过敏和自身免疫之间的临床和病理生理纠结:解构一个古老的二元论范式
Giuseppe A Ramirez1,2, Chiara Cardamone3,4, Sara Lettieri5,6
1Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS Ospedale San Raffaele, Milan, Italy.
Clinical reviews in allergy & immunology
|February 11, 2025
概括
过敏和自身免疫,一旦被视为对立,共享共同的触发器和途径. 本综述探讨了它们的复杂相互作用,挑战了旧观点,并建议了免疫失调障碍的新研究方向.
科学领域:
- 免疫学 免疫学 免疫学
- 病理生理学 病理生理学
- 临床医学 临床医学
背景情况:
- 过敏和自身免疫性疾病涉及免疫调节失调,增加发病率和同时发生挑战患者护理.
- 传统上被视为相反的条件 (过敏的IgE/Th2,自身免疫的Th1/Th17),新出现的证据表明共享的机制.
- 常见的危险因素包括遗传倾向,上皮屏障缺陷和微生物组变化.
研究的目的:
- 提供关于过敏和自身免疫疾病之间的复杂关系的全面更新.
- 解构传统的二分法,将过敏和自身免疫分开.
- 确定共享的致病途径和潜在的治疗点.
主要方法:
- 对临床和治疗证据的审查.
- 对免疫反应的机制学研究的分析.
- 综合有关过敏和自身免疫的当前研究.
主要成果:
- 过敏和自身免疫具有共同的触发因素和重叠的病原性途径.
- 埃索诺菲尔,巨细胞和自身反应性IgE都与自身免疫有关.
- B细胞和Th17调制提供了对过敏病理生理学的见解.
结论:
- 过敏和自身免疫之间的区别越来越模糊,具有共同的潜在机制.
- 了解这些重叠对于推进患者护理和开发新型治疗策略至关重要.
- 未来的研究应该专注于这些综合治疗方法的共享途径.
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