From Immune Dysregulations to Therapeutic Perspectives in Myelodysplastic Syndromes: A Review.

From Immune Dysregulations to Therapeutic Perspectives in Myelodysplastic Syndromes: A Review.
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DOI:
10.3390/diagnostics11111982
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发表时间:
2021-10-26
期刊:
Diagnostics (Basel, Switzerland)
影响因子:
--
通讯作者:
Vergez F
Vergez F
中科院分区:
其他
文献类型:
--
作者:
Comont T;Treiner E;Vergez F

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骨髓增生异常综合征(MDS)的病理生理机制是复杂的,通常包括先天性免疫系统和获得性免疫系统的免疫失调。克隆选择主要涉及阴燃炎症,而细胞免疫功能障碍会导致细胞凋亡和原始细胞增殖增加。解决MDS中的免疫失调是一个最近的概念,它允许识别新的治疗靶点。因此,针对免疫系统不同参与者的几种方法已经开发出来。然而,结果是非常不同的,表明需要提高我们对这种疾病的理解,以及慢性炎症、适应性功能障碍和体细胞突变之间的相互作用。该综述着重介绍了免疫失调在MDS病理生理学和新药领域中的作用。
The pathophysiology of myelodysplastic syndromes (MDSs) is complex and often includes immune dysregulation of both the innate and adaptive immune systems. Whereas clonal selection mainly involves smoldering inflammation, a cellular immunity dysfunction leads to increased apoptosis and blast proliferation. Addressing immune dysregulations in MDS is a recent concept that has allowed the identification of new therapeutic targets. Several approaches targeting the different actors of the immune system have therefore been developed. However, the results are very heterogeneous, indicating the need to improve our understanding of the disease and interactions between chronic inflammation, adaptive dysfunction, and somatic mutations. This review highlights current knowledge of the role of immune dysregulation in MDS pathophysiology and the field of new drugs.
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