Korzeniowska Aleksandra, Bryl Ewa
Department of Physiopathology, Faculty of Medicine, Medical University of Gdansk, Poland.
Transl Res. 2025 Feb;276:39-45. doi: 10.1016/j.trsl.2024.12.004. Epub 2024 Dec 30.
Autoimmune rheumatic diseases (AIRDs) are diseases with complex outset and courses, in which both genetic and environmental factors participate. Many environmental factors can be committed to AIRDs outset and development. The most popular of them, with confirmed impact, are smoking, age, gender, and microorganisms. In light of recent research an assumption about the importance of various microorganisms in the pathogenesis of AIRDs is growing in popularity. The human immune system has various protective mechanisms against infectious antigens which in normal cases let organism manage potential infection faster and more effectively. Unfortunately in some situations, specific errors in those mechanisms can cause an autoreactive response despite mitigation of infection. Viruses including EBV, CMV, and even SARS-CoV2 can cause these errors. This in combination with genetic factors can lead to rheumatic disease development. This research aims to provide a brief review of the role of viruses in the outset and development of AIRDs.
自身免疫性风湿性疾病(AIRDs)是一类起病和病程复杂的疾病,遗传和环境因素均参与其中。许多环境因素可促使AIRDs的发生和发展。其中,已证实有影响的最常见因素包括吸烟、年龄、性别和微生物。根据最近的研究,关于各种微生物在AIRDs发病机制中的重要性这一假设越来越受到关注。人体免疫系统具有多种针对感染性抗原的保护机制,在正常情况下能使机体更快、更有效地应对潜在感染。不幸的是,在某些情况下,这些机制中的特定错误可能导致自身反应性反应,尽管感染已得到缓解。包括EB病毒、巨细胞病毒甚至新冠病毒在内的病毒都可能导致这些错误。这与遗传因素相结合可导致风湿性疾病的发生。本研究旨在简要综述病毒在AIRDs发生和发展中的作用。