通过氧化对疟疾的耐受性是否解释了非洲热带地区自身免疫性疾病的发病率较低?
I A Clark1, F M al-Yaman, W B Cowden
1Division of Biochemistry and Molecular Biology, School of Life Sciences, Australian National University, Canberra, Australia.
Lancet (London, England)
|November 30, 1996
概括
耐疟疾个体产生的氧化可以通过减少T细胞增殖来预防自身免疫性疾病. 相反,一些人群中的低氧化水平与西方社会中更高的自身免疫性疾病率相关.
科学领域:
- 免疫学 免疫学 免疫学
- 热带医学 热带医学
- 氧化生物学 氧化生物学
背景情况:
- 热带农村人口中很少观察到自身免疫性疾病.
- 患有疟疾耐受性的个体表现出血中酸盐/酸盐水平升高,这表明氧化的产量很高.
- 大脑疟疾患者也表现出活性中间体的增加,但低于耐疟疾患者.
研究的目的:
- 调查氧化在疟疾耐受性中的作用及其对自身免疫性疾病患病率的潜在影响.
- 为了探索一种假设,即疟疾耐受性个体的巨细胞产生的氧化可以抑制自身反应性T细胞.
主要方法:
- 对不同人群 (耐疟疾,脑疟疾患者,对照组) 的酸盐和酸盐度分析.
- 拟议的机制涉及氧化对巨细胞功能和T细胞增殖的影响.
主要成果:
- 耐疟疾的个体表现出最高水平的活性中间体 (酸盐加酸盐).
- 建议在疟疾耐受性期间由巨细胞产生的氧化可以最大限度地减少自身反应性T细胞的增殖.
结论:
- 在疟疾耐受性中,高氧化的产生可能会在热带地区的人群中提供对自身免疫性疾病的保护.
- 在某些人群中,由疟疾选择的先天低氧化物生成,可以解释西方环境中自身免疫性疾病和高血压的增加.
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