在纤维肌痛中炎症,自身免疫和感染:叙述性审查
Marino Paroli1, Chiara Gioia1, Daniele Accapezzato1
1Department of Clinical, Internal, Anesthesiologic and Cardiovascular Sciences, Sapienza University di Roma, 00185 Rome, Italy.
International journal of molecular sciences
|June 19, 2024
概括
纤维肌痛 (FM) 是一种慢性疼痛疾病. 新出现的证据表明免疫介导或自身免疫的原因,挑战了这种广泛的疼痛障碍的传统心理社会理论.
科学领域:
- 免疫学 免疫学 免疫学
- 类风湿病学 类风湿病学
- 神经科学是一个神经科学.
背景情况:
- 纤维肌痛 (FM) 是一种慢性疾病,引起广泛的疼痛和疲劳.
- 传统上被视为心理社会,最近的研究表明炎症或自身免疫因素.
- 增加女性患病率和与自身免疫性疾病的相关性支持免疫参与.
研究的目的:
- 审查目前关于纤维肌痛免疫媒介病变的证据.
- 探索炎症和自身免疫在 FM 发展中的作用.
- 考虑最近的发现,包括长期的COVID关联.
主要方法:
- 现有科学文献的叙述性审查.
- 流行病学数据和临床观察结果的分析.
- 检查来自动物模型和人类研究的证据.
主要成果:
- 越来越多的证据支持FM的炎症和/或自身免疫基础.
- 流行病学数据和与免疫疾病的同时发生与免疫病原发生一致.
- 长期的COVID发病率表明潜在的传染性触发因素.
结论:
- 纤维肌痛的发病可能涉及免疫介导机制.
- 对炎症和自身免疫路径的进一步研究是有必要的.
- 这篇评论强调了从纯粹的心理社会转向基于免疫的FM理解的转变.
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