揭开下炎的病原性谱:一个叙述性审查
Sara Menotti1,2, Antonella Giampietro1,2, Salvatore Raia1,2
1Pituitary Unit, Department of Endocrinology and Metabolism, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, Italy.
Journal of personalized medicine
|August 25, 2023
概括
最近的研究突出显示了日益增多的缺血炎病例,重点关注自身免疫,免疫检查点抑制剂诱导的和SARS-CoV-2相关的形式. 了解分子机制和遗传学是针对性治疗的关键.
科学领域:
- 内分泌学 在内分泌学.
- 免疫学 免疫学 免疫学
- 遗传学 遗传学 是一个
背景情况:
- 越来越多的报道显示下垂体炎,一种罕见的垂体炎症.
- 目前正在研究原发病原体,分子机制和原发性和二次性低血压炎的遗传学.
研究的目的:
- 总结一下最近关于低体质炎的研究.
- 探索原发病源,分子机制和原发性和二次性低体质炎的遗传学.
主要方法:
- 审查最近的科学文献关于hypophysitis.
- 分析分子机制,遗传因素和免疫反应.
- 检查不同类型的低血清炎亚型:原发性自身免疫性,免疫检查点抑制剂诱导的和与SARS-CoV-2相关的.
主要成果:
- 主要的自身免疫性低细胞性炎涉及T/B淋巴细胞透和特定的自身抗体.
- 免疫检查点抑制剂 (ICI) 可以通过T淋巴细胞过度活化和遗传多态度诱导低血清炎.
- SARS-CoV-2 感染与缺血炎有关,可能是通过直接的病毒损伤或细胞因子释放.
结论:
- 了解缺血炎的发病因子,包括遗传倾向,如HLA DQ8和CTLA-4/PD-1多态,至关重要.
- 葡萄糖皮质类药物是对自身免疫性低体位炎的首要治疗方法.
- 对分子机制的进一步研究将使个性化治疗策略成为可能.
相关概念视频
Hypothalamic-Pituitary Axis
The response to stress—be it physical or psychological, acute or chronic—involves activation of the Hypothalamic-Pituitary-Adrenal (HPA) axis. The HPA axis is part of the neuroendocrine system because it involves both neuronal and hormonal communication. Its function is to regulate homeostatic systems—metabolic, cardiovascular, and immune—providing the necessary means to respond to a stressor.
Pulmonary Hypertension: Classification and Pathogenesis
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
Gastritis-II: Pathophysiology
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
Nephrotic Syndrome I : Introduction
Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of fluid...
Encephalitis ll: Pathophysiology
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
Gastritis II: Pathophysiology
The pathophysiology of gastritis begins with the colonization of the stomach lining by Helicobacter pylori (H. pylori). This bacterium spreads mainly via the oral-oral route through saliva or shared utensils, and can also be transmitted in overcrowded or unhygienic environments through contaminated water, despite its brief survival outside the body.ColonizationOnce ingested, H. pylori enters the stomach and begins colonization by navigating through the mucus layer lining the stomach wall. It...


