类风湿性关节炎的发病机制与牛奶或鸡蛋过敏有关

Jianjie Li, Hao Yan, He Chen, Q. Ji, Sheng-Chuan Huang, Pingchang Yang, Zhi-Gang Liu, Bo Yang
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引用次数: 15

摘要

背景:类风湿性关节炎(RA)是一种非常复杂的自身免疫性疾病,伴有明显的滑膜增生和软骨和骨破坏。目的:在本研究中,我们旨在确定RA的发病机制是否与食物过敏相关以及哪些过敏原相关。材料与方法:采用ⅱ型胶原(CII)诱导Wistar大鼠关节炎(collagen-induced arthritis, CIA)模型,并采用评分系统对关节炎的发生进行评价。采用酶联免疫吸附法(ELISA)检测血浆促炎细胞因子水平,采用C1q固相法检测循环免疫复合物(CICs)浓度。进一步测定CIA模型中食物特异性免疫球蛋白G (IgG)和免疫球蛋白E (IgE)水平。结果:在CIA模型中,我们发现肿瘤坏死因子- α (TNF-a)、白细胞介素(IL)-1、IL-6、IL-17以及CICs水平显著升高。此外,CIA大鼠的牛奶或鸡蛋特异性IgG和IgE浓度显著提高。结论:RA的发病机制与鸡蛋或牛奶特异性抗体的增加密切相关。
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The Pathogenesis of Rheumatoid Arthritis is Associated with Milk or Egg Allergy
Background: Rheumatoid arthritis (RA) is a very complicated autoimmune disease with apparent synovial hyperplasia and cartilage and bone destruction. Aims: In the present study, we aimed to determine whether the pathogenesis of RA correlates with food allergy and which allergen(s) are relevant. Materials and Methods: We used type-II collagen (CII) to induce arthritis (collagen-induced arthritis, CIA) model in Wistar rats, and the development of arthritis was evaluated accordingly by scoring system. Proinflammatory cytokine levels in plasma were measured by enzyme-linked immunosorbent assay (ELISA), and concentrations of circulating immune complexes (CICs) were analyzed by C1q solid phase method. Furthermore, food-specific immunoglobulin G (IgG) and immunoglobulin E (IgE) levels were determined in the CIA model. Results: In the CIA model, we found that levels of tumor necrosis factor-alpha (TNF-a), interleukin (IL)-1, IL-6, and IL-17, as well as CICs, were elevated significantly. Moreover, concentrations of milk- or egg-specific IgG and IgE were enhanced strikingly in CIA rats. Conclusion: The results suggest that pathogenesis of RA correlates closely to increased egg- or milk-specific antibodies.
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