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started by qian qianwen on 28 Mar 14
  • qian qianwen
     
    And tnf soluble receptors in pulmonary sarcoidosis


    Tnf receptors(Tnfr), which are known to inhibit TNF activity, were recently described in the lungs of subjects

    To investigate for the first time the relationship between soluble receptors and tnf bioactivity in the lungs of subjectssarcoidosis is a multisystem disorder with 90% of patients exhibiting some degree of pulmonary involvement.1Pulmonary sarcoidosis is characterised by an accumulation of T lymphocytes in the alveolar spaces, preceding the development

    Of noncaseating epithelioid granulomas which can lead to interstitial fibrosis in some cases.2 The clinical syndrome can be staged according to the appearance on the chest radiograph.Stage i disease is defined by the

    Presence of bilateral hilar lymphadenopathy(Bhl)With no interstitial changes, whereas stage ii disease denotes bhl in association

    With beats by dre uk wireless nodular shadowing.Stage iii is a more generalised shadowing in the absence of bhl, and stage iv disease classification

    Requires radiographic evidence of fibrosis.Stage i sarcoidosis is usually a selflimiting disease, whereas stages iiiv may

    Be associated with a more progressive clinical course.

    Tumour necrosis factor alpha(Tnf)Is a pleiotropic proinflammatory cytokine which has been implicated in the pathogenesis

    Of a number of inflammatory lung diseases3

    4 by virtue of its ability to increase the respiratory burst in neutrophils5 and induce pulmonary vascular permeability, 6 thus promoting inflammatory cell accumulation.Sarcoidosis has been described as an example of a disordered inflammatory

    Response with increased production of a number of proinflammatory cytokines, 711 but cheap beats by dre solo hd the role of f in the pathogenesis of sarcoidosis remains uncertain.The documented production of interferon and

    Cholecalciferol in patients with sarcoidosis, both of which are extremely effective priming agents for tnf, suggests the

    Potential for an active role if it is produced in this condition.12 Several studies have reported increased levels of TNF in patients with sarcoidosis, 1315 although this has not been a consistent finding.16 Indeed, many of the clinical and pathological features associated with TNF such as systemic disturbance, weight loss, and

    Tissue necrosis are not commonly found in caucasian subjects.This led to the hypothesis that tnf activity might be inhibited

    In sarcoidosis.In 1990 an inhibitory factor was described, but not characterised, in the circulation but not in the lungs

    Of patients 17 since then two forms of soluble tnfReceptors(Tnfr)Have been characterised from human urine18the p55(Cd120a)And the p75(Cd120b)Receptors.Both are identical to the membrane bound form and are cleaved enzymatically

    From the cell surface by a metalloproteinase enzyme.19 The p55 receptor is the main signalling receptor and is ubiquitous in human tissue, whereas p75 chpbtsbydreuk receptor expression appears

    To be restricted to cells of the myeloid lineage.20 Both TNFRs have been found to inhibit the bioactivity of TNF in vitro, 21 although there is a report suggesting that binding of TNF to its soluble receptors stabilises the trimeric structure of

    Tnf and therefore may prolong its bioactivity in vivo.22 It has become increasingly apparent that cytokines do not work in isolation but function as part of a tightly regulated cytokine

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    http://wen0715.sublimeblog.net/article/13656490.html

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