青少年系统性自身免疫和自身炎症性疾病中的神经发育并发症
Pierre Ellul1, Isabelle Melki2
1Université Paris-Cité, IHU Robert Debré du Cerveau de l'enfant, Excellence Centre for Autism and Neurodevelopment Disorders, Robert Debré Hospital, Paris, France. pierre.ellul@aphp.fr.
Nature reviews. Rheumatology
|March 2, 2026
概括
患有青少年自身免疫和自身炎症性疾病的儿童可能面临神经发育障碍的更高风险. 早期干预和综合护理对于改善这些脆弱儿童的结果至关重要.
科学领域:
- 儿科风湿病学和神经病学
- 免疫学和发育生物学
背景情况:
- 神经发育障碍 (NDD) 是一个重要的全球公共卫生问题.
- 复杂的遗传,环境和免疫相互作用影响神经发育,特别是在关键的脆弱性窗口期间.
- 青少年系统性自身免疫和自身炎症性疾病 (JSAADs) 可能会增加NDD的风险.
研究的目的:
- 探索JSAADs与儿童发展NDDs的风险之间的关联.
- 强调需要在患有JSAAD的儿童中早期检测和管理NDD.
主要方法:
- 审查关于免疫因素和神经发育相互作用的新兴证据.
- 对JSAADs早期发病和延迟治疗对神经发育脆弱性的影响的分析.
主要成果:
- 患有JSAAD的儿童,特别是早期发病和延迟治疗的儿童,对NDD的脆弱性增加.
- 这些协会正在改变儿科风湿病学实践.
结论:
- 早期查,多学科管理和个性化干预措施对于治疗儿童的炎症性疾病和NDD至关重要.
- 国际研究,生物标志物发现和长期随访对于推进护理和改善长期生活质量至关重要.
相关概念视频
Autoimmune Disorders
2.0K
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...
2.0K
Psychoneuroimmunology: Cardiovascular Disease
622
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
622
Immunodeficiency Diseases
2.7K
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...
2.7K
Disorders of the Autonomic Nervous System
1.7K
The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
Raynaud's disease, also known as Raynaud's...
1.7K
Disorders of the Nervous Tissue
2.8K
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
2.8K
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
798
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
798


