graves病:一种模型自身免疫性疾病的病理生理学

Marium Nabi, R. Noor, Aleena Zahid, Tuba Zulfiqar, Ammara Khalid, Samreen Ri
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引用次数: 3

摘要

格雷夫氏病被归类为自身免疫性疾病和V型过敏症。它引起IgG抗体的形成,刺激促甲状腺激素受体。不同的临床研究提示本病甲状腺受到过度刺激,导致甲状腺细胞发育不全(又称甲状腺肿)和甲状腺功能亢进。对影响格雷夫斯感染的无防备和触发因素的脆弱性,以及对敌对甲状腺药物的各种反应,到目前为止,大约有一半的无反应者。本文综述了与本病有关的免疫、遗传、病理生理和环境方面的研究进展。它还强调了阐明有助于解决这种疾病的新方法的新研究-但其各个关注领域仍需要更广泛地探索。通过CD90糖蛋白的作用。一些因子如IL-16、PGD2和IL-1β加速成纤维细胞成脂。研究表明,脂肪形成受TNF-α和IFNγ 15的作用抑制。这些研究的结果表明,细胞因子而不是组织重塑和纤维化参与了眼病的早期阶段。Thy1+成纤维细胞能够发育成肌成纤维细胞。肌成纤维细胞存在于肌肉中,参与胶原蛋白积累和肌肉收缩等重要功能。Thy1+型成纤维细胞释放的抗脂肪因子抑制了Thy1−型成纤维细胞的分化。TGF-β的引入以及Thy1-和Thy1+的数量导致GO患者眼外肌和脂肪组织受累19。b细胞是一种起源于造血干细胞并在骨髓中成熟的白细胞。B细胞在次级淋巴器官(即脾脏和淋巴结)被激活。它们在体液免疫中起作用并产生抗体。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Grave’s Disease: Pathophysiology of a Model Autoimmune Disease
Grave's disease is categorized as an autoimmune disease and type V hypersensitivity. It causes the formation of IgG antibodies that stimulates the thyrotropin receptor. It is suggested that in this disease, there is hyper stimulation of the thyroid gland by different clinical researches of this disease that result in thyrocyte hypoplasia (which is also known as goiter) and hyperthyroidism. Vulnerability to factors impacting the defenselessness and triggers for Graves' infection endures, alongside a wide variety in the reaction to hostile thyroid medications, as of now at roughly half of the non-responders. This review article describes the immune genetic, pathophysiological as well as environmental aspects related to this disease. It also emphasizes new research that elucidates the new methods to help resolve this disease-however its various areas of concern still need to be explored more extensively. by the action of CD90 glycoprotein. Fibroblasts are accelerated into adipogenesis by some factors such as IL-16, PGD2, and, IL-1β. Research shows that adipogenesis is inhibited by the action of TNF-α and IFNγ 15. The output of these researches concludes that cytokines instead of tissue remodeling and fibrosis are involved in the early phases of ophthalmopathy. The Thy1+ fibroblasts are capable of developing into myofibroblasts. Myofibroblasts are present in muscles and participate in important functions such as collagen accumulation and muscle contractions18. The antiadipogenic factors released by Thy1+ fibroblasts inhibit the differentiation of Thy1− fibroblasts. The introduction of TGF-β and the quantity of Thy1- and Thy1+ causes extraocular muscle and the involvement of adipose tissue in GO patients19. B-cells are the type of white blood cells that originate from hematopoietic stem cells and mature in the bone marrow. B cells are activated in secondary lymphoid organs -i.e. spleen and lymph nodes. They function in humoral immunity and produce antibodies.
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