Allergic Aspects of IgG4-Related Disease: Implications for Pathogenesis and Therapy.

Allergic Aspects of IgG4-Related Disease: Implications for Pathogenesis and Therapy.
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DOI:
10.3389/fimmu.2021.693192
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发表时间:
2021
影响因子:
7.3
通讯作者:
Hughes GC
Hughes GC
中科院分区:
医学2区
文献类型:
--
作者:
Michailidou D;Schwartz DM;Mustelin T;Hughes GC

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IgG4相关疾病(IgG4-RD)是一种罕见的全身性纤维炎性疾病,常与过敏相关。IgG4-RD的发病机制尚不清楚,有效的治疗方法也有限。然而,IgG4-RD似乎涉及一些与过敏性疾病中观察到的相同的致病机制,如T辅助细胞2(Th2)和调节性T细胞(Treg)激活,IgG4和IgE高分泌,以及血液/组织嗜酸性粒细胞增多。此外,IgG4-RD组织纤维化似乎涉及嗜碱性粒细胞和肥大细胞的激活,以及它们释放的警素和细胞因子。在这篇文章中,我们回顾了IgG4-RD的过敏样特征,并强调了有潜力治疗IgG4-RD患者的变态反应靶向治疗。
IgG4-related disease (IgG4-RD) is a rare systemic fibroinflammatory disease frequently associated with allergy. The pathogenesis of IgG4-RD is poorly understood, and effective therapies are limited. However, IgG4-RD appears to involve some of the same pathogenic mechanisms observed in allergic disease, such as T helper 2 (Th2) and regulatory T cell (Treg) activation, IgG4 and IgE hypersecretion, and blood/tissue eosinophilia. In addition, IgG4-RD tissue fibrosis appears to involve activation of basophils and mast cells and their release of alarmins and cytokines. In this article, we review allergy-like features of IgG4-RD and highlight targeted therapies for allergy that have potential in treating patients with IgG4-RD.
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