在常见的可变免疫缺陷中,胃肠道血细胞的稀缺性
Jan Willem N Marsden1, Miangela M Laclé2, Mirjam Severs3
1University Medical Center Utrecht, Department of Clinical Immunology and Rheumatology.
Current opinion in allergy and clinical immunology
|October 31, 2024
概括
常见的可变免疫缺陷肠道病变 (CVID-E) 与肠道中的血细胞减少有关. 本综述提出了在活检中量化血细胞的标准化方法,以帮助CVID-E诊断和研究.
科学领域:
- 胃肠病学 胃肠病学
- 免疫学 免疫学 免疫学
- 病理学 病理学 病理学
背景情况:
- 常见的可变免疫缺陷肠道病变 (CVID-E) 是CVID的非传染性肠道并发症.
- 血细胞的稀缺是CVID和CVID-E的常见特征,但缺乏标准化的诊断标准.
- 在CVID-E的GI活检中对血细胞的组织病理学分析是不一致的.
研究的目的:
- 系统地审查CVID活检中可再生血细胞量化方法.
- 描述CVID和CVID-E.在文献中报告的血细胞计数和类别.
- 建议标准化方法用于GI活检中的血细胞量化.
主要方法:
- 对报告CVID和CVID-E.血细胞量化研究的系统文献综述.
- 在胃肠道活检中报告的血细胞计数和类别的分析.
- 对血细胞量化方法的评估.
主要成果:
- 血细胞数量减少在整个肠道中普遍存在,不包括食道.
- 免疫球蛋白A+ (IgA+) 血细胞是CVID中最常见的减少类型.
- 关于CVID-E中低IgA+血细胞计数的预测值的文献有限.
结论:
- 血细胞的标准化量化对于CVID-E诊断和研究至关重要.
- 建议的方法包括<10个血细胞/HPF或≥1-5%的单核细胞.
- 这些定义需要对≥3个切口和≥2个活检进行分析,以获得诊断一致性.
相关概念视频
Transcytosis of IgG
2.7K
Transcytosis is the process in which molecules are internalized by endocytosis, transported across the cell, and released through exocytosis from the opposite end of the cell. Molecules such as insulin, immunoglobulins, and certain nutrients are transferred through the recycling endosomes by recycling and transcytosis.
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
2.7K
Immunodeficiency Diseases
911
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
There are three main causes of immunodeficiency...
911
Histology of the Small Intestine
537
The small intestine exhibits a unique histological structure that significantly enhances its function in digestion and nutrient absorption. These structures include circular folds, villi, and various specialized cells that collectively facilitate the digestion of food.
The intestinal lining features transverse folds called circular folds, each housing fingerlike projections known as intestinal villi. These villi are covered by a layer of simple columnar epithelium, also referred to as...
The intestinal lining features transverse folds called circular folds, each housing fingerlike projections known as intestinal villi. These villi are covered by a layer of simple columnar epithelium, also referred to as...
537
Gastritis-II: Pathophysiology
261
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...
261
What is Monogastric Digestion?
70.6K
The human body contains a monogastric digestive system. In a monogastric digestive system, the stomach only contains one chamber in which it digests food. Several other animal species also have monogastric digestive systems, including pigs, horses, dogs, and birds. This chapter, however, focuses on the human digestive system.
70.6K
Renewal of Intestinal Stem Cells
2.5K
The intestinal epithelial lining rapidly renews every 4 to 5 days. The renewal is facilitated by intestinal stem cells (ISCs) located at the base of the crypt– a gland located at the bottom of each villus. ISCs divide asymmetrically to form new stem cells and progenitor daughter cells. The daughter cells are called transit-amplifying (TA) cells which move upwards along the crypt and either differentiate into absorptive cells– the enterocytes or secretory cells– including the...
2.5K


