%0 Journal Article %T NLRP3炎症小体与儿童自身炎症性疾病研究进展 %A 李艳蝶 %A 卢美萍 %J 浙江大学学报(医学版) %D 2017 %R 10.3785/j.issn.1008-9292.2017.08.17 %X 儿童自身炎症性疾病(AID)是难治性疾病之一,发病机制尚未完全明确。近年来大量研究表明,NLRP3炎症小体失调在儿童AID的发生、发展中具有重要作用。NLRP3炎症小体是细胞内的一种多蛋白复合物,它能激活半胱氨酸天冬氨酸特异蛋白酶1(caspase-1),进一步促进炎症因子IL-1β和IL-18的成熟和分泌,从而促进细胞凋亡,调节固有免疫应答。IL-1受体拮抗剂(Anakinra)和IL-1β单克隆抗体(Canakinumab)治疗儿童AID取得了较好的疗效。本文就NLRP3炎症小体在该类疾病发病机制中的研究进展作一综述。</br>Abstract: Autoinflammatory diseases (AID) in childhood is one of refractory diseases, whose pathogenesis is not completely clear. In recent years, a large number of studies have shown that NLRP3 inflammasome plays an important role in the development of AIDs in children. Inflammasome is a cytosolic multiprotein complex that can activate cysteinyl aspartate-specific protease-1 (caspase-1), to further promote the maturation and secretion of proinflammatory cytokines IL-1β and IL-18 as well as pyroptosis and regulate innate immune response. IL-1 receptor antagonist (Anakinra) and IL-1β monoclonal antibody (Canakinumab) have good therapeutic effects in children with AIDs. This article reviews the research progress of NLRP3 inflammasome in the pathogenesis of autoinflammatory diseases. Key words: Multiprotein complexes Autoimmune diseases Interleukin-1 beta Chromosome disorders Review %K Multiprotein complexes Autoimmune diseases Interleukin-1 beta Chromosome disorders Review %U http://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.2017.08.17