J Rheumatol:粘膜相关恒定T细胞参与强直性脊柱炎的发病

2016-07-25 MedSci MedSci原创

来自日本内科和风湿病及免疫学组的研究人员发现粘膜相关的恒定T细胞可能在强直性脊柱炎中扮演了角色。 强直性脊柱炎(AS)是以外周关节和韧带附着点慢性炎症为主要症状的疾病。肠道免疫被认为与AS发病相关,因为在AS患者中观察到明显的肠道和关节炎症并存。粘膜免疫相关恒定T细胞(MAIT)倾向于定居在肠固有层并产生炎性细胞因子如白介素-17(IL-17)和肿瘤坏死因子-α (TNF-α),是AS的治疗

来自日本内科和风湿病及免疫学组的研究人员发现粘膜相关的恒定T细胞可能在强直性脊柱炎中扮演了角色。

强直性脊柱炎(AS)是以外周关节和韧带附着点慢性炎症为主要症状的疾病。肠道免疫被认为与AS发病相关,因为在AS患者中观察到明显的肠道和关节炎症并存。粘膜免疫相关恒定T细胞(MAIT)倾向于定居在肠固有层并产生炎性细胞因子如白介素-17(IL-17)和肿瘤坏死因子-α (TNF-α),是AS的治疗目标。这个研究旨在调查MAIT细胞是如何参与AS的发病。

研究人员写道,"我们发现MAIT细胞在AS患中是激活的,但出现在外周血中的频率减少,尽管这次的研究表明MAIT细胞与AS发病相关。仍需进一步的研究确定MAIT细胞对疾病的发展和恶化的作用,以此更好的了解AS的发病机制。"

研究人员调查了30个AS患者和21个健康对照组中MAIT细胞出现的频率和细胞因子产物。使用流式细胞仪分析AS患者MAIT细胞激活标志物CD69。

研究发现,AS患者外周血中MAIT细胞出现的频率与健康对照组相比减少,有更高水平的MAIT细胞激活后产物白细胞介素-17,AS患者中强直性脊柱炎活动评分与MATI细胞CD69表达相关。


MedSci小编:

粘膜免疫机制未来一定会在许多自身免疫性疾病中得到应用。一般认为自身免疫性疾病是系统性疾病,实际上,很多自身免疫性疾病往往只在局部发病。虽然,我们认为这是因为一些局部的器官或组织被自身免疫误识别,但是这种学说并不解释全部!

全身系统性的免疫识别错误与局部免疫(粘膜免疫)或组织下淋巴系统的免疫紊乱(如淋巴生发中心的Tfr/Tfh平衡被打破),可能是许多自身免疫性疾病的真正的分子基础!

这篇研究还是非常初步的,还有更深入的局部机制可以进行研究!如果大家有兴趣,可以与梅斯医学一同开展相关研究!可以给我们发邮件哦,或在网站上留言呢  

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    2017-02-07 zywlvao
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    2016-10-11 1e10c84am36(暂无匿称)

    好文章,受益

    0

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    2016-08-17 仁医06
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    2016-09-13 ylzr123

    赞了!深度好文,深入学习。

    0

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    2016-08-26 ylzr123

    好文章,值得学习,先赞一个

    0

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    2016-07-25 明崖

    学习了,强直性脊柱炎越来越多发

    0

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