摘要
系统性红斑狼疮(SLE)是一种慢性和复发的异质性自身免疫性疾病,主要影响育龄妇女。遗传和环境危险因素参与红斑狼疮的发病机制,易感基因最近已被确定。然而,由于基因治疗离临床应用还很遥远,对环境危险因素的进一步研究可以揭示重要的治疗方法。我们系统地探索了两组环境风险因素:化学物质(包括二氧化硅、溶剂、杀虫剂、碳氢化合物、重金属和颗粒物)和药物(包括普鲁卡因胺、肼嗪、奎尼丁、青霉胺、异烟肼和甲基多巴)。此外,还探讨了潜在风险因素的机制,如遗传因素、表观遗传变化和免疫耐受中断。这篇综述确定了新的危险因素及其潜在的机制。管理这些危险因素的可行措施将有益于SLE患者,并提供潜在的治疗策略。
关键词: 危险因素,系统性红斑狼疮,自身免疫,遗传因素,表观遗传变化,免疫耐受
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