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系统性红斑狼疮患者的结核病

Tuberculosis in patients with systemic lupus erythematosus.

作者信息

Ongarj Jomkwan, Intapiboon Porntip, Tanner Rachel, Pinpathomrat Nawamin

机构信息

Department of Biomedical Sciences and Biomedical Engineering, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand.

Department of Biology, University of Oxford, Oxford, United Kingdom.

出版信息

Front Immunol. 2025 Sep 1;16:1625748. doi: 10.3389/fimmu.2025.1625748. eCollection 2025.

DOI:10.3389/fimmu.2025.1625748
PMID:40959074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12434052/
Abstract

Tuberculosis (TB) is an infectious disease caused by (), with approximately 10 million new cases reported worldwide annually. Patients with immunocompromised states or those receiving immunosuppressive therapy for autoimmune diseases are at higher risk of infection or reactivation. The chronic autoimmune disease, systemic lupus erythematosus (SLE), is associated with a higher risk of infection and TB disease during conventional treatment with corticosteroids and immunosuppressants. However, whether risk of TB is influenced by the immune disturbances associated with active SLE when patients are not receiving immunosuppressant treatment remains unclear. In this review, we describe the pathogenesis of TB and SLE and consider how autoimmune responses in SLE could influence TB risk.

摘要

结核病(TB)是一种由()引起的传染病,全球每年报告约1000万新病例。免疫功能低下的患者或因自身免疫性疾病接受免疫抑制治疗的患者感染或复发的风险更高。慢性自身免疫性疾病系统性红斑狼疮(SLE)在使用皮质类固醇和免疫抑制剂进行常规治疗期间,感染和结核病的风险更高。然而,当患者未接受免疫抑制治疗时,活动性SLE相关的免疫紊乱是否会影响结核病风险仍不清楚。在本综述中,我们描述了结核病和SLE的发病机制,并探讨SLE中的自身免疫反应如何影响结核病风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d659/12434052/f79114a53e3f/fimmu-16-1625748-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d659/12434052/4686f0705ed7/fimmu-16-1625748-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d659/12434052/c81ba18394f7/fimmu-16-1625748-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d659/12434052/5f07c67c3c29/fimmu-16-1625748-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d659/12434052/f79114a53e3f/fimmu-16-1625748-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d659/12434052/4686f0705ed7/fimmu-16-1625748-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d659/12434052/c81ba18394f7/fimmu-16-1625748-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d659/12434052/5f07c67c3c29/fimmu-16-1625748-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d659/12434052/f79114a53e3f/fimmu-16-1625748-g004.jpg

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本文引用的文献

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Evaluation of immune profiles associated with control of mycobacterial growth in systemic lupus erythematosus (SLE) patients.评估与系统性红斑狼疮(SLE)患者控制分枝杆菌生长相关的免疫特征。
Tuberculosis (Edinb). 2024 Sep;148:102533. doi: 10.1016/j.tube.2024.102533. Epub 2024 Jun 13.
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Clinical Assessment of Cytokine Profiles and Haematological Parameters in Patients with Systemic Lupus Erythematosus: A Cross-Sectional Study from Saudi Arabia.系统性红斑狼疮患者细胞因子谱和血液学参数的临床评估:来自沙特阿拉伯的一项横断面研究。
Front Biosci (Landmark Ed). 2023 Dec 28;28(12):358. doi: 10.31083/j.fbl2812358.
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Tuberculosis remains a major burden in systemic lupus erythematosus patients in Durban, South Africa.
在南非德班,结核病仍是系统性红斑狼疮患者的一项主要负担。
Front Med (Lausanne). 2023 Mar 1;10:1118390. doi: 10.3389/fmed.2023.1118390. eCollection 2023.
4
Cytokine upsurge among drug-resistant tuberculosis endorse the signatures of hyper inflammation and disease severity.耐多药结核病患者细胞因子飙升,表明存在过度炎症和疾病严重程度。
Sci Rep. 2023 Jan 16;13(1):785. doi: 10.1038/s41598-023-27895-8.
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WHO's Global Tuberculosis Report 2022.世界卫生组织《2022年全球结核病报告》。
Lancet Microbe. 2023 Jan;4(1):e20. doi: 10.1016/S2666-5247(22)00359-7. Epub 2022 Dec 12.
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Inflammation and immune activation are associated with risk of Mycobacterium tuberculosis infection in BCG-vaccinated infants.炎症和免疫激活与卡介苗接种婴儿中结核分枝杆菌感染的风险相关。
Nat Commun. 2022 Nov 3;13(1):6594. doi: 10.1038/s41467-022-34061-7.
7
2022 EULAR recommendations for screening and prophylaxis of chronic and opportunistic infections in adults with autoimmune inflammatory rheumatic diseases.2022 年 EULAR 成人自身免疫性炎症性风湿病患者慢性和机会性感染筛查和预防的建议。
Ann Rheum Dis. 2023 Jun;82(6):742-753. doi: 10.1136/ard-2022-223335. Epub 2022 Nov 3.
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Cureus. 2022 Jun 28;14(6):e26410. doi: 10.7759/cureus.26410. eCollection 2022 Jun.
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