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Autoantibodies and Cytokines in Pathogenesis of Rheumatoid Arthritis 自身抗体和细胞因子在类风湿关节炎发病中的作用
Pub Date : 2018-11-22 DOI: 10.5772/INTECHOPEN.82265
M. Khan, W. Khan
Rheumatoid arthritis (RA) is an autoimmune disorder in which increased autoantibody production and enhanced secretion of pro-inflammatory cytokines are the hallmark of the disease. A strictly controlled balance of antibody production and proinflammatory cytokines is the key to the healthy state. A slight tilt in this balance causes proinflam matory diseases. In RA there is an increased production of autoantibodies such as rheu- matoid factor (RF) and anti-citrullinated protein antibody (ACPA), anti-cartilage type II antibodies, and etc., which have a prominent clinical significance. Furthermore, there is increased secretion of proinflammatory cytokines such as tumor necrosis factor- α (TNF α ), interleukin-6 (IL-6), interleukin-1 (IL-1) which have an impact of great magnitude on the RA disease progression and severity. A better understanding of the mechanism of auto antibody production and secretion of cytokines together with crosstalk between immune cells and cytokines can provide us a better insight into the disease pathogenesis as well disease prognosis and management.
类风湿性关节炎(RA)是一种自身免疫性疾病,其自身抗体产生增加和促炎细胞因子分泌增强是该疾病的标志。严格控制抗体产生和促炎细胞因子的平衡是健康状态的关键。这种平衡稍有倾斜就会导致促炎性疾病。RA自身抗体如类风湿因子(RF)和抗瓜氨酸化蛋白抗体(ACPA)、抗软骨II型抗体等的产生增加,具有突出的临床意义。此外,促炎细胞因子如肿瘤坏死因子- α (TNF α)、白细胞介素-6 (IL-6)、白细胞介素-1 (IL-1)的分泌增加,对RA疾病的进展和严重程度有很大影响。了解自身抗体的产生和细胞因子的分泌机制,以及免疫细胞与细胞因子之间的相互作用,有助于我们更好地了解疾病的发病机制以及疾病的预后和治疗。
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引用次数: 1
Introductory Chapter: Autoantibodies and Their Types 导论章:自身抗体及其类型
Pub Date : 2018-11-05 DOI: 10.5772/INTECHOPEN.77328
W. Khan
Autoantibodies are groups of antibodies that are directed against body’s own antigen. These autoantibodies are generated against different types of antigens in various autoimmune diseases. Clinical symptoms of systemic autoimmune diseases are characterized by the involvement of various organs in addition to the production of non-organ specific autoantibodies. These autoantibodies in autoimmune diseases are associated with a specific clinical symptom within a spectrum [1]. Most of the autoantibodies have diagnostic and prognostic importance with respect to their associated disease and all of these are not involve in the pathogenesis of these diseases. Most autoantibodies are mainly used as biological markers for certain disease but they do not actually reflect the pathophysiological process underwent during the course of the disease, however, many autoantibodies also have a pathogenetic roles such as antinuclear antibodies and anti-tTG antibodies in celiac disease. For example, autoimmune hepatitis is a chronic disease which is characterized by various clinical, histological as well as immunological characteristics including production of circulating autoantibodies and high serum concentration of gamma globulin [2]. These autoantibodies are very important for the correct diagnosis and classification of autoimmune liver disease [3] and they are not related with the pathogenesis of autoimmune hepatitis. However, some of the systemic autoimmune disease relating these autoantibodies in the sense that their levels are changes during the course of the disease. These include anti-double stranded DNA antibodies in systemic lupus erythematosus (SLE) and anti-neutrophil cytoplasmic autoantibodies in the vasculitis [4]. Other types of antibodies like anti-nucleosome and anti-CIq autoantibodies can function as both markers of the disease activity as well as pathogenic autoantibodies in SLE [5, 6].
自身抗体是一组针对人体自身抗原的抗体。这些自身抗体是针对各种自身免疫性疾病中不同类型的抗原而产生的。全身性自身免疫性疾病的临床症状的特点是除了产生非器官特异性自身抗体外,还累及各种器官。自身免疫性疾病中的这些自身抗体与谱内的特定临床症状相关[1]。大多数自身抗体对其相关疾病具有诊断和预后的重要性,而所有这些抗体都不涉及这些疾病的发病机制。大多数自身抗体主要作为某种疾病的生物学标记物,并不实际反映疾病发生过程中所经历的病理生理过程,但许多自身抗体在乳糜泻中也具有发病作用,如抗核抗体、抗ttg抗体等。例如,自身免疫性肝炎是一种慢性疾病,具有多种临床、组织学和免疫学特征,包括循环自身抗体的产生和血清γ球蛋白的高浓度[2]。这些自身抗体对自身免疫性肝病的正确诊断和分类非常重要[3],与自身免疫性肝炎的发病机制无关。然而,一些系统性自身免疫性疾病与这些自身抗体有关,因为它们的水平在疾病过程中会发生变化。这些抗体包括系统性红斑狼疮(SLE)的抗双链DNA抗体和血管炎的抗中性粒细胞胞浆自身抗体[4]。其他类型的抗体,如抗核小体和抗ciq自身抗体,在SLE中既可以作为疾病活动性的标志物,也可以作为致病性自身抗体[5,6]。
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引用次数: 0
Indicators of Preeclampsia in Correlation with Maternal Cytokines in Pregnancy 妊娠期子痫前期指标与母体细胞因子的相关性研究
Pub Date : 2018-11-05 DOI: 10.5772/INTECHOPEN.76344
A. Markova, M. Hadži-Lega, G. Dimitrov, Gligor Tofovski, J. Georgievska, E. Dzikova, I. Kjaev
Aim: the purpose of the actual study was to evaluate, in the third trimester of pregnancy, the relationship between the formation of anti-inflammatory IL-10 cytokine and several indicators of moderate and severe preeclampsia. Materials and methods: in the third trimester of gesta- tion, examination of the biochemical markers of preeclampsia (PE) and maternal IL-10 levels was conducted in 100 women with pregnancies complicated by varying degrees of preeclamp - sia and in 100 normotensive patients, hospitalized at the University Clinic of Gynecology and Obstetrics, Skopje, Republic of Macedonia. Patients with preeclampsia were categorized into moderate and severe preeclampsia groups according to the degree of preeclampsia. Logistic regression of the different parameters for the occurrence of severe preeclampsia analysis was used to determine the predictive value. Results: the regression analysis detected systolic blood pressure of 160 mmHg or higher, diastolic blood pressure of 100 mmHg or higher, persistent proteinuria in pregnancy, serum LDH concentration of 450 U/L or higher, and reduced serum concentrations of IL-10 as significant predictors of severe preeclampsia. Conclusion: signifi - cantly, lower IL-10 concentrations in maternal serum in patients with severe preeclampsia in comparison with respective concentrations in patients with moderate preeclampsia can be considered as major pathognomonic laboratory sign of severe form of preeclampsia.
目的:实际研究的目的是评价妊娠晚期抗炎IL-10细胞因子的形成与中重度子痫前期几个指标的关系。材料和方法:在妊娠晚期,对马其顿共和国斯科普里妇产科大学住院的100名伴有不同程度先兆子痫的妊娠妇女和100名血压正常的患者进行了子痫前期生化标志物(PE)和母体IL-10水平的检测。根据子痫前期的严重程度将子痫前期患者分为中度和重度子痫前期组。对不同参数进行Logistic回归分析,确定重度子痫前期发生的预测值。结果:回归分析发现收缩压160 mmHg及以上、舒张压100 mmHg及以上、妊娠期持续性蛋白尿、血清LDH浓度450 U/L及以上、血清IL-10浓度降低是严重子痫前期的重要预测因素。结论:重度子痫前期孕妇血清IL-10浓度明显低于中度子痫前期孕妇血清IL-10浓度,可视为重度子痫前期的主要病理特征。
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引用次数: 0
Development of a Simple Multiplex Electrochemiluminescence (ECL) Assay for Screening Pre-Type 1 Diabetes and Multiple Relevant Autoimmune Diseases 用于筛选1型糖尿病前期和多种相关自身免疫性疾病的简单多重电化学发光(ECL)试验的发展
Pub Date : 2018-11-05 DOI: 10.5772/INTECHOPEN.75515
Zhiyuan Zhao, Yong Gu, Jeremy Cheng, Liping Yu
The presence of islet autoantibodies (iAbs) is currently the most reliable biomarker for type 1 diabetes (T1D). The current “gold” standard radio-binding assays that measure four major iAbs to insulin, IAA, GAD65, IA-2A and ZnT8, are laborious and do not fit for large-scale screenings. Around 40% of patients with T1D develop other autoimmune diseases like celiac disease, autoimmune thyroid disease, and so on. It is highly recommended to screen these closely related autoimmune diseases during T1D screening; however, there is no method available. Recently, on the platform of extensively validated high-sensitive and high-specific electrochemiluminescence (ECL) assay, we developed a multiplex ECL assay to combine up to 10 autoantibody assays into one single well with 5 μl of blood sample. It not only allows us to combine multiple iAbs into one but also makes it possible to simultaneously screen T1D and other multiple autoimmune diseases, which in turn facilitates large-scale screenings in the general population.
胰岛自身抗体(iAbs)的存在是目前1型糖尿病(T1D)最可靠的生物标志物。目前的“金”标准放射结合测定法测量胰岛素、IAA、GAD65、IA-2A和ZnT8的四种主要抗体,这是费力的,不适合大规模筛选。约40%的T1D患者会出现其他自身免疫性疾病,如乳糜泻、自身免疫性甲状腺疾病等。强烈建议在T1D筛查时筛查这些密切相关的自身免疫性疾病;然而,没有可用的方法。最近,在广泛验证的高灵敏度和高特异性电化学发光(ECL)检测平台上,我们开发了一种多重ECL检测方法,可以将多达10种自身抗体检测结合到一个单孔中,其中含有5 μl的血液样本。它不仅使我们能够将多个iab组合为一个,而且使同时筛查T1D和其他多种自身免疫性疾病成为可能,从而促进了普通人群的大规模筛查。
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引用次数: 0
Structure, Physiology, and Functions of Autoantibodies 自身抗体的结构、生理和功能
Pub Date : 2018-11-05 DOI: 10.5772/INTECHOPEN.76020
N. Uyar
Prevalence of autoimmune diseases is increasing. Antibodies are responsible for the humoral type of adaptive immune responses, glycoprotein structure and produced by B lymphocytes. Failure of Immunologic self-tolerance due to environmental and genetic factors may predipose the development of autoimmunity. Self-antigens are either tolerogenic or ignored. Central tolerance occurs at immature Tand B lymphocytes in the thymus and bone marrow. Peripheral tolerance occurs at mature lymphocytes encounter self-antigens in peripheral tissues. Negative selection, regulatory T cells, anergy, activation-induced cell death, immune suppression, receptor editing are examples of important steps of immune tolerance. B lymphocytes that produce antibodies which bind self-antigen with medium/low affinity escape from anergy and those antibodies are called as natural autoantibodies but the other ones with high affinity are undergo anergy, The natural antibodies have play critical roles as; discrimination foreign from self, auto-multireactivity, regulate the immunomodulation, maintain tissue homeostasis. Natural autoantibodies work as the templates for the produc- tion of pathogenic autoantibodies which has high affinity, switch the class and diverse somatically under proper conditions. Pathogenic autoantibodies can protect or cause diseases via neutralization of self-antigens, opsonization, antibody-dependent cellular cytotoxicity, activation of the complement system, pro-inflammatory and anti-inflammatory effect.
自身免疫性疾病的患病率正在上升。抗体是负责体液型适应性免疫反应的糖蛋白结构,由B淋巴细胞产生。由于环境和遗传因素导致的免疫自身耐受失败可能导致自身免疫的发生。自身抗原要么具有耐受性,要么被忽略。中枢耐受发生在胸腺和骨髓中未成熟的Tand B淋巴细胞。外周耐受发生在成熟淋巴细胞遇到外周组织中的自身抗原时。负选择、调节性T细胞、能量、激活诱导的细胞死亡、免疫抑制、受体编辑是免疫耐受的重要步骤。B淋巴细胞产生与自身抗原结合的中/低亲和力的抗体逃避能量,这些抗体称为天然自身抗体,而其他高亲和力的抗体则处于能量状态,天然抗体起着至关重要的作用。自辨外来,自身多反应性,调节免疫调节,维持组织稳态。天然自身抗体是病原性自身抗体的模板,具有高亲和力,在适当的条件下具有切换类和多样性。致病性自身抗体可以通过中和自身抗原、调理、抗体依赖的细胞毒性、激活补体系统、促炎和抗炎作用来保护或引起疾病。
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引用次数: 1
Autoantibody-Based Diagnostic Biomarkers: Technological Approaches to Discovery and Validation 基于自身抗体的诊断生物标志物:发现和验证的技术方法
Pub Date : 2018-11-05 DOI: 10.5772/INTECHOPEN.75200
F. Aziz, Muneerah Smith, J. Blackburn
Autoantibodies produced against self-antigens, or ‘autoantigens’, result from a loss of selftolerance triggered by genetic and/or environmental factors which induce the immune system to attack the host’s own cells, resulting in a condition referred to as autoimmunity. In classic autoimmune diseases, it is well established that the pathology relates directly to the autoantibodies. However, it is increasingly recognised that autoantibodies are also found in many other disease areas, including cancers, cardiovascular and neurodegenerative diseases, as well infectious diseases such as malaria, albeit in such diseases it is unclear whether the autoantibodies play a direct role in the pathology or whether they are merely symptomatic of disease. Irrespective of whether they are causative or symptomatic of specific diseases though, there is increasing interest globally in exploring the clinical potential of circulating autoantibodies as diagnostic biomarkers. This chapter provides an overview of the diagnostic utility of autoantibody biomarkers in a range of disease areas and discusses their potential utility in disease staging, treatment monitoring and in prediction of immune-related adverse events. It also provides an overview of traditional and contemporary technological approaches to autoantibody biomarker discovery and validation, focusing on protein microarrays that are ideally suited to this important area of research.
针对自身抗原或“自身抗原”产生的自身抗体是由于遗传和/或环境因素导致免疫系统攻击宿主自身细胞而导致自身耐受性丧失,从而导致称为自身免疫的情况。在典型的自身免疫性疾病中,病理与自身抗体直接相关是公认的。然而,越来越多的人认识到,自身抗体也存在于许多其他疾病领域,包括癌症、心血管和神经退行性疾病,以及疟疾等传染病,尽管在这些疾病中,尚不清楚自身抗体是否在病理中起直接作用,还是仅仅是疾病的症状。无论它们是特定疾病的病因还是症状,全球对探索循环自身抗体作为诊断性生物标志物的临床潜力越来越感兴趣。本章概述了自身抗体生物标志物在一系列疾病领域的诊断效用,并讨论了它们在疾病分期、治疗监测和免疫相关不良事件预测方面的潜在效用。它还概述了自身抗体生物标志物发现和验证的传统和现代技术方法,重点是非常适合这一重要研究领域的蛋白质微阵列。
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引用次数: 7
Autoantibodies in Viral Infections 病毒感染中的自身抗体
Pub Date : 2018-11-05 DOI: 10.5772/INTECHOPEN.80471
S. Sherwani, Mushtaq Ahmed Khan, Mohammed SulimanAlmogbel
The immune system’s ability to distinguish self from nonself is essential for initiating host defense against microbial antigens and protection of self-antigens from autoimmune-associated destruction. Virus infections have been implicated in the initiation of multiple human autoimmune diseases. This chapter aims to summarize the main principles for some specific viral infections and the subsequent production of autoantibodies resulting in the initiation, progression, and perpetuation of autoimmune diseases. Various mechanisms by which virus infections can induce autoimmune responses including molecular mimicry and epitope spreading are discussed with respect to these viruses, and evidence implicating virus infections in the pathogenesis of various human autoimmune diseases is reviewed. A better understanding of the viral origin of autoimmune diseases is an important step in the identification of high-risk patients as well as designing prevention and disruption strategies.
免疫系统区分自我和非自我的能力对于启动宿主防御微生物抗原和保护自身抗原免受自身免疫相关破坏至关重要。病毒感染与多种人类自身免疫性疾病的发生有关。本章旨在总结一些特定的病毒感染和随后产生的自身抗体导致自身免疫性疾病的发生、进展和延续的主要原理。本文讨论了病毒感染诱导自身免疫反应的各种机制,包括分子模仿和表位扩散,并对病毒感染在各种人类自身免疫性疾病发病机制中的证据进行了综述。更好地了解自身免疫性疾病的病毒起源是识别高危患者以及设计预防和破坏策略的重要一步。
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引用次数: 2
Primary Sjögren’s Syndrome and Autoantibodies 原发性Sjögren综合征和自身抗体
Pub Date : 2018-04-04 DOI: 10.5772/INTECHOPEN.75011
M. Maślińska, B. Kwiatkowska
The presence of certain autoantibodies in the serum of patients facilitates the diagnosis of particular autoimmune diseases. Some antibodies may also be significant for the progno sis of the disease development and internal organs involvement. In the case of Sjögren’s syndrome, it is known that overactivity of B-lymphocytes leads to the production of a number of autoantibodies—both markers for pSS (such as antibodies to ribonucleopro- teins) and nonspecific antibodies (such as rheumatoid factor). The range of autoantibod ies found in pSS is constantly expanding, but their significance is not fully established. At present, only anti-SS-A antibodies are introduced to the criteria for the pSS diagnosis. However, this does not stop an interest in other autoantibodies and the significance of their presence for the course of this disease. This chapter outlines the autoantibodies found in pSS and discusses their importance in clinical practice.
患者血清中某些自身抗体的存在有助于特定自身免疫性疾病的诊断。一些抗体也可能对疾病发展和内脏受累的预后有重要意义。在Sjögren综合征的病例中,已知b淋巴细胞的过度活跃导致大量自身抗体的产生——pSS标记物(如核糖核蛋白抗体)和非特异性抗体(如类风湿因子)。在pSS中发现的自身抗体的范围不断扩大,但其意义尚未完全确定。目前,只有抗ss - a抗体被引入pSS的诊断标准。然而,这并不能阻止人们对其他自身抗体的兴趣,以及它们在这种疾病过程中存在的意义。本章概述了在pSS中发现的自身抗体,并讨论了它们在临床实践中的重要性。
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引用次数: 1
Cytokines and Interferons: Types and Functions 细胞因子和干扰素:类型和功能
Pub Date : 2018-03-13 DOI: 10.5772/INTECHOPEN.74550
V. L. Ferreira, H. H. Borba, A. F. Bonetti, Letícia P. Leonart, R. Pontarolo
This chapter aims to describe and review the main important cytokines types (notably interferons), including their biological activities, functions and structures. As a high number of molecules are available, synthesis of the most important cytokines, includ- ing tumor factor necrosis, interferons and interleukins will be presented. Here we also describe the relationships between those cytokines with some autoimmune diseases that are promoted by them.
本章旨在描述和回顾主要的重要细胞因子类型(特别是干扰素),包括它们的生物活性、功能和结构。由于有大量的分子可用,最重要的细胞因子的合成,包括肿瘤坏死因子、干扰素和白细胞介素。在这里,我们也描述了这些细胞因子与它们促进的一些自身免疫性疾病之间的关系。
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引用次数: 60
Autoantibodies: Key Mediators of Autoimmune Infertility 自身抗体:自身免疫性不孕症的关键介质
Pub Date : 2018-03-02 DOI: 10.5772/INTECHOPEN.73899
Kaushiki Kadam, P. Mande, Asmita K Choudhury
Autoimmune diseases have gender bias with predominance in females, autoimmune infer- tility (AI) being no exception. This chapter will focus on AI in females with brief reference to the same in males. Autoimmune diseases have established protocols for detection and management of ensuing infertility, however similar protocols for unexplained infertility [tubal blockage, endometriosis, premature ovarian insufficiency (POI), undiagnosed under- lying autoimmune disease (Sjögren ’ s syndrome, IBS, celiac disease) and tubal blockage] are not established. Endometriosis and POI, in particular, have autoimmune etiology yet lack specific and sensitive biomarkers for accurate diagnosis. If autoantibodies are indeed diagnosed, then treatment regimen focuses on AI which has known adverse effects. The detec- tion of natural antibodies as autoantibodies presents a viable alternative to organ specific biomarker panel for better management of AI.
自身免疫性疾病有性别偏见,以女性为主,自身免疫性推断(AI)也不例外。本章将重点讨论女性的AI,并简要介绍男性的AI。自身免疫性疾病已经建立了检测和治疗不孕症的方案,但是对于不明原因的不孕症[输卵管阻塞、子宫内膜异位症、卵巢早衰(POI)、未确诊的潜在自身免疫性疾病(Sjögren综合征、肠易激综合征、乳糜泻)和输卵管阻塞]的类似方案尚未建立。特别是子宫内膜异位症和POI,具有自身免疫性病因,但缺乏特异性和敏感的生物标志物来准确诊断。如果确实诊断出自身抗体,那么治疗方案将侧重于已知副作用的人工智能。作为自身抗体的天然抗体的检测为更好地管理人工智能提供了一种可行的替代器官特异性生物标志物面板。
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引用次数: 1
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