Bonnekoh Hanna, Krusche Martin, Feist Eugen, Wagner Annette Doris, Pankow Anne
Institut für Allergieforschung, Charité - Universitätsmedizin Berlin, Hindenburgdamm 27, 12203, Berlin, Deutschland.
Allergologie und Immunologie, Fraunhofer-Institut für Translationale Medizin und Pharmakologie (ITMP), Berlin, Deutschland.
Inn Med (Heidelb). 2023 May;64(5):442-451. doi: 10.1007/s00108-023-01505-1. Epub 2023 Apr 28.
The concept of autoinflammation includes a heterogeneous group of monogenic and polygenic diseases. These are characterized by excessive activation of the innate immune system without antigen-specific T cells or autoantibodies. The diseases are characterized by periodic episodes of fever and increased inflammation parameters. Monogenic diseases include familial Mediterranean fever (FMF) and the newly described VEXAS (vacuoles, E1 enzyme, X‑linked, autoinflammatory, somatic) syndrome. Heterogeneous diseases include adult-onset Still's disease and Schnitzler syndrome. Treatment is aimed at preventing the excessive inflammatory reaction in order to avoid long-term damage, such as amyloid A (AA) amyloidosis.
自身炎症的概念包括一组异质性的单基因和多基因疾病。这些疾病的特征是固有免疫系统过度激活,而无抗原特异性T细胞或自身抗体。这些疾病的特征是周期性发热发作和炎症参数升高。单基因疾病包括家族性地中海热(FMF)和新描述的VEXAS(空泡、E1酶、X连锁、自身炎症性、体细胞)综合征。异质性疾病包括成人斯蒂尔病和施尼茨勒综合征。治疗旨在预防过度炎症反应,以避免长期损害,如淀粉样蛋白A(AA)淀粉样变性。