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2 型超敏反应性疾病,包括系统性红斑狼疮、干燥综合征、格雷夫斯病、重症肌无力、免疫性血小板减少症、自身免疫性溶血性贫血、皮肌炎和移植物抗宿主病,都是 THαβ 主导的自身免疫性疾病。

Type 2 hypersensitivity disorders, including systemic lupus erythematosus, Sjögren's syndrome, Graves' disease, myasthenia gravis, immune thrombocytopenia, autoimmune hemolytic anemia, dermatomyositis, and graft-versus-host disease, are THαβ-dominant autoimmune diseases.

机构信息

Department of Emergency Medicine, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan.

Department of Medical Laboratory, Taoyuan Armed Forces General Hospital, Taoyuan, Taiwan.

出版信息

Virulence. 2024 Dec;15(1):2404225. doi: 10.1080/21505594.2024.2404225. Epub 2024 Sep 16.

Abstract

The THαβ host immunological pathway contributes to the response to infectious particles (viruses and prions). Furthermore, there is increasing evidence for associations between autoimmune diseases, and particularly type 2 hypersensitivity disorders, and the THαβ immune response. For example, patients with systemic lupus erythematosus often produce anti-double stranded DNA antibodies and anti-nuclear antibodies and show elevated levels of type 1 interferons, type 3 interferons, interleukin-10, IgG1, and IgA1 throughout the disease course. These cytokines and antibody isotypes are associated with the THαβ host immunological pathway. Similarly, the type 2 hypersensitivity disorders myasthenia gravis, Graves' disease, graft-versus-host disease, autoimmune hemolytic anemia, immune thrombocytopenia, dermatomyositis, and Sjögren's syndrome have also been linked to the THαβ pathway. Considering the potential associations between these diseases and dysregulated THαβ immune responses, therapeutic strategies such as anti-interleukin-10 or anti-interferon α/β could be explored for effective management.

摘要

THαβ 宿主免疫途径有助于对感染颗粒(病毒和朊病毒)的反应。此外,越来越多的证据表明自身免疫性疾病,特别是 2 型超敏反应障碍,与 THαβ 免疫反应之间存在关联。例如,系统性红斑狼疮患者通常会产生抗双链 DNA 抗体和抗核抗体,并在整个疾病过程中显示出 1 型干扰素、3 型干扰素、白细胞介素-10、IgG1 和 IgA1 的水平升高。这些细胞因子和抗体同种型与 THαβ 宿主免疫途径有关。同样,2 型超敏反应障碍重症肌无力、格雷夫斯病、移植物抗宿主病、自身免疫性溶血性贫血、免疫性血小板减少症、皮肌炎和干燥综合征也与 THαβ 途径有关。鉴于这些疾病与 THαβ 免疫反应失调之间存在潜在关联,可以探索针对白细胞介素-10 或干扰素 α/β 的治疗策略,以进行有效的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d92f/11409508/0750773e852c/KVIR_A_2404225_F0001_OC.jpg

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