儿童的过敏和自身免疫:非相互排斥的疾病. 一个叙事审查
Enza D'Auria1, Martina Minutoli1, Alessandra Colombo1
1Department of Pediatrics, Vittore Buzzi Children's Hospital, University of Milan, Milan, Italy.
Frontiers in pediatrics
|November 29, 2023
概括
儿科过敏和自身免疫性疾病越来越常见,并且具有潜在的免疫失调. 认识到它们频繁的同时发生对于更好的患者管理和治疗策略至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 儿科 儿科 儿科
- 胃肠病学 胃肠病学
背景情况:
- 观察到儿科亚托皮和自身免疫性疾病的患病率上升.
- 传统的Th1-Th2范式受到共享病原性途径的证据的挑战.
- 免疫失调,遗传因素和环境影响都与此有关.
研究的目的:
- 审查儿童过敏和自身免疫性疾病的同时发生情况.
- 探索将这些疾病联系在一起的常见致病机制.
- 为临床意识和管理策略提供信息.
主要方法:
- 现有科学文献的叙述性审查.
- 对儿科过敏和自身免疫性疾病研究的分析.
- 识别共享的遗传和分子通路.
主要成果:
- 过敏和自身免疫性疾病在儿童群体中经常共存.
- 共同的途径包括上皮屏障缺陷,肠道失生症和免疫细胞功能的改变 (例如T调节细胞,IL-10).
- 免疫球蛋白A (IgA) 缺乏是乳病和过敏之间潜在的联系.
结论:
- 临床医生必须考虑在儿童中同时出现过敏和自身免疫疾病的可能性.
- 早期识别有助于改善疾病管理和患者护理.
- 需要进一步的研究来阐明精确的机制,并开发有针对性的疗法.
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