Th17/Treg在骨科疾病中的研究进展
Research progress of Th17/Treg in orthopedic diseases
  
DOI:10.3969/j.issn.1006-7108.2023.05.018
中文关键词:  Th17  Treg  骨关节炎  类风湿性关节炎  强直性脊柱炎  骨质疏松  股骨头坏死
英文关键词:Th17  Treg  osteoarthritis  rheumatoid arthritis  ankylosing spondylitis  osteoporosis  necrosis of femoral head
基金项目:国家自然科学基金项目(82074472);河南省中医药科学研究专项课题(2022ZY1124);河洛青年人才托举工程(2022HLTJ15);河南省中医药科学研究专项课题(20-21ZYZD10);河南省青年人才托举工程(2022HLTJ15)
作者单位
吴元胜1 马茂潇2 朱英杰3 王会超3 岳辰1,3* 刘又文1,3* 1.福建中医药大学中医骨伤及运动康复教育部重点实验室福建 福州 350122 2.湖南中医药大学湖南 长沙 410000 3.河南省洛阳正骨医院(河南省骨科医院)河南 洛阳 471000 
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中文摘要:
      骨免疫(osteoimmunology)是通过研究骨骼系统和免疫系统的交互作用,探索骨代谢和骨免疫之间的平衡,从而研究骨再生及骨修复的学科。骨免疫观点认为在骨科疾病的发展中存在骨免疫失调,其本质是炎症持续,而免疫细胞参与了炎症进程并起到关键性作用。辅助性T细胞17(T helper 17 cell,Th17)与调节性T细胞(regulatory T cell,Treg)两者均为CD4+ T细胞的亚群,两者的平衡对维持骨代谢稳定和炎症发展有重要的意义。Th17能够通过直接或间接的方式促进炎症发展,促进破骨细胞活化和骨吸收,而Treg及其分泌的细胞因子能够抑制炎症反应,抑制破骨细胞生成,减少骨丢失,具有骨保护作用。研究发现,在骨关节炎、类风湿性关节炎以及骨质疏松症等骨科疾病中均存在Th17/Treg失衡的表现。该文对骨科疾病中Th17/Treg的研究进展作一综述,以期为相关疾病的研究提供借鉴。
英文摘要:
      Osteoimmunology is a discipline that studies bone regeneration and bone repair by studying the interaction between the skeletal system and immune system to explore the balance of bone metabolism and bone immunity. From the viewpoint of bone immunity, it is believed that bone immune disorder exists in the development of orthopedic diseases, which is a state of persistent inflammation, and immune cells participate in the inflammatory process and play a key role. Both T helper 17 cells (Th17) and regulatory T cells (Treg) are subsets of CD4+T cells, and their balance plays an important role in maintaining the stability of bone metabolism and the development of inflammation. Th17 directly or indirectly promote the development of inflammation and promote the activation of osteoclasts and bone resorption, while Treg and the secreted cytokines inhibit the inflammatory response, inhibit the formation of osteoclasts, and reduce bone loss and have a bone protective effect. Studies have shown Th17/Treg disorders in osteoarthritis, rheumatoid arthritis, osteoporosis, and other bone-related diseases. In order to better understand the mechanism of Th17/Treg in bone-related diseases, this paper reviews the research progress of Th17/Treg in bone-related diseases, in order to provide reference for the research of related diseases.
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