Lorente Toledano F, Blanco Quirós A, Muriel Ramos M M
An Esp Pediatr. 1981 Jul;15(1):23-30.
The present paper contains an analysis of the essential factors which combine in the pathogeny of autoimmune illnesses, using Systemic Erythematous Lupus as a prototype. These patients present a hyperfunction of B lymphocytes due to either an intrinsic defect of these cells or disorders in the cells which regulate them which is translated into a high response to nuclear and lymphocytary antigens. The formation of circulating immunocomplexes in these patients would be responsible for the inflammatory vascular and tissue lesions which they present when the Complement is deposited and activated. The antilymphocyte antibodies affect both the B as well as T lymphocytes, by activating the former and destroying the latter particularly the underpopulation of suppressing T lymphocytes. This is translated into a greater activity of the cells which produce antibodies.
本文以系统性红斑狼疮为原型,对自身免疫性疾病发病机制中综合存在的关键因素进行了分析。这些患者由于B淋巴细胞本身存在缺陷或调节它们的细胞出现紊乱,导致B淋巴细胞功能亢进,这表现为对核抗原和淋巴细胞抗原的高反应性。这些患者体内循环免疫复合物的形成,在补体沉积并激活时,会导致他们出现炎症性血管和组织损伤。抗淋巴细胞抗体对B淋巴细胞和T淋巴细胞均有影响,它激活前者并破坏后者,尤其是抑制性T淋巴细胞数量不足。这导致产生抗体的细胞活性增强。