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Immune complex diseases

免疫複合體,有些時候又稱做抗原-抗體複合物,是一種由抗體完整連結到可溶性抗原所組成的分子[1]抗体抗原之間的連結作為單元性的物件。and antibody act as a unitary object, effectively an antigen of its own with a specific epitope. After an antigen-antibody reaction, the immune complexes can be subject to any of a number of responses, including complement deposition, opsonization,[2] phagocytosis, or processing by proteases. Red blood cells carrying CR1英语Complement receptor 1-receptors on their surface may bind C3b-coated immune complexes and transport them to phagocytes, mostly in liver and spleen, and return to the general circulation.

Immune complexes may themselves cause illness when they are deposited in organs, for example, in certain forms of vasculitis. This is the third form of hypersensitivity in the Gell-Coombs classification, called type III hypersensitivity英语type III hypersensitivity.[3] Such hypersensitivity progressing to disease states produces the immune complex diseases.

Immune complex deposition is a prominent feature of several autoimmune diseases, including systemic lupus erythematosus, cryoglobulinemia英语cryoglobulinemia, rheumatoid arthritis, scleroderma and Sjögren's syndrome.[4][5]

References

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  1. ^ Cush, John; Kavanaugh, Arthur; Stein, Charles. Rheumatology: Diagnosis and Therapeutics. Lippincott Williams & Wilkins. 2005: 78. ISBN 9780781757324. 
  2. ^ Goldsby, Richard. Immunology. Macmillan. 2002: 381. ISBN 9780716749479. 
  3. ^ Barret, James. Basic Immunology and its Medical Application 2. St.Louis: The C.V. Mosby Company. 1980. ISBN 0-8016-0495-8. 
  4. ^ Lawley, Thomas; Moustopoulos, Haralampos. Demonstration of Circulating Immune Complexes in Sjögren's Syndrome. Journal of Immunology (The American Association of Immunologists). 1979, 123 (3): 1382–7. PMID 469255. 
  5. ^ Wallace, Daniel (编). The New Sjogren's Syndrome Handbook. Oxford University Press. 2004: 68. ISBN 9780198038481.