在肠道中免疫力,炎症和过敏
Thomas T Macdonald1, Giovanni Monteleone
1Division of Infection, Inflammation, and Repair, University of Southampton School of Medicine, Southampton General Hospital, Southampton, SO16 6YD, UK. t.t.macdonald@qmul.ac.uk
概括
肠道免疫系统努力平衡病原体防御与对食物和微生物的耐受性. 这种平衡的破坏与常见的肠道炎症疾病和过敏有关.
科学领域:
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
- 微生物学 微生物学
背景情况:
- 肠道免疫系统必须区分有害的病原体和无害的抗原,如食物和共生细菌.
- 在发达国家,这种免疫耐受性的崩越来越多地与慢性肠道炎症有关,通常没有明显的感染.
- 影响免疫识别,适应性免疫和上皮质屏障功能的遗传因素与肠道炎症有关.
研究的目的:
- 调查肠道免疫恒温的破坏背后的机制.
- 探索遗传突变与肠道炎症和过敏的发展之间的关系.
- 为了确定炎症性肠道疾病的发病过程中的关键决定因素.
主要方法:
- 在小鼠和人类模型中分析影响先天性和适应性免疫力的基因突变.
- 在肠道抗原暴露的背景下评估上皮质透性.
- 在小鼠和人类受试者中进行的比较研究显示肠道炎症.
主要成果:
- 控制天生的免疫识别基因的突变与肠道炎症有关.
- 适应性免疫路径的缺陷有助于炎症性肠道疾病的发展.
- 变化的上皮质透性是肠道炎症和过敏的发病的一个重要因素.
结论:
- 扰乱肠道抗原和宿主免疫系统之间的微妙平衡是发展肠道炎症的关键因素.
- 遗传倾向在易患炎症性肠道疾病方面起着至关重要的作用.
- 恢复或维持肠道免疫平衡对于预防肠道炎症和过敏至关重要.
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