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肌萎缩侧索硬化症中自身抗体的存在及其临床意义:一项叙述性综述。

The presence and clinical significance of autoantibodies in amyotrophic lateral sclerosis: a narrative review.

作者信息

Liu Shen, Hong Ye, Wang Bian-Rong, Wei Zi-Qiao, Zhao Hong-Dong, Jiang Teng, Zhang Ying-Dong, Shi Jian-Quan

机构信息

Department of Neurology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, 210006, PR China.

Department of Neurology, Geriatric Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, 210006, PR China.

出版信息

Neurol Sci. 2024 Sep;45(9):4133-4149. doi: 10.1007/s10072-024-07581-x. Epub 2024 May 11.

DOI:10.1007/s10072-024-07581-x
PMID:38733435
Abstract

Amyotrophic lateral sclerosis (ALS) is a debilitating and rapidly fatal neurodegenerative disease, which is characterized by the selective loss of the upper and lower motor neurons. The pathogenesis of ALS remains to be elucidated and has been connected to genetic, environmental and immune conditions. Evidence from clinical and experimental studies has suggested that the immune system played an important role in ALS pathophysiology. Autoantibodies are essential components of the immune system. Several autoantibodies directed at antigens associated with ALS pathogenesis have been identified in the serum and/or cerebrospinal fluid of ALS patients. The aim of this review is to summarize the presence and clinical significance of autoantibodies in ALS.

摘要

肌萎缩侧索硬化症(ALS)是一种使人衰弱且迅速致命的神经退行性疾病,其特征是上下运动神经元的选择性丧失。ALS的发病机制仍有待阐明,并且与遗传、环境和免疫状况有关。临床和实验研究的证据表明,免疫系统在ALS病理生理学中起重要作用。自身抗体是免疫系统的重要组成部分。在ALS患者的血清和/或脑脊液中已鉴定出几种针对与ALS发病机制相关抗原的自身抗体。本综述的目的是总结ALS中自身抗体的存在情况及其临床意义。

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本文引用的文献

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Front Immunol. 2023 Jul 21;14:1193507. doi: 10.3389/fimmu.2023.1193507. eCollection 2023.
2
Development of abnormalities at the neuromuscular junction in the SOD1-G93A mouse model of ALS: dysfunction then disruption of postsynaptic structure precede overt motor symptoms.肌萎缩侧索硬化症的SOD1-G93A小鼠模型中神经肌肉接头处异常的发展:突触后结构的功能障碍然后破坏先于明显的运动症状出现。
Front Mol Neurosci. 2023 May 19;16:1169075. doi: 10.3389/fnmol.2023.1169075. eCollection 2023.
3
Patients' IgLON5 autoantibodies interfere with IgLON5-protein interactions.
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Front Immunol. 2023 Mar 21;14:1151574. doi: 10.3389/fimmu.2023.1151574. eCollection 2023.
4
Immune-mediated myogenesis and acetylcholine receptor clustering promote a slow disease progression in ALS mouse models.免疫介导的肌生成和乙酰胆碱受体聚集促进了肌萎缩侧索硬化症小鼠模型中疾病的缓慢进展。
Inflamm Regen. 2023 Mar 9;43(1):19. doi: 10.1186/s41232-023-00270-w.
5
Deciphering lipid dysregulation in ALS: from mechanisms to translational medicine.解析 ALS 中的脂质失调:从机制到转化医学。
Transl Neurodegener. 2022 Nov 7;11(1):48. doi: 10.1186/s40035-022-00322-0.
6
Senescent-like Blood Lymphocytes and Disease Progression in Amyotrophic Lateral Sclerosis.衰老样血液淋巴细胞与肌萎缩侧索硬化症的疾病进展。
Neurol Neuroimmunol Neuroinflamm. 2022 Nov 2;10(1). doi: 10.1212/NXI.0000000000200042. Print 2023 Jan.
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