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首页> 外文期刊>Cytokine >The role of Tumor Necrosis Factor-alpha (TNF-alpha) in the pathogenesis of systemic lupus erythematosus.
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The role of Tumor Necrosis Factor-alpha (TNF-alpha) in the pathogenesis of systemic lupus erythematosus.

机译:肿瘤坏死因子-α(TNF-alpha)在系统性红斑狼疮发病中的作用。

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摘要

The Tumor Necrosis Factor-alpha (TNF-alpha) is a pleiotropic cytokine that produces different stimuli in various physiological and pathological conditions. TNF-alpha contributes importantly to the development of T cells, B cells, and dendritic cells. However, TNF-alpha is also a potent inflammatory mediator and apoptosis inducer. The significance of the TNF-alpha involvement in the pathogenesis of systemic lupus erythematosus (SLE) remains controversial. From the genetic standpoint, a number of studies suggest that the TNF-alpha gene polymorphism is involved in the susceptibility of SLE. Moreover, there is a close association between the TNF-alpha gene expression and clinical manifestations. In addition, the increased serum level of TNF-alpha is observed in SLE patients and associated with disease activity and certain systemic manifestations. Treatment with anti-TNF agents is, however, controversial in SLE since induction of antinuclear antibodies, anti-dsDNA, anticardiolipin antibodies, and cases of drug-induced lupus have been observed in rheumatoid arthritis patients. In this context, this study reviewed the importance of TNF-alpha in the pathogenesis of SLE.
机译:肿瘤坏死因子-α(TNF-alpha)是一种多效性细胞因子,在各种生理和病理条件下会产生不同的刺激。 TNF-α对T细胞,B细胞和树突状细胞的发育有重要贡献。但是,TNF-α还是有效的炎症介质和凋亡诱导剂。 TNF-α参与系统性红斑狼疮(SLE)发病机制的意义仍存在争议。从遗传学角度来看,许多研究表明TNF-α基因多态性与SLE的易感性有关。此外,TNF-α基因表达与临床表现之间存在密切的联系。另外,在SLE患者中观察到血清TNF-α水平升高,并且与疾病活动和某些全身表现有关。然而,由于在类风湿性关节炎患者中观察到了抗核抗体,抗dsDNA,抗心磷脂抗体以及药物诱导的狼疮的发生,因此在SLE中使用抗TNF药物的治疗存在争议。在这种情况下,这项研究回顾了TNF-α在SLE发病机理中的重要性。

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