抗生素与宿主免疫反应在败血症中的相互作用:从基本机制到临床考虑:全面的叙述审查
Martina Tosi1, Irene Coloretti1, Marianna Meschiari2
1Anesthesia and Intensive Care Medicine, Policlinico di Modena, University of Modena and Reggio Emilia, 41124 Modena, Italy.
Antibiotics (Basel, Switzerland)
|May 24, 2024
概括
抗生素可以调节败血症患者的免疫系统,影响炎症和微生物群. 根据个体免疫特征量身定制抗生素治疗对于优化败血症治疗结果至关重要.
科学领域:
- 免疫学 免疫学 免疫学
- 药理学 药理学是指药理学的学科.
- 微生物学 微生物学
背景情况:
- 败血症是一种危及生命的疾病,其特点是免疫系统失调.
- 抗生素在根除病原体之外发挥着复杂的作用,影响宿主免疫反应.
- 了解这些相互作用对于改善败血症管理至关重要.
研究的目的:
- 审查抗生素的免疫调节作用.
- 探索这些效应在败血症中的临床影响.
- 突出微生物组改变在抗生素诱导的免疫变化中的作用.
主要方法:
- 临床前和临床研究的叙述性综述.
- 对抗生素机制的分析,包括细胞因子调节,受体相互作用和亡.
- 检查微生物组与宿主免疫相互作用.
主要成果:
- 抗生素表现出多种不同的免疫调节作用:调节细胞因子的产生,收费类受体,P38/Pmk-1通路,矩阵金属蛋白酶,氧化合成酶和亡.
- 抗生素诱导的微生物组变化会影响系统免疫力.
- 辅助性宏类药物使用显示出潜在的免疫调节益处,特别是在社区获得的肺炎中,但在败血性休克和急性呼吸困扰综合征的证据是混合的.
结论:
- 抗生素具有与败血症相关的显著免疫调节特性.
- 微生物组的改变是抗生素对免疫力影响的关键媒介.
- 个性化抗生素治疗,考虑到患者的免疫特征,对于有效的败血症管理至关重要.
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