抗体介导的神经免疫反应:自身免疫性脑炎的机制进展OA
Antibody-mediated neuroimmune response:Advances in the mechanism of autoimmune encephalitis
自身免疫性脑炎(AE)是一组抗体介导的针对神经元抗原的炎症性疾病,主要症状包括精神行为异常、癫痫、认知功能障碍等.近年来,如NMDAR抗体、LGI1等抗体在AE的发病机制中扮演了重要角色,成为了有效的生物标志物,极大地提高了疾病的早期识别率.随着新兴抗体的不断发现,AE的病理机制日益清晰,为精准治疗开辟了新的方向.然而,这些新型抗体的作用机制和临床应用仍面临一些挑战,需要更多的基础研究和临床数据支持.本文将深入探讨抗体在AE中的作用,分析最新发现的抗体类型及其在疾病发展中的角色,并展望抗体作为精准诊断和靶向治疗的潜力与挑战.
Autoimmune encephalitis(AE)is a group of antibody-mediated inflammatory disorders that target neuro-nal antigens,with the main symptoms of mental and behavioral disorders,epilepsy,and cognitive impairment.In recent years,specific antibodies,such as anti-NMDAR antibody and anti-LGI1 antibody,have played an important role in the pathogenesis of AE and have become effective biomarkers,which have significantly improved the early detection rate of AE.As novel antibodies continue to be discovered,the pathological mechanisms of AE are constantly clarified,providing new directions for precision treatment.Nevertheless,there are still challenges in the mechanism of action and clinical ap-plication of these emerging antibodies,requiring support from more basic studies and clinical data.This article discusses the role of antibodies in AE,analyzes the types of newly discovered antibodies and their role in disease progression,and explores the potential and challenges of antibodies used as tools for precise diagnosis and targeted therapy.
于蕾;李航;温瑶;任丹;丁聪;郑文旭
大连市友谊医院老年医学中心,辽宁 大连 116001大连市友谊医院老年医学中心,辽宁 大连 116001大连市友谊医院老年医学中心,辽宁 大连 116001大连市友谊医院老年医学中心,辽宁 大连 116001大连市友谊医院老年医学中心,辽宁 大连 116001大连市友谊医院老年医学中心,辽宁 大连 116001
医药卫生
自身抗体自身免疫性脑炎发病机制
AutoantibodyAutoimmune encephalitisPathogenesis
《中风与神经疾病杂志》 2025 (6)
501-508,8
大连市重点学科"登峰计划"资助项目(FH2021002,FH2022001)大连市生命健康领域指导计划项目(2023JJ13SNYY)
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