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The role of type I interferons and other cytokines in dermatomyositis

机译:I型干扰素和其他细胞因子在皮肌炎中的作用

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Much work has been done to unveil the mechanisms behind the pathogenesis of dermatomyositis (DM) mainly those involving certain pathogenic cytokines, termed "pathokines" as the principal cytokines involved. Recently, it has become clear that a group of cytokines known as type I interferons (IFN-Is) play a significant role in the development of DM. We review the literature published between 1946 and 2014 using an Ovid Medline database search to provide an update on the role of IFN-Is and other cytokines in the pathogenesis of DM. We provide information about the genes and proteins induced by IFN-Is and potential mechanisms by which these downstream products relate to clinical disease activity. We also explore findings of other autoimmune phenomena that may contribute to disease onset and activity including T-helper 17 (Th17) cells and associated interleukins, as well as autoantibodies. Finally, we provide a brief update on current treatment options for DM as well as some new immunomodulatory treatment modalities in development. (C) 2014 Elsevier Ltd. All rights reserved.
机译:已经做了很多工作来揭示皮肌炎(DM)发病机理的机制,主要是涉及某些致病性细胞因子的机制,被称为“致病因子”的主要细胞因子。近来,已经清楚的是,一组称为I型干扰素(IFN-Is)的细胞因子在DM的发展中起重要作用。我们回顾了1946年至2014年之间使用Ovid Medline数据库搜索发表的文献,以提供有关IFN-Is和其他细胞因子在DM发病机理中的作用的更新。我们提供有关由IFN-Is诱导的基因和蛋白质的信息,以及这些下游产物与临床疾病活动相关的潜在机制。我们还探讨了可能导致疾病发作和活动的其他自身免疫现象的发现,包括T-helper 17(Th17)细胞和相关的白介素以及自身抗体。最后,我们简要介绍了DM的当前治疗选择以及正在开发的一些新的免疫调节治疗方式。 (C)2014 Elsevier Ltd.保留所有权利。

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