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拓展对吉兰-巴雷综合征的认识:最新进展及临床意义。

Expanding our understanding of Guillain-Barré syndrome: Recent advances and clinical implications.

机构信息

Department of Neurology, Neurocenter of Southern Switzerland EOC, Lugano, Switzerland.

Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland.

出版信息

Eur J Immunol. 2024 Nov;54(11):e2250336. doi: 10.1002/eji.202250336. Epub 2024 Aug 27.

Abstract

Guillain-Barré syndrome (GBS) is a rare yet potentially life-threatening disorder of the peripheral nervous system (PNS), characterized by substantial clinical heterogeneity. Although classified as an autoimmune disease, the immune mechanisms underpinning distinct GBS subtypes remain largely elusive. Traditionally considered primarily antibody-mediated, the pathophysiology of GBS lacks clarity, posing challenges in the development of targeted and effective treatments. Nevertheless, recent investigations have substantially expanded our understanding of the disease, revealing an involvement of autoreactive T cell immunity in a major subtype of GBS patients and opening new biomedical perspectives. This review highlights these discoveries and offers a comprehensive overview of current knowledge about GBS, including ongoing challenges in disease management.

摘要

格林-巴利综合征(GBS)是一种罕见但潜在危及生命的周围神经系统(PNS)疾病,其临床表现具有显著的异质性。尽管被归类为自身免疫性疾病,但支持不同 GBS 亚型的免疫机制在很大程度上仍难以捉摸。传统上认为主要是抗体介导的,GBS 的病理生理学仍不清楚,这给有针对性和有效的治疗方法的开发带来了挑战。然而,最近的研究大大扩展了我们对该疾病的认识,揭示了自身反应性 T 细胞免疫在 GBS 患者的一个主要亚型中的作用,并为新的生物医学视角提供了依据。本综述强调了这些发现,并全面概述了目前对 GBS 的认识,包括疾病管理方面的持续挑战。

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