Understanding humoral immunity and multiple sclerosis severity in Black, and Latinx patients.

Understanding humoral immunity and multiple sclerosis severity in Black, and Latinx patients.
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DOI:
10.3389/fimmu.2023.1172993
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发表时间:
2023
影响因子:
7.3
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
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与那些认为自己是白人的人相比,黑人/非裔美国人或西班牙裔/拉丁裔族裔的人更有可能表现出更严重的多发性硬化症病程。虽然健康的社会决定因素解释了这种不协调的严重性的一些原因,但对其免疫生物学作用的调查仍然很少。有限的免疫学数据与描述种族相关不和谐表现的临床研究的数量形成了鲜明对比,也与我们过去几十年来对MS免疫发病机制的理解取得的进展形成了鲜明对比。从这个角度来看,我们认为体液免疫反应为更好地了解黑人/非裔美国人和西班牙裔/拉丁裔患者中不协调的MS严重程度的基础提供了一条有希望的途径。
People identified with Black/African American or Hispanic/Latinx ethnicity are more likely to exhibit a more severe multiple sclerosis disease course relative to those who identify as White. While social determinants of health account for some of this discordant severity, investigation into contributing immunobiology remains sparse. The limited immunologic data stands in stark contrast to the volume of clinical studies describing ethnicity-associated discordant presentation, and to advancement made in our understanding of MS immunopathogenesis over the past several decades. In this perspective, we posit that humoral immune responses offer a promising avenue to better understand underpinnings of discordant MS severity among Black/African American, and Hispanic/Latinx-identifying patients.
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