综述
ENGLISH ABSTRACT
抗视网膜抗体及其在自身免疫性视网膜病变中的作用
孙摇遥
赵明威 [综述]
齐慧君 [综述]
作者及单位信息
·
DOI: 10.3760/cma.j.cn115989-20190708-00298
Anti-retinal antibodies and their role in autoimmune retinopathy
Sun Yaoyao
Zhao Mingwei
Qi Huijun
Authors Info & Affiliations
Sun Yaoyao
Department of Ophthalmology, Peking University People's Hospital, Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing 100044, China
Zhao Mingwei
Department of Ophthalmology, Peking University People's Hospital, Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing 100044, China
Qi Huijun
Department of Ophthalmology, Peking University People's Hospital, Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing 100044, China
·
DOI: 10.3760/cma.j.cn115989-20190708-00298
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摘要

自身免疫性视网膜病变(AIR)是一类免疫介导的视网膜病变,通常会造成视力严重丧失及视野缺损。AIR主要包括副肿瘤综合征及非副肿瘤综合征,其主要特征之一就是存在外周循环抗视网膜抗体(ARAs)。外周循环ARAs分别通过抗肿瘤反应、抗微生物反应以及视网膜受损伤后产生的自身抗原碎片诱导的免疫反应而产生,主要攻击视网膜光感受器细胞。ARAs对于AIR的诊断、进展及治疗效果评估都有重要意义。同时这些ARAs经常出现在癌症诊断之前,有利于恶性肿瘤的早期发现。本文就ARAs的产生机制、在AIR中的病理作用及在临床中的意义进行综述。

副肿瘤综合征,眼;抗视网膜抗体;自身免疫性视网膜病变;光感受器细胞
ABSTRACT

Autoimmune retinopathy (AIR) is a group of immune-mediated retinopathies that usually results in severe loss of vision and visual field defects.AIR mainly includes paraneoplastic and non-paraneoplastic syndromes.One main feature of AIR is the presence of circulating anti-retinal antibodies (ARAs) in peripheral blood, which are produced through anti-tumor responses, anti-microbial responses, and immune responses induced by autoantigen fragments following retinal injury, and mainly attack retinal photoreceptor cells.ARAs are important for the diagnosis, progression assessment and treatment outcome of AIR.These ARAs often appear before the diagnosis of cancer and can be helpful for the early detection of malignant tumors.The mechanism of ARAs production, its pathological role in AIR, and its significance in clinical practice were reviewed in this article.

Paraneoplastic syndromes, ocular;Anti-retinal antibody;Autoimmune retinopathy;Photoreceptors
Qi Huijun, Email: mocdef.3ab61nujiuhiqrd
引用本文

孙摇遥,赵明威,齐慧君. 抗视网膜抗体及其在自身免疫性视网膜病变中的作用[J]. 中华实验眼科杂志,2022,40(11):1104-1107.

DOI:10.3760/cma.j.cn115989-20190708-00298

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自身免疫性视网膜病变(autoimmune retinopathy,AIR)是一类免疫介导的视网膜病变,通常造成视力的急性、亚急性或慢性丧失以及相应的视野缺损。自从Sawyer等人首次报道并命名为"癌症远达效应所引起的光感受器细胞变性致盲"以来,AIR已经越来越受到了关注 [ 1 , 2 ]。AIR的主要特征之一就是存在外周循环抗视网膜抗体(anti-retinal antibodies,ARAs),早在1987年,Thirki等 [ 3 ]首先在4例癌相关视网膜病变患者血清中检测到一种蛋白,发现这种特异性抗体主要识别一种分子量为23 kD的抗原,并最终将其命名为恢复蛋白(Recoverin)。自此之后,越来越多的ARAs被发现,人们也对其有了更深刻的认识。这类抗体可以与视网膜上的多种蛋白相结合,从而攻击视网膜光感受器细胞以及其他细胞,最终造成视力损伤,ARAs出现在副肿瘤综合征以及非副肿瘤综合征相关的AIR中 [ 4 , 5 ]。然而,目前对于这一类抗体的认识还非常有限,本文对ARAs在AIR中的作用进行综述。
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齐慧君,Email: mocdef.3ab61nujiuhiqrd
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所有作者均声明不存在利益冲突
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