Rheumatoid arthritis and smoking: putting the pieces together.

Rheumatoid arthritis and smoking: putting the pieces together.
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DOI:
10.1186/ar2751
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发表时间:
2009
影响因子:
4.9
通讯作者:
Nagy G
Nagy G
中科院分区:
医学2区
文献类型:
--
作者:
Baka Z;Buzás E;Nagy G

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除动脉粥样硬化和肺癌外,吸烟被认为在自身免疫性疾病的发病机制中起主要作用。人们早就知道,类风湿因子阳性的类风湿性关节炎和吸烟之间存在联系。最近,一个重要的基因-环境相互作用已被揭示,即携带特定的HLA-DRB 1等位基因编码的共享表位和吸烟建立抗瓜氨酸蛋白抗体阳性类风湿关节炎的显着风险。我们总结了与吸烟相关的细胞因子平衡改变、感染风险增加(交叉反应的可能性)以及瓜氨酸对自身抗原的修饰如何有助于类风湿性关节炎的发展。
Besides atherosclerosis and lung cancer, smoking is considered to play a major role in the pathogenesis of autoimmune diseases. It has long been known that there is a connection between rheumatoid factor-positive rheumatoid arthritis and cigarette smoking. Recently, an important gene–environment interaction has been revealed; that is, carrying specific HLA-DRB1 alleles encoding the shared epitope and smoking establish a significant risk for anti-citrullinated protein antibody-positive rheumatoid arthritis. We summarize how smoking-related alteration of the cytokine balance, the increased risk of infections (the possibility of cross-reactivity) and modifications of autoantigens by citrullination may contribute to the development of rheumatoid arthritis.
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