期刊文献+

特发性血小板减少性紫癜免疫紊乱状态的研究进展

Progress in immunologic deragement of idiopathic thrombocytopenic purpura
原文传递
导出
摘要 特发性血小板减少性紫癜(ITP)是一种自身免疫性疾病,其病因和发病机制尚未完全明确。目前研究认为与免疫紊乱密切相关:急性期呈辅助T细胞(Th)1优势分化、缓解期呈Th2优势分化;CD4^+T细胞是机体的重要调节细胞,在转录因子T-bet/GATA3的作用下,其激活后选择性地优势分化为Th1/Th2,通过分泌特征性细胞因子而发挥免疫作用;也有研究认为,ITP患儿自身反应性T细胞凋亡受到抑制,引起自身反应性T细胞克隆积聚,不断刺激B细胞产生自身抗体并激活细胞毒性T细胞,导致血小板持续破坏。
出处 《国际儿科学杂志》 2008年第3期246-247,共2页 International Journal of Pediatrics
基金 内蒙古自然科学基金资助项目(200711020946)
  • 相关文献

参考文献14

  • 1Rosmalen JG, van Ewijk W, Leenen PJ. T-cell education in autoimmune diabetes: teachers and students. Trends Immunol, 2002,23 ( 1 ): 40-46.
  • 2Zhou B, Zhao H, Yang RC, et al. Multi-dysfunctional pathophysiology in ITP. Crit Rev Oncol Hematol,2005,54(2) :107-116.
  • 3Szabo SJ, Kim ST, Costa GL, et al. A novel transcription factor, T-bet, directs Th1 lineage commitment. Cell,2000,100(6) :655-669.
  • 4Zheng W, Haven RA. The transcription factor GATA-3 is necessary and sufficient for Th2 cytokine gene expression in CD4 T cells. Cell, 1997,89 (4) :587-596.
  • 5Chakir H, Wang H, Lefebvre DE, et al. T-bet/GATA-3 ratio as a measure of the Th1/Th2 cytoldne profile in mixed cell populations: predominant role of GATA-3. J Immunol Methods, 2003,278 (1-2) : 157-169.
  • 6王婷婷,赵辉,任贺,郭建海,徐茂强,杨仁池,韩忠朝.慢性特发性血小板减少性紫癜患者Ⅰ类和Ⅱ类T细胞特点的研究[J].中华医学杂志,2006,86(10):669-673. 被引量:18
  • 7Semple JW. Immune pathophysiology of autoimune thrombocytopenic purpura. Blood Rev,2002,16(1 ) :9-12.
  • 8Kuwana M,Kawdkami Y,Ikeda Y.Suppression of autoreactive T-cell response to glycopmtein Ⅱb/Ⅲa by blockade of CD4O/CD154 interaction: implications for treatment of immune thrombocytopenic pulpura. Blood, 2003, 101 (2) : 621-623.
  • 9Olsson B, Andersson PO, Jemas M, et al. T-cell-mediated cytotoxicity toward platelets in chronic idiopathic thrombocytopenlc puipura. Nat Med, 2003,9 (9) : 1123-1124.
  • 10Olsson B,Andersson PO,Jacobsson S, et al. Disturbed apoptosis of T-cells in patients with active idiopathic thrombocytopenic puipura. Thromb Haemost, 2005,93( 1 ) : 139-144.

二级参考文献21

  • 1Yang R,Han ZC.Pathogenesis and management of chronic idiopathic thrombocytopenic purpura:an update.Int J Hematol,2000,71:18-24.
  • 2Zhou B,Zhao H,Yang RC,et al.Multi-dysfunctional pathophysiology in ITP.Crit Rev Oncol Hematol,2005,54:107-116.
  • 3Olsson B,Andersson PO,Jernas M,et al.T-cell-mediated cytotoxicity toward platelets in chronic idiopathic thrombocytopenic purpura.Nat Med,2003,9:1123-1124.
  • 4Croft M,Carter L,Swain SL,et al.Generation of polarized antigen-specific CD8 effector populations:reciprocal action of interleukin (IL)-4 and IL-12 in promoting type 2 versus type 1 cytokine profiles.J Exp Med,1994,180:1715-1728.
  • 5Szabo SJ,Kim ST,Costa GL,et al.A novel transcription factor,T-bet,directs Th1 lineage commitment.Cell,2000,100:655-669.
  • 6Zhang DH,Cohn L,Ray P,et al.Transcription factor GATA-3 is differentially expressed in murine Th1 and Th2 cells and controls Th2-specific expression of the interleukin-5 gene.J Biol Chem,1997,272:21597-21603.
  • 7Kuwana M,Okazaki Y,Kaburaki J,et al.Spleen is a primary site for activation of platelet-reactive T and B cells in patients with immune thrombocytopenic purpura.J Immunol,2002,168:3675-3682.
  • 8Gupta S,Aggarwal S,Rashanravan B,et al.Th1-and Th2-like cytokines in CD4^+and CD8^+T cells in autism.J Neuroimmunol,1998,85:106-109.
  • 9Becher B,Giacomini PS,Pelletier D,et al.Interferon-gamma secretion by peripheral blood T-cell subsets in multiple sclerosis:correlation with disease phase and interferon-beta therapy.Ann Neurol,1999,45:247-250.
  • 10Panitsas FP,Theodoropoulou M,Kouraklis A,et al.Adult chronic idiopathic thrombocytopenic purpura (ITP) is the manifestation of a type-1 polarized immune response.Blood,2004,103:2645-2647.

共引文献27

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部