Tom 2, Nr 2 (2023)
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Opublikowany online: 2023-10-17
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Metabolizm tryptofanu szlakiem kinureninowym w wybranych chorobach reumatycznych — przegląd piśmiennictwa
Forum Reumatologiczne - Edukacja 2023;2(2):51-59.
Streszczenie
W przewlekłych chorobach zapalnych, na skutek działania cytokin prozapalnych, dochodzi do nadmiernej aktywacji enzymu 2,3-dioksygenazy indoloaminy (IDO), co powoduje zwiększenie metabolizmu tryptofanu poprzez szlak kinureninowy (KP, kynurenine pathway). Zarówno IDO, jak i metabolity KP oddziałują na komórki układu immunologicznego, głównie limfocyty T. W ten sposób wywierają działanie immunosupresyjne, ograniczając stan zapalny. Także w chorobach reumatycznych, takich jak: reumatoidalne zapalenie stawów, osteoporoza, choroba zwyrodnieniowa stawów i zesztywniające zapalenie stawów kręgosłupa, stwierdza się nadmierną aktywację KP. W niniejszej publikacji przedstawiono doniesienia na temat zaburzeń metabolizmu tryptofanu stwierdzanych w powyższych jednostkach chorobowych.
Słowa kluczowe: metabolizm tryptofanuszlak kinureninowychoroby reumatycznestan zapalny
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