线粒体细胞外囊泡,自身免疫和心肌炎
Damian N Di Florio1,2,3, Danielle J Beetler1,2,3, Elizabeth J McCabe1
1Department of Cardiovascular Medicine, Mayo Clinic, Jacksonville, FL, United States.
Frontiers in immunology
|March 29, 2024
概括
病毒感染可以通过从细胞中释放线粒体,激活免疫反应,触发诸如心肌炎之类的自身免疫性疾病. 这篇评论探讨了病毒诱导的线粒体囊泡如何导致自身免疫性疾病.
科学领域:
- 免疫学 免疫学 免疫学
- 病毒学 病毒学
- 心脏病学 心脏病学
背景情况:
- 病毒感染与自身免疫性疾病有关,但机制尚不清楚.
- 像coxsackievirus B3和SARS-CoV-2这样的病毒向线粒体,将它们释放到囊泡中,通过Toll-like受体4和炎症体通路激活先天免疫力.
- 心脏的高线粒体密度可能解释病毒感染后的心脏自身免疫.
研究的目的:
- 审查病毒感染在产生含有线粒体和病毒的细胞外囊泡中的作用.
- 总结有关病毒诱导的线粒体释放和心肌炎的发展的文献.
主要方法:
- 对病毒感染,线粒体,细胞外囊泡和自身免疫反应研究的文献综述.
- 涉及托尔类受体4和炎症酶通路的机制的分析.
- 在心肌炎和扩张性心肌病症中检查针对线粒体抗原的自身抗体的证据.
主要成果:
- 病毒感染在细胞外囊中释放线粒体,激活先天免疫反应.
- 线粒体组件触发托尔类受体4和炎症酶激活.
- 对心脏肌素和线粒体抗原的自身免疫性在病毒性心肌炎和扩张性心肌病症中观察到.
结论:
- 病毒感染可以通过线粒体释放启动自身免疫反应,特别是心肌炎.
- 免疫耐受性的缺陷,例如AIRE基因变异,可以加剧线粒体自身免疫力.
- 含有病毒和线粒体的细胞外囊泡是病毒诱导的自身免疫疾病发展的关键参与者.
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