Autoimmunity to lysosomal enzymes: new clues to vasculitis and glomerulonephritis?

Autoimmunity to lysosomal enzymes: new clues to vasculitis and glomerulonephritis?
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溶酶体酶的自身免疫:血管炎和肾小球肾炎的新线索?

DOI:
10.1016/0167-5699(91)90159-q
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发表时间:
1991
期刊:
Immunology today
影响因子:
--
通讯作者:
J. Weening
J. Weening
中科院分区:
--
文献类型:
--
作者:
Cornelis Kallenberg;J.W Cohen Tervaert;F. van der Woude;R. Goldschmeding;A. von dem Borne;J. Weening

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中性粒细胞胞浆抗原(ANCA)自身抗体在(I)系统性血管炎如韦格纳肉芽肿病、典型结节性多动脉炎和Churg Strauss综合征和(2)特发性新月体肾小球肾炎中的证实已经将这些疾病置于自身免疫性疾病谱内。靶抗原已被鉴定为参与嗜中性粒细胞的组织破坏的髓样溶酶体酶。最近的数据表明,这些自身免疫反应的致病作用。自身抗体可激活中性粒细胞,导致广泛的组织坏死。或者,T细胞介导的对这些定位于聚阴离子基底膜的带正电荷的酶的免疫可能与自身抗体的存在相一致,导致肾小球肾炎和血管炎。
The demonstration of autoantibodies to neutrophil cytoplasmic antigens (ANCA) in (I) systemic vasculitides such as Wegener's granulomatosis, classic polyarteritis nodosa and the Churg Strauss syndrome and (2) idiopathic crescentic glomerulonephritis has placed these disorders within the spectrum of autoimmune diseases. The target antigens have been identified as myeloid lysosomal enzymes that are involved in tissue destruction by neutrophils. Recent data suggest a pathogenetic role for these autoimmune responses. The autoantibodies may activate neutrophils, resulting in extensive tissue necrosis. Alternatively, T-cell-mediated immunity to these positively-charged enzymes that localize to polyanionic basement membranes may, in concert with the presence of autoantibodies, result in glomerulonephritis and vasculitis.
DOI: --
发表时间: 1987
期刊: The American journal of pathology
影响因子: --
作者:
Cotran,RS
通讯作者: Cotran,RS
DOI: 10.1172/jci112965
发表时间: 1987-05-01
影响因子: 15.9
作者:
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DOI: --
发表时间: 1988
期刊: Laboratory investigation; a journal of technical methods and pathology
影响因子: --
作者:
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