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抗中性粒细胞胞浆抗体相关性血管炎研究进展

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抗中性粒细胞胞浆抗体(ANCA)相关性血管炎(AAV)是一类以小血管壁炎症和纤维素样坏死为特征,累及全身多系统的自身免疫性疾病.亚洲地区AAV以显微镜下多血管炎(MPA)为主,最常累及肾和肺.近几年发现补体,例如C5a,通过替代途径在AAV的发病机制中发挥着重要作用,所以了解AAV补体与凝血过程之间的联系有利于从发病机制出发找到治疗疾病的靶点.本综述总结AAV发病机制中凝血及纤溶系统变化及与补体系统相互作用的研究进展.
Research progress of anti-neutrophil cytoplasmic antibody associated vasculitis
Anti-neutrophil cytoplasmic antibody(ANCA)associated vasculitis(AAV)is a class of autoimmune diseases characterized by inflammation of the small vessel wall and fibrinoid necrosis that can involve multiple systems throughout the body.AAV in the Asian region is mainly character-ized by microscopic poly angitis(MPA),which most commonly affects the kidneys and lungs.In re-cent years,it has been discovered that complement such as C5a plays an important role in the patho-genesis of AAV through alternative pathways.Therefore,understanding the relationship between AAV complement and coagulation processes is beneficial for identifying therapeutic targets from the per-spective of pathogenesis.This review summerized the research progress on the changes in coagulation and fibrinolysis systems and their interactions with the complement system in the pathogenesis of AAV.

anti-neutrophil cytoplasmic antibodiesassociated vasculitiscomplementscoag-ulationfibrinolytic system

李媛媛、郝健

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内蒙古医科大学,内蒙古呼和浩特,010050

内蒙古医科大学附属医院肾内科,内蒙古呼和浩特,010050

抗中性粒细胞胞浆抗体 相关性血管炎 补体 凝血 纤溶系统

内蒙古自治区自然科学基金

2022MS08036

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(7)
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