尽管在常见变性免疫缺陷 (CVID) 中使用免疫球蛋白替代疗法,但细胞因子失调
Remo Poto1,2, Antonio Pecoraro1,2,3, Anne Lise Ferrara1,2
1Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Frontiers in immunology
|October 16, 2023
概括
常见的可变免疫缺陷 (CVID) 显示了持续的免疫失调,在患有自身免疫性疾病的人群中,细胞因子和LPS水平较高. 这突显了CVID异质性,尽管免疫球蛋白替代疗法.
科学领域:
- 免疫学 免疫学 免疫学
- 主要免疫缺陷疾病 主要免疫缺陷疾病
背景情况:
- 常见变性免疫缺陷 (CVID) 是一种普遍存在的原发性免疫缺陷.
- 免疫球蛋白替代疗法 (IgRT) 可以治疗感染,但不能治疗潜在的免疫问题.
研究的目的:
- 评估CVID患者的细胞因子概况和炎症标志物.
- 为了区分CVID的免疫失调与感染与CVID的自身免疫/炎症疾病.
主要方法:
- 测量的血清TNF-α,IL-1β,IL-6,IL-10,LPS和sCD14.
- 在传染性CVID (INF-CVID),非传染性CVID (NIC-CVID) 和健康捐赠者 (HD) 中比较的水平.
主要成果:
- 无论是INF-CVID还是NIC-CVID,都显示了细胞因子 (TNF-α,IL-1β,IL-6,IL-10) 与HD相比的升高.
- 与INF-CVID和HD相比,NIC-CVID具有显著更高的细胞因子升高,LPS增加和sCD14升高.
结论:
- 即使使用IgRT,CVID也表现出持续的细胞因子失调.
- 不同的细胞因子概况证实了CVID亚组内的免疫失调异质性.
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