[自身抗体在自身免疫性疾病的病因和发病机制中的作用]。

O A Zharova, A O Shpakov
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引用次数: 0

摘要

在过去的几年里,研究表明,对嗜电性受体细胞外区域的自身抗体,如谷氨酸AMPA-和nmda受体、gabaa -受体、甘氨酸和烟碱乙酰胆碱受体,诱导广泛的自身免疫性疾病,包括边缘脑炎、拉斯穆森脑炎、系统性红斑狼疮、重症肌无力、脑脊髓炎和僵硬人综合征。本文对自身免疫过程中引起嗜电性受体自身抗体的形成、参与致病性自身抗体诱导的表位、这些抗体对神经细胞功能的影响及其在自身免疫性疾病发生中的作用等方面的文献资料进行了分析和系统梳理。讨论了肿瘤疾病在嗜离子受体自身抗体产生中的可能作用。考虑了目前正在开发的抑制致病性自身抗体合成及其中和的方法。这些方法可随后用于治疗由嗜离子受体抗体引起的自身免疫性疾病。
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[THE ROLE OF AUTOANTIBODIES TO THE EXTRACELLULAR REGIONS OF IONOTROPIC RECEPTORS IN ETIOLOGY AND PATHOGENESIS OF AUTOIMMUNE DISEASES].

In the last years it was shown that autoantibodies to the extracellular regions of the ionotropic receptors, such as glutamate AMPA- and NMDA-receptors, GABAA-receptors, glycine and nicotinic acetylcholine receptors, induce a wide spectrum of autoimmune diseases, including limbic encephalitis, Rasmussen's encephalitis, systemic lupus erythematosus, myasthenia gravis, encephalomyelitis, and stiff-man syndrome. In the review the literature data concerning the autoimmune processes provoking autoantibodies formation to the ionotropic receptors, the epitopes participating in the induction of pathogenic autoantibodies, and the effects of these antibodies on the functions of nervous cells and their role in the development of autoimmune diseases were analyzed and systematized. The possible role of oncology diseases in the generation of autoantibodies to the ionotropic receptors was discussed. Approaches that are currently being developed to inhibit the synthesis of pathogenic autoantibodies and to their neutralization were considered. These approaches may be subsequently used to treat the autoimmune diseases caused by the antibodies to ionotropic receptors.

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