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多发性硬化症患者中 CD3CD20 T 细胞的现有知识。

Current Knowledge about CD3CD20 T Cells in Patients with Multiple Sclerosis.

机构信息

Institute of Laboratory Medicine and Pathobiochemistry, Molecular Diagnostics, Hospital of the Universities of Giessen and Marburg (UKGM), Justus Liebig University Giessen, Feulgenstr. 12, 35392 Giessen, Germany.

Institute of Laboratory Medicine and Pathobiochemistry, Molecular Diagnostics, Hospital of the Universities of Giessen and Marburg (UKGM), Philipps University Marburg, Baldinger Str., 35043 Marburg, Germany.

出版信息

Int J Mol Sci. 2024 Aug 18;25(16):8987. doi: 10.3390/ijms25168987.

Abstract

Multiple sclerosis (MS) is a disease of the central nervous system (CNS) characterized by inflammation and autoimmune responses. This review explores the participation of T cells, particularly certain CD3CD20 T cells, in the clinical manifestations of MS and highlights their presence in diagnosed patients. These T cells show aberrant expression of CD20, normally considered a B-cell marker. In this review, relevant journal articles available in PubMed and CINAHL were identified by employing diverse search terms, such as MS, CD3CD20 T cells, the incidence and significance of CD3CD20 T cells in MS patients, and the impact of rituximab treatment. The search was limited to articles published in the ten-year period from 2014 to 2024. The results of this review suggest that most scholars agree on the presence of CD3CD20 T cells in cerebrospinal fluid. Emerging concepts relate to the fundamental role of CD20-expressing T cells in determining the target and efficacy of MS therapeutics and the presence of T cells in the cerebrospinal fluid of MS patients. The results clearly show that CD20 T cells indicate disease chronicity and high disease activity.

摘要

多发性硬化症(MS)是一种中枢神经系统(CNS)疾病,其特征为炎症和自身免疫反应。本篇综述探讨了 T 细胞,特别是某些 CD3CD20 T 细胞,在 MS 临床表现中的参与,并强调了它们在确诊患者中的存在。这些 T 细胞表现出 CD20 的异常表达,而 CD20 通常被认为是 B 细胞标志物。在这篇综述中,通过使用多种搜索词,如 MS、CD3CD20 T 细胞、MS 患者中 CD3CD20 T 细胞的发生率和意义,以及利妥昔单抗治疗的影响,在 PubMed 和 CINAHL 中确定了相关的期刊文章。搜索范围限于 2014 年至 2024 年十年间发表的文章。该综述的结果表明,大多数学者都认为 CD3CD20 T 细胞存在于脑脊液中。新出现的概念涉及到表达 CD20 的 T 细胞在确定 MS 治疗的靶标和疗效方面的基本作用,以及 MS 患者脑脊液中 T 细胞的存在。结果清楚地表明,CD20 T 细胞表明疾病的慢性和高疾病活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89dc/11354236/df606bcaa1d4/ijms-25-08987-g001.jpg

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