炎症性肌肉病和自身免疫性质相关疾病:病理生理学相互联系和假设的范围审查
1Department of Rheumatology, Dermatology and Infectious Diseases, Oslo University Hospital, Rikshospitalet, 0424 Oslo, Norway.
Recent advances in inflammation & allergy drug discovery
|December 12, 2024
概括
在一些患有异常性炎症性肌肉病 (IIM) 的患者中,质可能引发肌肉炎,特别是患有乳病 (CeD) 的患者. 需要进一步的研究来确认质.
科学领域:
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
- 神经学 神经学
背景情况:
- 异形性炎症性肌肉病 (IIM) 和腹腔疾病 (CeD) 分享事联系,无质饮食改善肌肉炎.
- 对IIM和十二指肠活检验证的CeD的系统审查表明肌炎活动和质暴露之间存在联系.
研究的目的:
- 探索IIM与质相关疾病之间的病理生理联系.
- 研究质作为基因易感个体肌肉炎的潜在触发因素的作用.
主要方法:
- 对IIM和质相关疾病的文献的探索性审查.
- 系统和非系统的搜索,包括引用跟踪.
主要成果:
- 在IIM和自身免疫性质障碍 (CeD,皮肤炎形,质性缺血症) 之间确定了共同的遗传倾向 (HLA-DQ2.5/-DQ8).
- 观察到类似的自身抗体,组织病理学和转胺酶分布.
- 在CeD和结缔组织疾病中检测到共享的T细胞表型,表明抗原驱动的反应.
结论:
- 在CeD中免疫反应的组成部分可能存在于IIM肌肉中.
- 质可能作为一种外源抗原,在基因敏感的IIM患者中驱动肌肉炎.
- 建议进行临床试验和免疫学研究;HLA-DQ类型和小肠活检可能有助于IIM患者的诊断.
相关概念视频
Autoimmune Disorders
386
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
386
Irritable Bowel Syndrome I: Introduction
246
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
246
Chronic Bowel Disorders: Introduction
386
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
386
Gastritis-II: Pathophysiology
250
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...
250
Other Disorders of Digestive System
707
The gastrointestinal tract is susceptible to various disorders. If the lower esophageal sphincter is damaged, stomach acid can flow back into the esophagus, causing irritation and inflammation of the lining. This condition is called gastroesophageal reflux disease (known as heartburn) and may cause chest pain and difficulty swallowing. In the stomach, prolonged use of nonsteroidal anti-inflammatory drugs like aspirin, chronic alcohol consumption, bacterial infections such as Helicobacter...
707
Inflammatory Bowel Disease II: Crohn's Disease
184
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
184


