Mowat A G
J Rheumatol Suppl. 1978;4:55-61.
It has been suggested that many of the pathological changes in rheumatoid arthritis can be explained on the basis of T cell hypofunction and that the chronicity of the lesions can be maintained by abnormalities in macrophage and neutrophil function. Although there is some evidence to suggest that levamisole can correct many of these abnormalities and that its mechanism of action in this disease can therefore be explained the current, often conflicting, information does not offer proof of this suggestion and indeed some of the noted changes may merely represent secondary rather than primary events.
有人提出,类风湿性关节炎的许多病理变化可以基于T细胞功能减退来解释,并且病变的慢性状态可以通过巨噬细胞和中性粒细胞功能异常得以维持。虽然有一些证据表明左旋咪唑可以纠正许多此类异常,因此其在该疾病中的作用机制可以得到解释,但目前相互矛盾的信息并不能证明这一观点,实际上一些所指出的变化可能仅仅代表继发性而非原发性事件。