疫苗接种和自身免疫性疾病:有什么证据?
David C Wraith1, Michel Goldman, Paul-Henri Lambert
1Department of Pathology and Microbiology, University of Bristol, Bristol, UK. d.c.wraith@bris.ac.uk
Lancet (London, England)
|November 25, 2003
概括
感染可以在基因敏感的个体中引发自身免疫性疾病. 本综述探讨了感染如何诱导自身免疫,并讨论了疫苗安全方面的影响.
科学领域:
- 免疫学 免疫学 免疫学
- 这是一种自身免疫力.
- 疫苗学 疫苗学 疫苗学
背景情况:
- 自免疫性疾病影响欧洲和北美5%的人,由遗传倾向和环境触发因素引起.
- 感染是最可能的环境因素,可能通过微生物抗原交叉反应或增强的自我抗原呈现引起自身免疫.
- 免疫系统有机制限制与感染相关的组织损伤,并抑制自身免疫反应.
研究的目的:
- 审查感染诱导自身免疫的机制.
- 评估这些机制对疫苗诱导的自身免疫性的影响.
- 为解决关于疫苗和自身免疫性疾病之间的联系正在进行的辩论.
主要方法:
- 关于免疫机制的文献综述.
- 对感染诱导的自身免疫性现有数据的分析.
- 评估将疫苗与自身免疫性疾病联系在一起的证据.
主要成果:
- 微生物抗原可以模仿自身抗原,导致交叉反应性免疫反应.
- 感染可以非特定地增加免疫系统的自我抗原的呈现.
- 免疫系统的调节机制旨在防止感染后的自身免疫.
结论:
- 了解感染诱导的自身免疫对于评估潜在的疫苗风险至关重要.
- 虽然感染已被确定为触发因素,但疫苗和自身免疫之间的联系需要经过仔细的科学评估.
- 需要进一步的研究来澄清疫苗接种和自身免疫性疾病的发展之间的确切关系.
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