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生物制剂诱导所致自身免疫系统性疾病的研究进展 被引量:1
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作者 武鹏佳 杨蕾(综述) 曾家顺(审校) 《现代医药卫生》 2023年第12期2107-2113,共7页
生物制剂是具有明确靶向性的单克隆抗体或抗体融合蛋白类生物大分子药物。现已广泛用于自身免疫性风湿、消化、皮肤病和全身性疾病,其具有显著的疗效,可降低疾病并发症及死亡率。然而矛盾的是,越来越多的报道却证实接受生物制剂治疗后... 生物制剂是具有明确靶向性的单克隆抗体或抗体融合蛋白类生物大分子药物。现已广泛用于自身免疫性风湿、消化、皮肤病和全身性疾病,其具有显著的疗效,可降低疾病并发症及死亡率。然而矛盾的是,越来越多的报道却证实接受生物制剂治疗后可出现自身免疫性疾病,包括各种全身性(狼疮、血管炎、结节病、抗磷脂综合征和炎症性肌病)和器官特异性(间质性肺病、葡萄膜炎、视神经炎、周围神经病、多发性硬化症、牛皮癣、炎症性肠病和自身免疫性肝炎)疾病。目前国内相关文献报道较少,该文综述主要目的为阐述生物制剂诱导自身免疫系统性疾病的临床特征、结果及可能的发病机制。 展开更多
关键词 生物制剂 自身免疫系统性疾病 肿瘤坏死因子α抑制剂 综述
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结缔组织疾病伴发的脱髓鞘病变
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作者 吴春华 艾清龙 《国际神经病学神经外科学杂志》 2008年第5期477-480,共4页
结缔组织疾病或系统性自身免疫疾病常侵及中枢神经系统(脑、脊髓),导致脱髓鞘的病理改变,其临床症状和影像特征与中枢神经系统特发性炎性脱髓鞘疾病(如多发性硬化、横贯性脊髓炎等)极为相似,从而造成诊断上的困难。因此详细询问每一位... 结缔组织疾病或系统性自身免疫疾病常侵及中枢神经系统(脑、脊髓),导致脱髓鞘的病理改变,其临床症状和影像特征与中枢神经系统特发性炎性脱髓鞘疾病(如多发性硬化、横贯性脊髓炎等)极为相似,从而造成诊断上的困难。因此详细询问每一位脱髓鞘病变患者有否系统性自身免疫疾病症状,行相关检查并进行随访,以早期识别并进行针对性治疗无疑具有重要的临床意义。 展开更多
关键词 结缔组织疾病 系统性自身免疫疾病 脱髓鞘
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GeneXpert MTB/RIF在检测系统性自身免疫病合并肺结核患者中的应用 被引量:3
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作者 刘婷 周正 王静 《中国热带医学》 CAS 2018年第11期1129-1133,共5页
目的评价GeneXpert MTB/RIF系统在诊断系统性自身免疫病(SAD)合并肺结核(MTB)患者中的应用价值。方法对临床诊断和影像学检查确诊的350例系统性自身免疫病合并肺结核患者和50例系统性自身免疫病非结核对照组患者的痰标本进行GeneXpert M... 目的评价GeneXpert MTB/RIF系统在诊断系统性自身免疫病(SAD)合并肺结核(MTB)患者中的应用价值。方法对临床诊断和影像学检查确诊的350例系统性自身免疫病合并肺结核患者和50例系统性自身免疫病非结核对照组患者的痰标本进行GeneXpert MTB/RIF检测,评价GeneXpert MTB/RIF诊断性能,并与结核菌培养、T-SPOT法、抗酸涂片染色法等比较,判断优劣以及半定量检测结核菌的效能。以结核菌液体药敏法为标准,分析GeneXpertMTB/RIF检测利福平耐药的敏感度和特异度。结果 GeneXpert MTB/RIF、结核菌培养、T-SPOT法、抗酸涂片染色法4种方法检测的灵敏度分别为95.14%、84.00%、89.71%和56.86%,特异度分别为100.00%,92.00%,84.00%,100.00%。GeneXpert MTB/RIF系统灵敏度与T-SPOT比较差异无统计学意义(χ~2=4.21,P>0.05),高于抗酸涂片染色法(χ~2=36.60,P<0.05)。GeneXpert MTB/RIF检测利福平(RIF)耐药性的灵敏度为86.00%,特异度为90.56%。结论 GeneXpert MTB/RIF与传统的MGIT960液体培养、T-SPOT法和抗酸涂片染色法等联合,可显著提高合并肺结核系统性自身免疫病结核病的检出率。 展开更多
关键词 GeneXpert MTB/RIF 系统性自身免疫疾病 肺结核 利福平
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氧化磷脂在自身免疫疾病及心脑血管疾病中的研究进展
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作者 徐春阳 查才军 +1 位作者 张文静 刘彦虹 《国际免疫学杂志》 CAS 2022年第6期656-660,共5页
磷脂作为生物体内最常见的物质之一,其氧化在自身免疫性疾病和动脉粥样硬化疾病中起到诱发炎症、刺激机体产生抗体的作用。由于非酶氧化磷脂产生的多样性和酶氧化磷脂的细胞组织特异性,氧化磷脂在致病机制方面仍有待挖掘,文章将围绕氧... 磷脂作为生物体内最常见的物质之一,其氧化在自身免疫性疾病和动脉粥样硬化疾病中起到诱发炎症、刺激机体产生抗体的作用。由于非酶氧化磷脂产生的多样性和酶氧化磷脂的细胞组织特异性,氧化磷脂在致病机制方面仍有待挖掘,文章将围绕氧化磷脂的分型、生物学作用、生成途径及在心脑血管疾病和自身免疫性疾病中的最新研究加以综述。 展开更多
关键词 氧化磷脂 抗磷脂抗体综合征:心脑血管疾病 自身免疫疾病:系统性红斑狼疮
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Association between autoimmune pancreatitis and systemic autoimmune diseases 被引量:10
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作者 Viktória Terzin Imre Fldesi +3 位作者 László Kovács Gyula Pokorny Tibor Wittmann László Czakó 《World Journal of Gastroenterology》 SCIE CAS CSCD 2012年第21期2649-2653,共5页
AIM: To investigate the association between autoimmune pancreatitis (AIP) and systemic autoimmune diseases (SAIDs) by measurement of serum immunoglobulin G4 (IgG4). METHODS: The serum level of IgG4 was measured in 61 ... AIM: To investigate the association between autoimmune pancreatitis (AIP) and systemic autoimmune diseases (SAIDs) by measurement of serum immunoglobulin G4 (IgG4). METHODS: The serum level of IgG4 was measured in 61 patients with SAIDs of different types who had not yet participated in glucocorticosteroid treatment. Patients with an elevated IgG4 level were examined by abdominal ultrasonography (US) and, in some cases, by computer tomography (CT). RESULTS: Elevated serum IgG4 levels (919 ± 996 mg/L) were detected in 17 (28%) of the 61 SAID patients. 10 patients had Sj gren's syndrome (SS) (IgG4: 590 ± 232 mg/L), 2 of them in association with Hashimoto's thyroiditis, and 7 patients (IgG4: 1388 ± 985.5 mg/L) had systemic lupus erythematosus (SLE). The IgG4 level in the SLE patients and that in patients with SS were not significantly different from that in AIP patients (783 ± 522 mg/L). Abdominal US and CT did not reveal any characteristic features of AIP among the SAID patients with an elevated IgG4 level. CONCLUSION: The serum IgG4 level may be elevated in SAIDs without the presence of AIP. The determination of serum IgG4 does not seem to be suitable for the differentiation between IgG4-related diseases and SAIDs. 展开更多
关键词 Autoimmune pancreatitis Serum immunoglobulin G4 level Systemic lupus erythematosus Sj gren’s syndrome Mikulicz’s disease
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A COMPLEX OF INTERMEDIATE FILAMENT PROTEIN-DNA:A TARGET FOR AUTOANTIBODIES IN SYSTEMIC LUPUS ERYTHEMATOSUS?
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作者 阎锡蕴 《Chinese Medical Sciences Journal》 CAS CSCD 1995年第2期90-92,共3页
Autoantibodies in systemic lupus erythematosus which cross-react with double stranded DNA and intermediate filament proteins are frequently reported. However, little is Known about the origin and the target of these a... Autoantibodies in systemic lupus erythematosus which cross-react with double stranded DNA and intermediate filament proteins are frequently reported. However, little is Known about the origin and the target of these antibodies. In this paper, a polyspecific monoclonal antibody, XY12, produced by the immunization of genetically non-autoimmune mice with a DNA-protein complex is detailed. Its antigen binding patterns are very similar to the autoantibodies. The data suggest that these autoantibedies may be triggered by a circulating nucleoprotein. 展开更多
关键词 monoclonal antibody lupus erythematosus AUTOANTIBODY
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PRESENCE OF ANTILAMIN ANTIBODIES IN SERA OF PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS
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作者 王慧珍 崔京涛 +1 位作者 王晓红 王永潮 《Chinese Medical Sciences Journal》 CAS CSCD 1995年第4期223-225,共3页
In this study, we characterized specifically-stained sera from patients with systemic lupus erythematosus (SLE) which had been shown to display the homogeneous or peripheral region of nuclei by indirect immunofluoresc... In this study, we characterized specifically-stained sera from patients with systemic lupus erythematosus (SLE) which had been shown to display the homogeneous or peripheral region of nuclei by indirect immunofluorescence (IIF). By western blotting, we demonstrated that in some cases there was a correlation between the peripheral or homogenous. IIF staining of nuclei by sera from patients with SLE and the presence of autoantibodies to lamins. Here we first report the presence of 2. 2% anti-lamin autoantibodies in the sera among the 174 patients with SLE in China. 展开更多
关键词 antilamin antibody systemic lupus erythematosus
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B cells biology in systemic lupus erythematosus—from bench to bedside 被引量:7
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作者 ZHAO LiDan YE YanXia ZHANG Xuan 《Science China(Life Sciences)》 SCIE CAS CSCD 2015年第11期1111-1125,共15页
Systemic lupus erythematosus(SLE) is a debilitating autoimmune disease that can involve multi-organs. B cells play a central role in the immunopathogenesis via antibody-dependent and antibody-independent ways. Excessi... Systemic lupus erythematosus(SLE) is a debilitating autoimmune disease that can involve multi-organs. B cells play a central role in the immunopathogenesis via antibody-dependent and antibody-independent ways. Excessive autoantibodies production, hyperresponsiveness and prolonged survival of autoreactive B cells are characteristics of SLE. In this article, mechanisms of self-tolerance loss of B cells and promising B cell-targeting therapies in lupus are reviewed and discussed. 展开更多
关键词 systemic lupus erythematosus B cell PATHOGENESIS target therapy
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