Helper T Cells in Idiopathic Membranous Nephropathy.

Helper T Cells in Idiopathic Membranous Nephropathy.
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特发性膜肾病中的辅助T细胞。

DOI:
10.3389/fimmu.2021.665629
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发表时间:
2021
影响因子:
7.3
通讯作者:
Liu B
Liu B
中科院分区:
医学2区
文献类型:
--
作者:
Zhao Q;Dai H;Liu X;Jiang H;Liu W;Feng Z;Zhang N;Gao Y;Dong Z;Zhou X;Du J;Zhang N;Rui H;Yuan L;Liu B

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特发性膜性肾病(IMN)是一种自身免疫性疾病,其中免疫系统由于免疫耐受受损而对自身抗原产生抗体反应。虽然抗体来源于B细胞分化的浆细胞,但T-B细胞对免疫系统也有很大贡献。特别是辅助性T (Th)细胞的亚群,包括优势亚群如Th2、Th17和滤泡性辅助性T (Tfh)细胞和劣势亚群如调节性T (Treg)细胞,形成IMN的免疫失衡,促进自身免疫反应的发生和发展。本文综述了Th细胞各亚群的生理知识,结合目前对Th细胞在IMN中的研究,阐述了Th细胞在IMN中的作用。最后,综述了现有的IMN临床治疗方案,并强调了治疗Th细胞的重要性。
Idiopathic membranous nephropathy (IMN) is an autoimmune disease in which the immune system produces an antibody response to its own antigens due to impaired immune tolerance. Although antibodies are derived from plasma cells differentiated by B cells, the T-B cells also contribute a lot to the immune system. In particular, the subsets of helper T (Th) cells, including the dominant subsets such as Th2, Th17, and follicular helper T (Tfh) cells and the inferior subsets such as regulatory T (Treg) cells, shape the immune imbalance of IMN and promote the incidence and development of autoimmune responses. After reviewing the physiological knowledge of various subpopulations of Th cells and combining the existing studies on Th cells in IMN, the role model of Th cells in IMN was explained in this review. Finally, the existing clinical treatment regimens for IMN were reviewed, and the importance of the therapy for Th cells was highlighted.
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