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肾脏病与透析肾移植杂志 ›› 2025, Vol. 34 ›› Issue (1): 65-69.DOI: 10.3969/j.issn.1006-298X.2025.01.013

• 肾脏病基础 • 上一篇    下一篇

中性粒细胞胞外诱捕网在系统性红斑狼疮和狼疮性肾炎中的作用

  

  • 出版日期:2025-02-28 发布日期:2025-03-15

Neutrophil extracellular traps in systemic lupus erythematosus and lupus nephritis

  • Online:2025-02-28 Published:2025-03-15

摘要: 近年来,众多研究揭示了中性粒细胞释放的胞外诱捕网(NET)在系统性红斑狼疮(SLE)和狼疮性肾炎(LN)的发生发展中扮演了关键角色。 在抵御病原体时,中性粒细胞可释放含有解聚的染色质、组蛋白及多种抗菌成分的 NET 结构,以捕获并降解病原体。 然而,多种 NET 相关蛋白可作为自身抗原诱导自身抗体的产生。 NET 的产生和清除失衡,可使释放的染色质、组蛋白等多种物质长期暴露,从而打破机体自我耐受机制,促进自身免疫性疾病的发生。 本文将对 NET 在 SLE 及 LN 发病机制中的作用以及潜在的治疗方法进行综述。


关键词:  中性粒细胞胞外诱捕网 , 自身抗原,  系统性红斑狼疮, 狼疮性肾炎

Abstract: In recent years, accumulating evidence suggests that the neutrophil extracellular traps (NET) play a critical role in the development and progression of systemic lupus erythematosus (SLE) and lupus  nephritis  (LN).  Upon interaction with invading microbes, neutrophils release their chromatin material, histones, as  well  as  active  lytic  enzymes into the extracellular space which known as NET. NET trap the invading pathogens and degrade them with NET-associated proteolytic enzymes. However, many  of  these  NET-associated  proteins  could  be  a  source  of  autoantigens  for  autoantibody production.  The  imbalance  between  NET  formation  and  degradation  could  lead  to  the  accumulation  of  NET-associated proteins and  prolonged  exposure  of  NET  autoantigens  in  the  circulation.  This  could  potentially  break  self-tolerance  and trigger the development of autoimmune disease. This article reviews the role of NET in the pathogenesis of SLE and LN, as well as potential treatments.


Key words: neutrophil extracellular traps , autoantigen , systemic lupus erythematosus, lupus nephritis