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神经源性炎症在斑秃发病机制中的作用。

Role of neurogenic inflammation in the pathogenesis of alopecia areata.

作者信息

Shi Yetan, Wan Sheng, Song Xiuzu

机构信息

The Fourth Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.

Department of Dermatology, Hangzhou Third Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.

出版信息

J Dermatol. 2024 May;51(5):621-631. doi: 10.1111/1346-8138.17227. Epub 2024 Apr 11.

Abstract

Alopecia areata refers to an autoimmune illness indicated by persistent inflammation. The key requirement for alopecia areata occurrence is the disruption of immune-privileged regions within the hair follicles. Recent research has indicated that neuropeptides play a role in the damage to hair follicles by triggering neurogenic inflammation, stimulating mast cells ambient the follicles, and promoting apoptotic processes in keratinocytes. However, the exact pathogenesis of alopecia areata requires further investigation. Recently, there has been an increasing focus on understanding the mechanisms of immune diseases resulting from the interplay between the nervous and the immune system. Neurogenic inflammation due to neuroimmune disorders of the skin system may disrupt the inflammatory microenvironment of the hair follicle, which plays a crucial part in the progression of alopecia areata.

摘要

斑秃是一种由持续性炎症表明的自身免疫性疾病。斑秃发生的关键条件是毛囊内免疫特权区域的破坏。最近的研究表明,神经肽通过引发神经源性炎症、刺激毛囊周围的肥大细胞以及促进角质形成细胞的凋亡过程,在毛囊损伤中发挥作用。然而,斑秃的确切发病机制需要进一步研究。最近,人们越来越关注理解由神经系统和免疫系统相互作用导致的免疫疾病的机制。皮肤系统神经免疫紊乱引起的神经源性炎症可能会破坏毛囊的炎症微环境,这在斑秃的进展中起着关键作用。

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