IF 2 4区 医学 Q3 DERMATOLOGY
Axel Villani
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引用次数: 0

摘要

化脓性汗腺炎(HS)是一种复杂的免疫介导的疾病,最初表现为毛囊炎,在一些患者中逐渐恶化为晚期病变,如瘘管,可能需要广泛的手术干预。在一部分HS患者中,涉及影响γ -分泌酶复合物或角化细胞功能障碍(促炎和超增殖角化细胞)的基因突变。微生物群被认为在HS病变的发展中起着至关重要的作用,在病变和非病变皮肤中都观察到生态失调,提示临床前改变。然而,细菌在HS中的确切作用仍不清楚:它们是污染物、共炎症剂还是潜在的疾病诱因?在病变皮肤中观察到混合炎症反应,涉及先天(巨噬细胞,中性粒细胞,非常规淋巴细胞)和适应性(t和b细胞)免疫途径。然而,这种免疫反应的动力学仍然知之甚少。由于HS炎症的性质尚不清楚,目前的治疗主要基于TNF或IL-17抑制。更好地了解HS的复杂性对于开发更有效的治疗方法至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Hidradenitis suppurativa: pathogenesis.

Hidradenitis suppurativa (HS) is a complex immune-mediated disorder, initially presenting as folliculitis, and progressively worsening in some patients to advanced lesions, such as fistulas, that may require extensive surgical interventions. In a subset of HS patients, genetic mutations affecting the gamma-secretase complex or keratinocyte dysfunction (pro-inflammatory and hyperproliferative keratinocytes) are implicated. The microbiota is thought to play a crucial role in the development of HS lesions, with dysbiosis observed in both lesional and non-lesional skin, suggesting preclinical alterations. However, the precise role of bacteria in HS remains unclear: Are they contaminants, co-inflammatory agents, or potential disease triggers? A mixed inflammatory response has been observed in lesional skin, involving both innate (macrophages, neutrophils, unconventional lymphocytes) and adaptive (T-and B-cell) immune pathways. However, the dynamics of this immune response remain poorly understood. Because of the unclear nature of HS inflammation, current treatments primarily are based on TNF or IL-17 inhibition. A better understanding of the complexity of HS is critical for the development of more effective treatments.

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来源期刊
European Journal of Dermatology
European Journal of Dermatology 医学-皮肤病学
CiteScore
2.00
自引率
4.00%
发文量
129
审稿时长
6-12 weeks
期刊介绍: The European Journal of Dermatology is an internationally renowned journal for dermatologists and scientists involved in clinical dermatology and skin biology. Original articles on clinical dermatology, skin biology, immunology and cell biology are published, along with review articles, which offer readers a broader view of the available literature. Each issue also has an important correspondence section, which contains brief clinical and investigative reports and letters concerning articles previously published in the EJD. The policy of the EJD is to bring together a large network of specialists from all over the world through a series of editorial offices in France, Germany, Italy, Spain and the USA.
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