免疫检查点分子在自身免疫性肝炎发病机制及靶向治疗中的潜在作用

The potential role of immune checkpoint molecules in the pathogenesis of autoimmune hepatitis and in targeted therapy

  • 摘要: 自身免疫性肝炎autoimmune hepatitis,AIH)是一种慢性的病因不明的免疫介导性肝损伤,该疾病的发生涉及多种免疫细胞与非免疫细胞的激活与募集。免疫检查点分子immunecheckpoint molecule,ICM)表达于多种细胞表面,通过调控细胞的功能状态,限制免疫应答的强度和持续时间,从而避免过度炎症和组织损伤,维持机体免疫稳态。在AIH中,这种天然的"刹车"机制失效,导致免疫细胞与非免疫细胞异常激活与免疫稳态失衡。因此,ICM作为关键调控分子参与AIH的发病,深入理解ICM在AIH中的作用,有助于加深对其发病机制的认识,也提示靶向ICM可能成为治疗AIH的一种新型策略。

     

    Abstract: Autoimmune hepatitis (AIH) is a chronic, immune-mediated liver injury of unknown etiology. The onset of this disease involves the activation and recruitment of diverse immune and non-immune cells, which in turn trigger hepatic damage. Immune checkpoint molecules (ICM) are expressed on the surface of multiple cell types. By regulating cellular functional states, they help limit the intensity and duration of immune responses, thereby preventing excessive inflammation and tissue damage, and maintaining immune homeostasis. In AIH, however, this natural "braking" mechanism is impaired, leading to aberrant activation of both immune and nonimmune cells and the breakdown of immune homeostasis. Consequently, ICM are likely to play a critical role in the pathogenesis of AIH. A deeper understanding of the function of ICM in AIH not only advances our insight into the disease mechanism, but also suggests that targeting these molecules may represent a promising therapeutic strategy for the treatment of AIH.

     

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