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重症肌无力合并其他自身免疫性疾病的研究进展
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作者 郭菁 雍波 +1 位作者 钱忆家 王强 《神经损伤与功能重建》 2024年第7期413-418,共6页
重症肌无力(Myasthenia Gravis,MG)是一种神经内科的自身免疫性疾病,常合并其他自身免疫性疾病,导致临床表现复杂多样,共病还会影响患者的治疗和预后,此类患者的共病现象需要得到重视。本文主要探讨了MG合并其他自身免疫性疾病的研究进... 重症肌无力(Myasthenia Gravis,MG)是一种神经内科的自身免疫性疾病,常合并其他自身免疫性疾病,导致临床表现复杂多样,共病还会影响患者的治疗和预后,此类患者的共病现象需要得到重视。本文主要探讨了MG合并其他自身免疫性疾病的研究进展,以期提高读者对MG共病现象的重视,更好地了解此类疾病的发病特点,提高临床对共病的诊治水平,改善疾病预后。 展开更多
关键词 重症肌无力 自身免疫性疾病 共病现象 多自身免疫
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干燥综合征合并自身免疫性甲状腺疾病的研究进展
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作者 陈彦蓉 李钶 《临床医学进展》 2022年第3期2266-2273,共8页
干燥综合征(Sj&#246;gren’s syndrome, SS)是一种以外分泌腺受累为主的慢性全身性自身免疫性疾病,即唾液腺和泪腺存在淋巴细胞性和浆细胞性浸润,并伴有自身抗体的产生,其典型的临床表现为持续性的口干和眼干。自身免疫性甲状腺疾病... 干燥综合征(Sj&#246;gren’s syndrome, SS)是一种以外分泌腺受累为主的慢性全身性自身免疫性疾病,即唾液腺和泪腺存在淋巴细胞性和浆细胞性浸润,并伴有自身抗体的产生,其典型的临床表现为持续性的口干和眼干。自身免疫性甲状腺疾病(autoimmune thyroid diseases, AITD)是最常见的器官特异性自身免疫性疾病,主要包括弥漫性毒性甲状腺肿(Graves’ disease, GD)、原发性甲状腺功能减退症(简称甲减)和自身免疫性甲状腺炎(autoimmune thyroiditis, AIT)。临床上,SS和AITD经常共存于同一患者中,从而导致复杂的多自身免疫,这是自身免疫性疾病患者异质性表达的一个特殊例子。本文描述了近30年国内外文献中SS合并AITD的发病率,总结了SS合并AITD的发病机制和病因以了解这种令人着迷的自身免疫关联。 展开更多
关键词 干燥综合征 自身免疫性甲状腺疾病 多自身免疫 发病率 发病机制
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Genetic association of cytokines polymorphisms with autoimmune hepatitis and primary biliary cirrhosis in the Chinese 被引量:9
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作者 Lie-YingFan xiao-QingTu +4 位作者 TU,YeZhu ThomasPfeiffer RalphFeltens WinfriedStoecker Ren-QianZhong 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第18期2768-2772,共5页
AIM: To characterize gene polymorphism of several cytokine gene in-patients with AIH and PBC and to analyze the difference of the polymorphism distribution between Chinese patients and healthy controls.METHODS: The st... AIM: To characterize gene polymorphism of several cytokine gene in-patients with AIH and PBC and to analyze the difference of the polymorphism distribution between Chinese patients and healthy controls.METHODS: The study population consisted of 62 patients with AIH, and 77 patients with PBC. The genetic profile of four cytokines was analyzed by restriction fragmentlength polymorphism after specific PCR amplification (PCR-RFLP) or sequence-specific primers PCR (SSP-PCR). The analyzed gene polymorphism included interleukin-1 (IL-1) (at position +3 953 and IL-1RN intron 2), IL-6 (atposition -174), IL-10 promoter (at position -1 082, -819, and -592). The control group consisted of 160 healthyblood donors.RESULTS: The majority of Chinese people including patients and healthy controls exhibited IL-1B 1,1genotype, and there was no significant difference in AIH, PBC patients and controls. There were highly statistically significant differences in the distribution of the IL-1RN gene polymorphism between the patients with PBCcompared with controls. The frequency of IL-1RN 1,1was significantly higher (90.9% vs 79.4%, P = 0.03)and the frequency of IL-1RN 1,2 was significantly lower in PBC patients (6.5% vs 17.5%, P = 0.01). No statistical difference was observed between AIH patients and controls. All of the 160 healthy controls and 62 cases of AIH patients exhibited IL-6-174GG genotype, and there were four cases, which expressed IL-6-174GC genotype in 77 cases of PBC patients. The frequency of IL-6-174GC was markedly significantly higher in PBC patients compared with controls (5.2% vs 0%, P = 0.004). No statistically significant difference was found in the distribution of IL-10 promoter genotype in AIH and PBC patients compared with controls. CONCLUSION: The polymorphisms of IL-1RN and IL-6 -174G/C appear to be associated with PBC in Chinese patients. 展开更多
关键词 Autoimmune hepatitis Primary biliary cirrhosis CYTOKINE POLYMORPHISMS Gene susceptibility
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Role of vitamin D in immune responses and autoimmune diseases,with emphasis on its role in multiple sclerosis 被引量:2
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作者 张洪亮 吴江 《Neuroscience Bulletin》 SCIE CAS CSCD 2010年第6期445-454,共10页
Vitamin D is a seco-steroid involved in calcium and phosphorus metabolism,and bone formation and mineralization, through binding to a specific nuclear receptor,vitamin D receptor(VDR).Besides its well-established fu... Vitamin D is a seco-steroid involved in calcium and phosphorus metabolism,and bone formation and mineralization, through binding to a specific nuclear receptor,vitamin D receptor(VDR).Besides its well-established functions on bone health,multiple lines of evidence have indicated the immunomodulatory roles of vitamin D.Vitamin D can affect both innate and adaptive immunity,and prevent autoimmune responses efficiently.Vitamin D regulates the immune responses by suppressing T cell proliferation and modulating macrophage functions.Epidemiological studies have shown that vitamin D deficiency is associated with multiple diseases such as rickets and cancer.Moreover,associations between vitamin D and autoimmune diseases have been confirmed in multiple sclerosis(MS),rheumatoid arthritis(RA),etc.The present review mainly summarized the recent findings on the immunomodulatory role of vitamin D in various disorders,with special focus on its role in MS,an autoimmune disease of the nervous system. 展开更多
关键词 vitamin D autoimmune disease multiple sclerosis
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Treatment of multiple sclerosis by transplantation of neural stem cells derived from induced pluripotent stem cells 被引量:9
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作者 Chao Zhang Jiani Cao +9 位作者 Xiaoyan Li Haoyu Xu Weixu Wang Libin Wang Xiaoyang Zhao Wei Li Jianwei Jiao Baoyang Hu Qi Zhou Tongbiao Zhao 《Science China(Life Sciences)》 SCIE CAS CSCD 2016年第9期950-957,共8页
Multiple sclerosis(MS) is an autoimmune disease of the central nervous system(CNS), with focal T lymphocytic infiltration and damage of myelin and axons. The underlying mechanism of pathogenesis remains unclear and th... Multiple sclerosis(MS) is an autoimmune disease of the central nervous system(CNS), with focal T lymphocytic infiltration and damage of myelin and axons. The underlying mechanism of pathogenesis remains unclear and there are currently no effective treatments. The development of neural stem cell(NSC) transplantation provides a promising strategy to treat neurodegenerative disease. However, the limited availability of NSCs prevents their application in neural disease therapy. In this study, we generated NSCs from induced pluripotent stem cells(iPSCs) and transplanted these cells into mice with experimental autoimmune encephalomyelitis(EAE), a model of MS. The results showed that transplantation of iPSC-derived NSCs dramatically reduced T cell infiltration and ameliorated white matter damage in the treated EAE mice. Correspondingly, the disease symptom score was greatly decreased, and motor ability was dramatically rescued in the iPSC-NSC-treated EAE mice, indicating the effectiveness of using iPSC-NSCs to treat MS. Our study provides pre-clinical evidence to support the feasibility of treating MS by transplantation of iPSC-derived NSCs. 展开更多
关键词 induced pluripotent stem cell multiple sclerosis neural stem cell regenerative medicine TRANSPLANTATION
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Identification of a combination of SNPs associated with Graves' disease using swarm intelligence 被引量:6
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作者 WEI Bin PENG QinKe +1 位作者 ZHANG QuanWei LI ChenYao 《Science China(Life Sciences)》 SCIE CAS 2011年第2期139-145,共7页
Graves' disease,the production of thyroid-stimulating hormone receptor-stimulating antibodies leading to hyperthyroidism,is one of the most common forms of human autoimmune disease.It is widely agreed that complex... Graves' disease,the production of thyroid-stimulating hormone receptor-stimulating antibodies leading to hyperthyroidism,is one of the most common forms of human autoimmune disease.It is widely agreed that complex diseases are not controlled simply by an individual gene or DNA variation but by their combination.Single nucleotide polymorphisms(SNPs),which are the most common form of DNA variation,have great potential as a medical diagnostic tool.In this paper,the P-value is used as a SNP pre-selection criterion,and a wrapper algorithm with binary particle swarm optimization is used to find the rule for discriminating between affected and control subjects.We analyzed the association between combinations of SNPs and Graves' disease by investigating 108 SNPs in 384 cases and 652 controls.We evaluated our method by differentiating between cases and controls in a five-fold cross validation test,and it achieved a 72.9% prediction accuracy with a combination of 17 SNPs.The experimental results showed that SNPs,even those with a high P-value,have a greater effect on Graves' disease when acting in a combination. 展开更多
关键词 Graves' disease single nucleotide polymorphism case-control study swarm intelligence
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