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描述格雷夫斯病中淋巴细胞的相互作用。

Characterizing the Interplay of Lymphocytes in Graves' Disease.

机构信息

Department of Microbiology and Molecular Biology, Brigham Young University, Provo, UT 84602, USA.

出版信息

Int J Mol Sci. 2023 Apr 6;24(7):6835. doi: 10.3390/ijms24076835.

Abstract

Graves' disease (GD) is a thyroid-specific autoimmune disease with a high prevalence worldwide. The disease is primarily mediated by B cells, which produce autoantibodies against the thyroid-stimulating hormone receptor (TSHR), chronically stimulating it and leading to high levels of thyroid hormones in the body. Interest in characterizing the immune response in GD has motivated many phenotyping studies. The immunophenotype of the cells involved and the interplay between them and their secreted factors are crucial to understanding disease progression and future treatment options. T cell populations are markedly distinct, including increased levels of Th17 and follicular helper T cells (Tfh), while Treg cells appear to be impaired. Some B cells subsets are autoreactive, and anti-TSHR antibodies are the key disease-causing outcome of this interplay. Though some consensus across phenotyping studies will be discussed here, there are also complexities that are yet to be resolved. A better understanding of the immunophenotype of Graves' disease can lead to improved treatment strategies and novel drug targets.

摘要

格雷夫斯病(GD)是一种甲状腺特异性自身免疫性疾病,在全球范围内患病率很高。该病主要由 B 细胞介导,B 细胞产生针对促甲状腺激素受体(TSHR)的自身抗体,持续刺激 TSHR,导致体内甲状腺激素水平升高。人们对描述 GD 中的免疫反应很感兴趣,这促使了许多表型研究。参与其中的细胞的免疫表型以及它们之间及其分泌因子之间的相互作用对于理解疾病进展和未来的治疗选择至关重要。T 细胞群体明显不同,包括 Th17 和滤泡辅助 T 细胞(Tfh)水平升高,而 Treg 细胞似乎受损。一些 B 细胞亚群具有自身反应性,抗 TSHR 抗体是这种相互作用导致疾病的关键。尽管这里将讨论一些表型研究之间的共识,但也存在尚未解决的复杂性。更好地了解格雷夫斯病的免疫表型可以导致改进的治疗策略和新的药物靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e22/10094834/36577e5aa5a4/ijms-24-06835-g001.jpg

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