喘中的微生物和粘膜免疫反应
Trevor T Hansel1, Sebastian L Johnston, Peter J Openshaw
1National Heart and Lung Institute, Centre for Respiratory Infection, MRC, London, UK. t.hansel@imperial.ac.uk
Lancet (London, England)
|February 23, 2013
概括
微生物组影响免疫平衡和喘发育. 了解微生物与呼吸道粘膜的相互作用为个性化喘治疗提供了新的途径.
科学领域:
- 免疫学 免疫学 免疫学
- 微生物学 微生物学
- 肺部病理学 肺部病理学
背景情况:
- 全球喘和阿托皮病率的上升与细菌暴露的减少有关.
- 微生物组维持免疫平衡,影响对病原体的反应.
- 呼吸系统病毒和过敏原可以引发或加剧喘.
研究的目的:
- 提出关于微生物如何在喘中诱导粘膜炎症的统一理论.
- 探索微生物暴露在喘发展和恶化中的作用.
- 为了确定新的,个性化的喘治疗的潜在目标.
主要方法:
- 研究宿主天生的感知系统.
- 使用先进的方法来表征微生物暴露.
- 分析呼吸道粘膜中的上皮细胞,树突细胞和淋巴细胞之间的相互作用.
主要成果:
- 天生的免疫反应涉及模式识别受体和病原体相关的分子模式.
- 这些相互作用会触发易感个体的I型干扰素,细胞因子和T-helper-2反应.
- 独特的喘表型是由这些协调免疫反应解释的.
结论:
- 微生物暴露对"阿托皮游行"和喘恶化至关重要.
- 针对微生物与宿主相互作用的新疗法是有必要的.
- 主体生物标志物可以实现个性化喘管理.
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