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自身免疫性葡萄膜炎中树突状细胞及相关信号通路概述

Overview of dendritic cells and related pathways in autoimmune uveitis.

作者信息

Zhao Fan, Yu Jing-Sheng

机构信息

Graduate School of Hunan University of Traditional Chinese Medicine, Changsha, 410000, Hunan, China.

Ophthalmology, The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Pharmaceutical University, Changsha, 410007, Hunan, China.

出版信息

Open Life Sci. 2024 Sep 9;19(1):20220887. doi: 10.1515/biol-2022-0887. eCollection 2024.

Abstract

Dendritic cells (DCs) play a crucial role in bridging innate and adaptive immune responses. They are widely distributed in various tissues and organs, including the eyes. In the ocular context, permanent DCs are present at the peripheral edge of the retina and the peripapillary area in an immature state. However, during the inflammatory process, DCs become activated and contribute to the development of uveitis. This review focuses on introducing the characteristics and status of DC-induced uveitis, exploring factors that can influence the status of DCs, and discussing feasible methods for treating DCs in both experimental autoimmune uveitis animal models and humans. It emphasizes the importance of further research on molecular pathways and signaling pathways that regulate the function of DCs. For example, investigating molecules such as cytotoxic T-lymphocyte-associated protein 4, which inhibits the B7-CD28 co-stimulatory interaction, can help improve immune homeostasis. The aim is to identify new therapeutic targets and develop targeted strategies for DCs, such as DC vaccine therapy or the use of immune modulators. These approaches can be tailored to the immune characteristics and disease manifestations of individual patients, enabling personalized treatment strategies. This may include the personalized design and precise medication of DC therapy, with the ultimate goal of improving treatment efficacy while minimizing adverse reactions.

摘要

树突状细胞(DCs)在连接先天性免疫反应和适应性免疫反应方面发挥着关键作用。它们广泛分布于包括眼睛在内的各种组织和器官中。在眼部环境中,永久性DCs以未成熟状态存在于视网膜的周边边缘和视乳头周围区域。然而,在炎症过程中,DCs被激活并促成葡萄膜炎的发展。本综述着重介绍DC诱导的葡萄膜炎的特征和状况,探索能够影响DCs状态的因素,并讨论在实验性自身免疫性葡萄膜炎动物模型和人类中治疗DCs的可行方法。它强调了进一步研究调节DCs功能的分子途径和信号通路的重要性。例如,研究诸如细胞毒性T淋巴细胞相关蛋白4等分子,其抑制B7 - CD28共刺激相互作用,有助于改善免疫稳态。目的是识别新的治疗靶点并开发针对DCs的靶向策略,如DC疫苗疗法或使用免疫调节剂。这些方法可以根据个体患者的免疫特征和疾病表现进行定制,从而实现个性化治疗策略。这可能包括DC治疗的个性化设计和精准用药,最终目标是提高治疗效果同时将不良反应降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/579e/11406227/fa11cd87c609/j_biol-2022-0887-fig001.jpg

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