Monogenic autoimmunity and infectious diseases: the double-edged sword of immune dysregulation.

Monogenic autoimmunity and infectious diseases: the double-edged sword of immune dysregulation.
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单基因自身免疫和传染病:免疫失调的双刃剑。

DOI:
10.1016/j.coi.2021.06.013
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发表时间:
2021-10
影响因子:
7
通讯作者:
Cooper MA
Cooper MA
中科院分区:
医学2区
文献类型:
--
作者:
Bigley TM;Cooper MA

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单基因自身免疫性疾病的研究为了解自身免疫和免疫耐受发生的分子机制提供了重要线索。同样清楚的是,这种先天性免疫缺陷(IEI)在临床上不仅经常表现为自身免疫性疾病,而且还经常增加对感染的易感性。与单基因自身免疫相关的基因影响多种功能途径,并且所产生的免疫失调也影响对病原体的复杂和协调的免疫应答,例如I型干扰素和细胞因子信号传导、补体途径和免疫应答的适当分化。SARS-CoV-2大流行突出了单基因自身免疫如何增加严重感染的风险,在预先存在I型IFN抗体的患者中发现了严重疾病。本文综述了近年来单基因自身免疫与感染性疾病的关系。
The study of monogenic autoimmune diseases has provided key insights into molecular mechanisms involved in development of autoimmunity and immune tolerance. It has also become clear that such inborn errors of immunity (IEIs) frequently present clinically not only with autoimmune diseases, but also frequently have increased susceptibility to infection. The genes associated with monogenic autoimmunity influence diverse functional pathways, and the resulting immune dysregulation also impacts the complex and coordinated immune response to pathogens, for example type I interferon and cytokine signaling, the complement pathway and proper differentiation of the immune response. The SARS-CoV-2 pandemic has highlighted how monogenic autoimmunity can increase risk for serious infection with the discovery of severe disease in patients with pre-existing antibodies to Type I IFNs. This review discusses recent insight into the relationship between monogenic autoimmunity and infectious diseases.
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