İmmünohistoloji ve İmmünopatoloji
Özet
Bu metin, immün sistemin tanımını, organlarını ve bağışıklık sistemi bozukluklarını kapsamlı bir şekilde ele almaktadır. Bağışıklık sistemi, vücudu hastalıklara yol açan dış etkenlerden koruyan doğuştan gelen ve adaptif olmak üzere iki bölüme ayrılır. Sistemin organları; timus ve kemik iliği gibi hücrelerin olgunlaştığı birincil organlar ile lenf düğümleri, dalak, Peyer yamaları, apendiks ve bademcikler gibi lenfositlerin yerleştiği ikincil organlardan oluşur. Bağışıklık sistemi bozuklukları ise hipersensitivite reaksiyonları, otoimmün hastalıklar, amiloidozis ve immün yetmezlik sendromları olmak üzere dört grupta incelenmektedir. Tip I, II, III ve IV olarak sınıflandırılan hipersensitivite reaksiyonları, uyarana maruz kalma süresi ve immünoglobulin mekanizmalarına göre farklılık gösterir. Otoimmün hastalıklar, bağışıklık sisteminin kendi dokularına saldırmasıyla ortaya çıkar; Hashimoto, multipl skleroz, sistemik lupus eritematozus ve romatoid artrit gibi organa özgü veya sistemik formlarda görülebilir. Son olarak amiloidoz, proteinlerin hücre dışı birikimiyle organ işlev bozukluğuna yol açarken, immün yetmezlik sendromları genetik veya sonradan gelişen kusurlarla enfeksiyon riskini artırır.
This text comprehensively covers the definition, organs, and disorders of the immune system. The immune system is divided into two sections, innate and adaptive, which protect the body from external agents that cause disease. The organs of the system consist of primary organs where cells mature, such as the thymus and bone marrow, and secondary organs where lymphocytes settle, such as lymph nodes, spleen, Peyer's patches, appendix, and tonsils. Immune system disorders are examined in four groups: hypersensitivity reactions, autoimmune diseases, amyloidosis, and immunodeficiency syndromes. Hypersensitivity reactions, classified as Types I, II, III, and IV, differ based on stimulus exposure time and immunoglobulin mechanisms. Autoimmune diseases occur when the immune system attacks its own tissues and can be seen in organ-specific or systemic forms such as Hashimoto's, multiple sclerosis, systemic lupus erythematosus, and rheumatoid arthritis. Finally, while amyloidosis leads to organ dysfunction through extracellular accumulation of proteins, immunodeficiency syndromes increase the risk of infection through genetic or acquired defects.
Referanslar
Agarwal, S., Mayer, L. (2013). Diagnosis and treatment of gastrointestinal disorders in patients with primary immunodeficiency. Clin Gastroenterol Hepatol. 11(9):1050-63.
Alsaleh, N.B., Brown, J.M. (2020). Engineered Nanomaterials and Type I Allergic Hypersensitivity Reactions. Front Immunol. 11:222.
Arambula, A., Brown, J.R., Neff, L. (2021). Anatomy and physiology of the palatine tonsils, adenoids, and lingual tonsils. World J Otorhinolaryngol Head Neck Surg. 7(3):155-160.
Ashorobi, D., Fernandez, R. (2022). Asplenia. In: StatPearls. Treasure Island (FL): StatPearls Publishing.
Axisa, P.P., Hafler, D.A. (2016). Multiple sclerosis: genetics, biomarkers, treatments. Curr Opin Neurol. 29(3):345-53.
Ballow, M., Sánchez-Ramón, S., Walter, J.E. (2022). Secondary Immune Deficiency and Primary Immune Deficiency Crossovers: Hematological Malignancies and Autoimmune Diseases. Front Immunol. 18;13:928062.
Barcellini, W., Fattizzo, B. (2020). The Changing Landscape of Autoimmune Hemolytic Anemia. Front Immunol 11:946.
Beales, I.L. (1994). An acquired-pseudo Bernard Soulier syndrome occurring with autoimmune chronic active hepatitis and anti-cardiolipin antibody. Postgrad Med J. 70(822):305-8.
Binks, S., Vincent, A., Palace, J. (2016). Myasthenia gravis: a clinical-immunological update. J Neurol. 263(4):826-34.
Bluestone, J.A., Herold, K., Eisenbarth, G. (2010). Genetics, pathogenesis and clinical interventions in type 1 diabetes. Nature. 464(7293):1293-300.
Bowers, I., Shermetaro, C. (2022). Adenoiditis. In: StatPearls. Treasure Island (FL): StatPearls Publishing.
Bruss, D.M., Ely, S. (2022). Anatomy, Head and Neck, Blood Thymus Barrier. In: StatPearls. Treasure Island (FL): StatPearls Publishing.
Bujoreanu, I., Gupta, V. (2022). Anatomy, Lymph Nodes. In: StatPearls. Treasure Island (FL): StatPearls Publishing.
Calder, P. (2013). Feeding the immune system. Proceedings of the Nutrition Society, 72(3), 299-309.
Carrasco, A., Sjölander, I., Van, Acker, A., Dernstedt, A., Fehrm, J., Forsell, M., Friberg, D., Mjösberg, J., Rao, A. (2021). The Tonsil Lymphocyte Landscape in Pediatric Tonsil Hyperplasia and Obstructive Sleep Apnea. Front Immunol. 12:674080.
Cavalcoli, F., Zilli, A., Conte, D., Massironi, S. (2017). Micronutrient deficiencies in patients with chronic atrophic autoimmune gastritis: A review. World J Gastroenterol. 23(4):563-572.
Chang, H.D., Radbruch, A. (2021). Maintenance of quiescent immune memory in the bone marrow. Eur. J. Immunol., 51: 1592-1601.
Chapman, J., Goyal, A., Azevedo, A.M. (2022). Splenomegaly. In: StatPearls. Treasure Island (FL): StatPearls Publishing.
Chinen, J., Shearer, W.T. (2010). Secondary immunodeficiencies, including HIV infection. J Allergy Clin Immunol. 125(2 Suppl 2):S195-203.
Chung, W.S., Chung, S., Hsu, C.Y., Lin, C.L. (2021). Risk of Inflammatory Bowel Disease Following Appendectomy in Adulthood. Front Med (Lausanne). 8:661752.
Corr, S.C., Gahan, C.C. Hill, C. (2008), M-cells: origin, morphology and role in mucosal immunity and microbial pathogenesis. FEMS Immunology & Medical Microbiology, 52: 2-12.
Csaba, G. (2018). Immunity and longevity. Acta Microbiologica et Immunologica Hungarica, 1–17.
DeVrieze, B.W., Hurley, J.A. (2022). Goodpasture Syndrome. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.
Eibl, M.M., Wolf, H.M. (2015). Vaccination in patients with primary immune deficiency, secondary immune deficiency and autoimmunity with immune regulatory abnormalities. Immunotherapy. 7(12):1273-92.
Elmore, S.A. (2006). Histopathology of the lymph nodes. Toxicol Pathol. 34(5):425-54.
Flament, T., Bigot, A., Chaigne, B., Henique, H., Diot, E., Marchand-Adam, S. (2016). Pulmonary manifestations of Sjögren's syndrome. Eur Respir Rev. 25(140):110-23.
Garg, N., Smith, T.W. (2015). An update on immunopathogenesis, diagnosis, and treatment of multiple sclerosis. Brain Behav. 5(9):e00362.
Gernsheimer, T. (2009). Chronic Idiopathic Thrombocytopenic Purpura: Mechanisms of Pathogenesis, The Oncologist, 14(1);12–21.
Gillespie, K.M. (2006). Type 1 diabetes: pathogenesis and prevention. CMAJ. 175(2):165-70.
Gong, B., Wang, C., Meng, F., Wang, H., Song, B., Yang, Y., Shan, Z. (2021). Association Between Gut Microbiota and Autoimmune Thyroid Disease: A Systematic Review and Meta-Analysis. Front Endocrinol (Lausanne). 12:774362.
Guan, Q. (2019). A Comprehensive Review and Update on the Pathogenesis of Inflammatory Bowel Disease. J Immunol Res. 2019:7247238.
Hellmark, T., Segelmark, M. (2014). Diagnosis and classification of Goodpasture's disease (anti-GBM), Journal of Autoimmunity, 108-112.
Hemm, F., Fijak, M., Belikan, J., Kampschulte, M., El Khassawna, T., Pilatz, A., Heiss, C., Lips, K.S. (2021). Bone Status in a Mouse Model of Experimental Autoimmune-Orchitis. Int J Mol Sci. 22(15):7858.
Hijazi, L.S., Zahra, F., Yarrarapu, S.N.S., et al. (2022). Functional Asplenism. In: StatPearls. Treasure Island (FL): StatPearls Publishing.
Hill, A., Hill. Q.A. (2018). Autoimmune hemolytic anemia. Hematology Am Soc Hematol Educ Program 382-389.
Hočevar, A., Tomšič, M., Perdan Pirkmajer, K. (2021). Clinical Approach to Diagnosis and Therapy of Polyarteritis Nodosa. Curr Rheumatol Rep. 23(3):14.
Hohenester, S., Oude-Elferink, R.P., Beuers, U. (2009). Primary biliary cirrhosis. Semin Immunopathol. 31(3):283-307.
Illescas-Montes, R., Corona-Castro, C.C., Melguizo-Rodríguez, L., Ruiz, C., Costela-Ruiz, V.J. (2019). Infectious processes and systemic lupus erythematosus. Immunology. 158(3):153-160.
Jarazo Dietrich, S., Fass, M.I., Jacobo, P.V., Sobarzo, C.M., Lustig, L., Theas, M.S. (2015). Inhibition of NOS-NO System Prevents Autoimmune Orchitis Development in Rats: Relevance of NO Released by Testicular Macrophages in Germ Cell Apoptosis and Testosterone Secretion. PLoS One. 10(6):e0128709.
Jović, M., Avramović, V., Vlahović, P., Savić, V., Veličkov, A., Petrović, V. (2015). Ultrastructure of the human palatine tonsil and its functional significance. Rom J Morphol Embryol. 56(2):371-7.
Kalfa, T.A. (2016). Warm antibody autoimmune hemolytic anemia. Hematology Am Soc Hematol Educ Program. 690-697.
Kanegane, H., Hoshino, A., Okano, T., Yasumi, T., Wada, T., Takada, H., et al. (2018). Flow cytometry-based diagnosis of primary immunodeficiency diseases. Allergology International. 67(1):43-54.
Killinger, B., Labrie, V. (2019). The Appendix in Parkinson’s Disease: From Vestigial Remnant to Vital Organ? J Parkinsons Dis. 9(s2):S345-S358.
Kim, D. (2017). The Role of Vitamin D in Thyroid Diseases. Int J Mol Sci. 18(9):1949.
Klineova, S., Lublin, F.D. (2018). Clinical Course of Multiple Sclerosis. Cold Spring Harb Perspect Med. 8(9):a028928.
Kobayashi, N., Takahashi, D., Takano, S., Kimura, S., Hase, K. (2019). The Roles of Peyer's Patches and Microfold Cells in the Gut Immune System: Relevance to Autoimmune Diseases. Front Immunol.
Kraus, R.F., Gruber, M.A. (2021). Neutrophils-From Bone Marrow to First-Line Defense of the Innate Immune System. Front Immunol. 12:767175.
Lee, H.J., Li, C.W., Hammerstad, S.S., Stefan, M., Tomer, Y. (2015). Immunogenetics of autoimmune thyroid diseases: A comprehensive review. J Autoimmun. 64:82-90.
Lenz, H.J. (2007). Management and Preparedness for Infusion and Hypersensitivity Reactions. The Oncologist. 12(5):601–609.
Levy, D.M., Kamphuis, S. (2012). Systemic lupus erythematosus in children and adolescents. Pediatr Clin North Am. 59(2):345-64.
Lin, Y.J., Anzaghe, M., Schülke, S. (2020). Update on the Pathomechanism, Diagnosis, and Treatment Options for Rheumatoid Arthritis. Cells. 9(4):880.
Lobo-Yeo, A., Mieli-Vergani, G., Mowat, A.P., Vergani, D. (1990). Soluble interleukin 2 receptors in autoimmune chronic active hepatitis. Gut. 31(6):690-3.
Lucas, D. (2021). Structural organization of the bone marrow and its role in hematopoiesis. Curr Opin Hematol. 28(1):36-42.
McComb, S., Thiriot, A., Akache, B., Krishnan, L., & Stark, F. (2019). Introduction to the Immune System. Immunoproteomics, 1–24.
Minalyan, A., Benhammou, J.N., Artashesyan, A., Lewis, M.S., Pisegna, J.R. (2017). Autoimmune atrophic gastritis: current perspectives. Clin Exp Gastroenterol. 10:19-27.
Mitroulis, I., Hajishengallis. G., Chavakis, T. (2021). Trained Immunity and Cardiometabolic Disease: The Role of Bone Marrow. Arterioscler Thromb Vasc Biol. 41(1):48-54.
Müller, L., Di Benedetto, S., & Pawelec, G. (2019). The Immune System and Its Dysregulation with Aging. Methods in Molecular Biology, 21–43.
Nguyen, D.L., Juran, B.D., Lazaridis, K.N. (2010). Primary biliary cirrhosis. Best Pract Res Clin Gastroenterol. 24(5):647-54.
Null, M., Agarwal, M. (2022). Anatomy, Lymphatic System. In: StatPearls. Treasure Island (FL): StatPearls Publishing.
Ortona, E., Pierdominici, M., Maselli, A., et al. (2016). Sex-based differences in autoimmune diseases. Ann Ist Super Sanita. 52(2): 205-212.
Passali, M., Josefsen, K., Frederiksen, J.L., Antvorskov, J.C. (2020). Current Evidence on the Efficacy of Gluten-Free Diets in Multiple Sclerosis, Psoriasis, Type 1 Diabetes and Autoimmune Thyroid Diseases. Nutrients. 12(8):2316.
Puéchal, X. (2022). Polyarteritis Nodosa: State of the art. Joint Bone Spine. 89(4):105320.
Radu, A.F., Bungau, S.G. (2011). Management of Rheumatoid Arthritis: An Overview. Cells. 10(11):2857.
Rajan, T.V. (2003). The Gell-Coombs classification of hypersensitivity reactions: a re-interpretation. Trends Immunol. 24(7):376-9.
Raje, N., Dinakar, C. (2015). Overview of Immunodeficiency Disorders. Immunol Allergy Clin North Am. 35(4):599-623.
Rajesh, R., Shanmugam, M.P., Sagar, P. (2020). Idiopathic thrombocytopenic purpura and its fundus features in a patient with diabetes mellitus. Indian J Ophthalmol. 68(11):2587-2589.
Reshetnyak, V.I. (2015). Primary biliary cirrhosis: Clinical and laboratory criteria for its diagnosis. World J Gastroenterol. 21(25):7683-708.
Rodriguez-Castro, K.I., Franceschi M, Miraglia C, Russo M, Nouvenne A, Leandro G, Meschi T, De' Angelis, G,L., Di Mario, F. (2018). Autoimmune diseases in autoimmune atrophic gastritis. Acta Biomed. 89(8-S):100-103.
Rosendahl, A-H, Schönborn, K, Krieg, T. (2022). Pathophysiology of systemic sclerosis (scleroderma). Kaohsiung J Med Sci. 38: 187– 195.
Schirmer, J.H, Moosig, F. (2018). Update: Polyarteriitis nodosa. Z Rheumatol. 77(5):397-408.
Seyedian, S.S., Nokhostin, F., Malamir, M.D. (2019). A review of the diagnosis, prevention, and treatment methods of inflammatory bowel disease. J Med Life. 12(2):113-122.
Shah, A.A., Wigley, F.M. (2013). My approach to the treatment of scleroderma. Mayo Clin Proc. 88(4):377-93.
Sieb, J.P. (2014). Myasthenia gravis: an update for the clinician. Clin Exp Immunol. 175(3):408-18.
Songu, M., Katılmış, H. (2012). Enfeksiyondan korunma ve immün sistem. Katip Çelebi Üniversitesi, Atatürk Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Hastalıkları Kliniği, İzmir. 2(1):31-42.
Stefanski, A.L, Tomiak, C., Pleyer, U., Dietrich, T., Burmester, G.R., Dörner, T. (2017). The Diagnosis and Treatment of Sjögren's Syndrome. Dtsch Arztebl Int. 114(20):354-361.
Suresh, P.S. (2016). Bilateral disciform keratitis in Reiter's syndrome. Indian J Ophthalmol. 64(9):685-687.
Thapa, P., Farber, D.L. (2019). The Role of the Thymus in the Immune Response. Thorac Surg Clin. 29(2):123-131.
Tian, Y., Yang, H., Liu, N., Li, Y., Chen, J. (2021). Advances in Pathogenesis of Sjögren's Syndrome. J Immunol Res.
Tomar, N., & De, R.K. (2014). A Brief Outline of the Immune System. Immunoinformatics, 3–12.
Vaxman, I., Gertz, M. (2020). When to Suspect a Diagnosis of Amyloidosis
Acta Haematol. 143:304-31110.
Wang, S., Breskovska, I., Gandhy, S., Punga, A.R., Guptill, J.T., Kaminski, H.J. (2018). Advances in autoimmune myasthenia gravis management. Expert Rev Neurother. 18(7):573-588.
Wang, Z., Sun, Y., Yao, W., Ba, Q., Wang, H. (2021). Effects of Cadmium Exposure on the Immune System and Immunoregulation. Front. Immunol. 12:695484.
Wasserman, A.M. (2011). Diagnosis and management of rheumatoid arthritis. Am Fam Physician. 84(11):1245-52.
Wasserstein, A.G. (1997). Membranous glomerulonephritis. JF- Journal of the American Society of Nephrology. 8(4):664-674.
Wright, M.F.A., Bush, A., Carr, S.B. (2018). Hypersensitivity reactions to intravenous antibiotics in cystic fibrosis. Paediatric Respiratory Reviews. 27:9-12.
Xie, X., Wang, N., Xiang, J., He, H., Wang, X., Wang, Y. (2020). Renal cell carcinoma associated with idiopathic thrombocytopenic purpura. Int J Immunopathol Pharmacol.
Yates, J.A., Stetz, L.C. (2006). Reiter's syndrome (reactive arthritis) and travelers' diarrhea. J Travel Med. 13(1):54-6.
Yu, H., Nagafuchi, Y., Fujio, K. (2021). Clinical and Immunological Biomarkers for Systemic Lupus Erythematosus. Biomolecules. 11(7):928.
Zhang, Y.Z., Li, Y.Y. (2014). Inflammatory bowel disease: pathogenesis. World J Gastroenterol. 20(1):91-9.