Sex Hormones in Acquired Immunity and Autoimmune Disease.

Sex Hormones in Acquired Immunity and Autoimmune Disease.
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DOI:
10.3389/fimmu.2018.02279
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发表时间:
2018
影响因子:
7.3
通讯作者:
Moulton VR
Moulton VR
中科院分区:
医学2区
文献类型:
--
作者:
Moulton VR

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妇女对感染和接种疫苗的免疫反应比男子强。奇怪的是,更强的免疫反应是以高昂的代价为代价的,这就是女性自身免疫性疾病的高发病率。女性免疫力较强、自身免疫发生率较高的原因尚不清楚。除了性别之外,性激素还有助于免疫系统的发育和活动,从而解释了与性别相关的免疫反应的差异。先天免疫系统和适应性免疫系统都有性激素受体,并对激素信号作出反应。这篇综述着重于性激素特别是雌激素在适应性免疫反应、健康和自身免疫性疾病中的作用,重点是系统性红斑狼疮。
Women have stronger immune responses to infections and vaccination than men. Paradoxically, the stronger immune response comes at a steep price, which is the high incidence of autoimmune diseases in women. The reasons why women have stronger immunity and higher incidence of autoimmunity are not clear. Besides gender, sex hormones contribute to the development and activity of the immune system, accounting for differences in gender-related immune responses. Both innate and adaptive immune systems bear receptors for sex hormones and respond to hormonal cues. This review focuses on the role of sex hormones particularly estrogen, in the adaptive immune response, in health, and autoimmune disease with an emphasis on systemic lupus erythematosus.
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