(EAN)是这些疾病的动物模型,但没有关于 EAN 中性别影响的研究。GBS 和 CIDP 的发病机制涉及对非蛋白抗原的免疫反应、非传统 T 细胞的抗原呈递,以及在伴有结节病的 CIDP 中,IgG4 抗体对抗原的反应。免疫系统的这些元素中有一些报告的性别差异,我们推测这些性别差异可能导致这些疾病中男性居多,并表明周围神经中的性别差异是一个值得进一步研究的课题。