TIZIMLI SKLEROZDA OʻSISH OMILI-Β1NING OʻRNI

Mualliflar

  • Aynura Nabiyeva Toshkent davlat tibbiyot unverseteti Ichki kasalliklar tayanch doktoranti Muallif
  • G.T. Bekenova Ilmiy rahbar DSc, dotsent Muallif

;

Tizimli skleroz, transformatsion o'sish omili-b, mexanizm.

Abstrak

Tizimli skleroz (SSc) noma'lum etiologiyali murakkab, ko'p organli autoimmun kasallikdir. Kasallikning namoyon bo'lishi uchta asosiy patologik xususiyatning o'zaro ta'siridan kelib chiqadi, shu jumladan antigenga xos immunitet tizimi va o'ziga xos bo'lmagan immunitet tizimining nosog'lomligi, natijada otoantikor ishlab chiqarish, mayda qon tomirlarining tomir endotelial faollashuvi va fibroblast disfunktsiyasi natijasida to'qima fibrozi. Kasallikning klinik ko'rinishining geterogenligini hisobga olgan holda, universal modellarning etishmasligi SSc uchun potentsial davolash usullarini etarli darajada sinovdan o'tkazishga to'sqinlik qildi. Qanday bo'lmasin, yaqinda o'tkazilgan tadqiqotlar kasallikning klinik ko'rinishiga hissa qo'shadigan turli xil molekulyar mexanizmlarning rolini aniqladi. Transformatsiya qiluvchi o'sish omili b (TGF-b) SScda patologik fibrogenezning regulyatori sifatida aniqlangan. Hujayra o'sishi, apoptoz, hujayra differentsiatsiyasi va hujayradan tashqari matritsa sintezi kabi turli jarayonlar makrofaglar va boshqa ko'plab hujayralar tomonidan chiqariladigan sitokin turi TGF-b tomonidan boshqariladi. Tizimli skleroz patologiyasida TGF-b yo'llarining muhim rolini tushunish davolash uchun potentsial yo'l va ushbu og'ir kasallikni yaxshiroq tushunish imkonini beradi

Iqtiboslar

Bernatsky S, Joseph L, Pineau CA, et al. Scleroderma prevalence: demographic variations in a population-based sample[J]. Arthritis Rheum , 2009, 61(3): 400 –404.

Katsumoto TR, Whit field ML, Connolly MK. The pathogen- esis of systemic sclerosis[J]. Annu Rev Pathol , 2011, 6: 509 –537.

Denton CP. Advances in pathogenesis and treatment of systemic sclerosis[J]. Clin Med (Lond) , 2016, 16(1): 55 –60.

Koenig M, Joyal F, Fritzler MJ, et al. Autoantibodies and

microvascular damage are independent predictive factors forthe progression of Raynaud ’s phenomenon to systemic sclerosis: a twenty-year prospective study of 586 patients,8 Ayers NB et al. J Biomed Res, 2018, 32(1) with validation of proposed criteria for early systemic sclerosis[J]. Arthritis Rheum , 2008, 58(12): 3902 –3912.

Pattanaik D, Brown M, Postlethwaite BC, et al. Pathogenesis of systemic sclerosis[J]. Front Immunol , 2015, 6: 272.

van den Hoogen F, Khanna D, Fransen J, et al. 2013 classi fication criteria for systemic sclerosis: an American College of Rheumatology/European League against Rheumatism collaborative initiative[J]. Arthritis Rheum , 2013, 65 (11): 2737 –2747.

Domsic RT. Scleroderma: the role of serum autoantibodies in defining speci fic clinical phenotypes and organ system involvement[J]. Curr Opin Rheumatol , 2014, 26(6): 646 – 652.

Xu D, Hou Y, Zheng Y, et al. The 2013 American college of rheumatology/european league against rheumatism classi fication criteria for systemic sclerosis could classify systemic sclerosis patients at earlier stage: data from a Chinese EUSTAR center[J]. PLoS One , 2016, 11(11): e0166629.

Asano Y. Recent advances in animal models of systemic sclerosis[J]. J Dermatol , 2016, 43(1): 19 –28.

Ghosh AK, Bhattacharyya S, Lafyatis R, et al. p300 is elevated in systemic sclerosis and its expression is positivelyregulated by TGF- β: epigenetic feed-forward ampli fication of fibrosis[J]. J Invest Dermatol , 2013, 133(5): 1302 –1310.

Sato S. Understanding the pathogenesis and developing new therapy of systemic sclerosis[J]. J Dermatol , 2016, 43(1): 9.

Shanmugam VK, Swistowski DR, Saddic N, et al. Comparison of indirect immuno fluorescence and multiplex antinuclear antibody screening in systemic sclerosis[J]. Clin Rheumatol , 2011, 30(10): 1363 –1368.

Sato S, Fujimoto M, Hasegawa M, et al. Altered blood B lymphocyte homeostasis in systemic sclerosis: expanded naive B cells and diminished but activated memory B cells

[J].Arthritis Rheum , 2004, 50(6): 1918 –1927.

Yoshizaki A, Sato S. Abnormal B lymphocyte activation and function in systemic sclerosis[J]. Ann Dermatol , 2015, 27(1): 1–9.

Mosser DM, Edwards JP. Exploring the full spectrum of macrophage activation[J]. Nat Rev Immunol , 2008, 8(12):958–969.

Schultze JL, Schmidt SV. Molecular features of macrophage

activation[J]. Semin Immunol , 2015, 27(6): 416 –423.

Raes G, Beschin A, Ghassabeh GH, et al. Alternatively activated macrophages in protozoan infections[J]. Curr Opin Immunol , 2007, 19(4): 454 –459.

Gong D, Shi W, Yi SJ, et al. TGF βsignaling plays a critical role in promoting alternative macrophage activation[J]. BMC Immunol , 2012, 13: 31.

Duffy L, O ’Reilly SC. Toll-like receptors in the pathogenesis of autoimmune diseases: recent and emerging translational developments[J]. Immunotargets Ther , 2016, 5: 69 –80.

Lester SN, Li K. Toll-like receptors in antiviral innate immunity[J]. J Mol Biol , 2014, 426(6): 1246 –1264.[21] Bhattacharyya S, Kelley K, Melichian DS, et al. Toll-like receptor 4 signaling augments transforming growth factor- β responses: a novel mechanism for maintaining and amplifying fibrosis in scleroderma[J]. Am J Pathol , 2013, 182(1): 192 –205.

Andreakos E, Foxwell B, Feldmann M. Is targeting Toll-like receptors and their signaling pathway a useful therapeutic approach to modulating cytokine-driven in flammation[J]?Immunol Rev , 2004, 202: 250 –265.

Dowson C, Simpson N, Duffy L, et al. Innate immunity in systemic sclerosis[J]. Curr Rheumatol Rep , 2017, 19(1): 2.

Takeda K, Akira S. Toll-like receptors in innate immunity[J]. Int Immunol , 2005, 17(1): 1 –14.

Wei J, Bhattacharyya S, Tourtellotte WG, et al. Fibrosis in systemic sclerosis: emerging concepts and implications for targeted therapy[J]. Autoimmun Rev , 2011, 10(5): 267 –275.

Fullard N, O ’Reilly S. Role of innate immune system in systemic sclerosis[J]. Semin Immunopathol , 2015, 37(5): 511 – 517.

Lakota K, Carns M, Podlusky S, et al. Serum amyloid A is a marker for pulmonary involvement in systemic sclerosis[J]. PLoS One , 2015, 10(1): e0110820.

Jinnin M. Mechanisms of skin fibrosis in systemic sclerosis[J]. J Dermatol , 2010, 37(1): 11 –25.

Komai-Koma M, Li D, Wang E, et al. Anti-Toll-like receptor 2 and 4 antibodies suppress in flammatory response in mice[J]. Immunology , 2014, 143(3): 354 –362.

Nashr qilingan

2025-09-17

Iqtibos keltirish tartibi

TIZIMLI SKLEROZDA OʻSISH OMILI-Β1NING OʻRNI. (2025). Yevroosiyo Tibbiyot Va Tabiiy Fanlar Jurnali, 5(9), 18-23. https://in-academy.uz/index.php/EJMNS/article/view/11135