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PRACA PRZEGLĄDOWA
Nowe aspekty patogenezy spondyloartropatii zapalnych. Część I. Uwarunkowania genetyczne i rola cząsteczek HLA-B27
 
 
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Data nadesłania: 14-02-2014
 
 
Data akceptacji: 12-03-2014
 
 
Data publikacji online: 04-06-2014
 
 
Data publikacji: 30-04-2014
 
 
Reumatologia 2014;52(2):105-111
 
SŁOWA KLUCZOWE
DZIEDZINY
STRESZCZENIE
Badania z ostatnich lat weryfikują zrozumienie patogenezy spondyloartropatii zapalnych (SpA). Wskazują one, że tradycyjne podtypy tej choroby mają wspólny komponent patogenezy. Składają się na niego pewne wspólne uwarunkowania genetyczne (allele HLA-B27, warianty genów IL-23R, ERAP1, ERAP2), które omówiono w niniejszym artykule. Oprócz tego istnieją podobieństwa dotyczące czynników środowiskowych i mechanizmów immunologicznych, co będzie przedmiotem następnych opracowań. Zmienił się również pogląd na rolę cząsteczek HLA-B27 w patogenezie SpA. Cząsteczki HLA-B27 występują w formie klasycznej i nieklasycznej, jako pojedyncze łańcuchy ciężkie lub ich homodimery. Cząsteczki klasyczne prezentują antygeny własne i obce, inicjując nabytą odpowiedź immunologiczną, natomiast cząsteczki nieklasyczne indukują odpowiedź autozapalną. W artykule omówiono również to zagadnienie.
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