Rees J H, Gregson N A, Griffiths P L, Hughes R A
Department of Neurology, U.M.D.S., Guy's Hospital, London.
Q J Med. 1993 Oct;86(10):623-34. doi: 10.1093/qjmed/86.10.623.
Campylobacter jejuni is the most frequently identified bacterial cause of gastroenteritis in the UK, and commonly precedes Guillain-Barré syndrome (GBS). There is some evidence that the resultant neurological disease may be a more severe variant of GBS with predominant axonal degeneration. Crossreactivity between neural antigens and C. jejuni may be one of the mechanisms by which GBS is triggered. Unravelling the immunopathogenesis of GBS following C. jejuni enteritis may shed light on the way in which bacterial infections induce autoimmune disease.
空肠弯曲菌是英国最常见的引起肠胃炎的细菌病因,并且通常先于吉兰-巴雷综合征(GBS)出现。有证据表明,由此引发的神经疾病可能是GBS的一种更严重变体,主要表现为轴突变性。神经抗原与空肠弯曲菌之间的交叉反应可能是触发GBS的机制之一。阐明空肠弯曲菌肠炎后GBS的免疫发病机制可能有助于揭示细菌感染诱发自身免疫性疾病的方式。