在败血症和COVID-19期间,促炎和抗炎反应是同时发生的
1Institut Pasteur, 28 Rue Dr. Roux, 75015, Paris, France. jean-marc.cavaillon@pasteur.fr.
Clinical reviews in allergy & immunology
|July 3, 2023
概括
严重的COVID-19类似于细菌性败血症,称为病毒性败血症. 这项研究澄清了促炎和抗炎免疫反应的时间,这对于理解关键疾病中器官损伤和免疫抑制至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 严重的COVID-19表现出类似于细菌性败血症的特征,导致其被归类为病毒性败血症.
- 天生的免疫和炎症是相互关联的,免疫反应可能导致器官损伤 (例如,ARDS) 和免疫抑制.
- 亲炎和抗炎反应之间的时间关系一直在争论中.
研究的目的:
- 分析关于炎症和抗炎症反应是连续的还是并发的历史辩论.
- 讨论宿主对感染反应中的并发假设的早期起源.
主要方法:
- 文献综述和免疫学概念的历史分析.
- 从1995年开始,对科学文献和主体反应的建议模型进行了审查.
主要成果:
- 连续的炎症和抗炎症步骤的概念演变为同时发生.
- 虽然共识支持自2013年以来的并发性,但连续模型最近仍被应用于COVID-19.
- 有证据表明,并发观点可能早在1995年就有根源.
结论:
- 了解免疫反应的时间对于管理像COVID-19这样的严重感染至关重要.
- 历史视角强调了对复杂的宿主-病原体相互作用的不断发展的理解.
- 重新审视早期的假设可能为当前的疾病机制提供新的见解.
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