综述文章:系统性红斑狼疮与甘露糖结合凝集素基因之间是否存在关系?

Sara Sleem, Zeinab Mahmoud kadry, E. Gad, AlShimaa Abd Elall
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摘要

本文综述了甘露糖结合凝集素基因与系统性红斑狼疮的关系。系统性红斑狼疮(SLE)的复杂特征是SLE,表现为多种临床表型和多种自身抗体的产生。SLE患者具有多种临床表型,如皮疹、神经精神和肌肉骨骼症状,其中一些症状可发展为狼疮肾炎。异常的补体激活会引起炎症,从而损害多个器官组织。系统性红斑狼疮是一种慢性炎症性疾病,大约50%的患者会出现肾脏损害。尽管有有效的抗炎和免疫抑制治疗,狼疮性肾炎仍然导致大量患者终末期肾脏损害(ESRD)或慢性肾脏疾病(CKD)。它是SLE患者死亡率和发病率的重要危险因素。c型凝集素家族包括甘露糖结合凝集素(MBL),其在免疫前第一道防线中的作用似乎涉及模式识别。MBL可以识别大量存在于许多致病细菌、病毒、原生动物和真菌微生物表面的碳水化合物模式。当MBL与微生物结合时,补体系统的凝集素途径被激活。大量研究表明MBL多态性与SLE和狼疮肾炎有关。
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Review Article: Is there a relationship between Systemic Lupus Erythematosus and the Mannose Binding Lectin gene?
: Our review article discusses the relationship between systemic lupus erythematosus and the mannose-binding lectin gene. The complex trait of systemic lupus erythematosus (SLE), which manifests as a variety of clinical phenotypes and the production of several autoantibodies, is SLE. SLE patients experience a wide range of clinical phenotypes, such as skin rash, and neuropsychiatric, and musculoskeletal symptoms, some of which can progress to lupus nephritis. Abnormal complement activation causes inflammation, which damages multiple organs' tissue. About 50% of systemic lupus erythematosus patients, a chronic inflammatory disease, experience kidney damage. Despite effective anti-inflammatory and immunosuppressive therapies, lupus nephritis still results in end-stage kidney impairment (ESRD) or chronic kidney disorder (CKD) for an excessive number of patients. It represents a significant risk factor regarding mortality and morbidity in SLE. The family of C-type lectins of collectins includes the mannose-binding lectin (MBL), whose portion in the pre-immune first line of defense seems to involve pattern recognition. MBL can identify carbohydrate modes that abound on the surfaces of numerous pathogenic bacterial, viral, protozoal, and fungal microorganisms. The complement system's lectin pathway is activated when MBL binds to a microorganism. Numerous studies have linked MBL polymorphism, SLE, and lupus nephritis.
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