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[I型干扰素病。由I型干扰素引发的全身性炎症性疾病]

[Type I interferonopathies. Systemic inflammatory diseases triggered by type I interferons].

作者信息

Günther C, Schmidt F, König N, Lee-Kirsch M A

机构信息

Klinik für Dermatologie, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.

Klinik für Kinder- und Jugendmedizin, Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Dresden, Deutschland.

出版信息

Z Rheumatol. 2016 Mar;75(2):134-40. doi: 10.1007/s00393-015-0027-5.

Abstract

Type I interferons mediate immune defense against viral infections. The induction of type I interferons has stimulating and modulating effects on the innate and adaptive immune systems thereby reducing tolerance against self-antigens. Genetic defects that result in an inadequate activation of the type I interferon system can cause a group of inflammatory disorders, which are collectively referred to as type I interferonopathies. While the clinical spectrum of type I interferonopathies is broad and heterogeneous, neurological and cutaneous symptoms are the most frequent manifestations. Some clinical and genetic features of type I interferonopathies are shared by multifactorial diseases, such as systemic lupus erythematosus and systemic vasculitis. Advances in understanding the disease mechanisms underlying type I interferonopathies have pinpointed novel targets for therapeutic interventions.

摘要

I型干扰素介导针对病毒感染的免疫防御。I型干扰素的诱导对先天性和适应性免疫系统具有刺激和调节作用,从而降低对自身抗原的耐受性。导致I型干扰素系统激活不足的基因缺陷可引起一组炎症性疾病,统称为I型干扰素病。虽然I型干扰素病的临床谱广泛且异质性,但神经和皮肤症状是最常见的表现。I型干扰素病的一些临床和遗传特征与多因素疾病如系统性红斑狼疮和系统性血管炎相同。在理解I型干扰素病潜在疾病机制方面取得的进展已确定了治疗干预的新靶点。

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