艾滋病毒感染和免疫性:挑战和干预策略
Junyan Jin1,2, Qianqian Xu1,2, Xin Zhang1,2
1Beijing Key Laboratory for HIV/AIDS Research, Clinical and Research Center for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, 100069, China.
BMC medicine
|December 2, 2025
概括
艾滋病毒感染者 (PWH) 经历了由于慢性感染和衰老而加速的免疫衰老. 研究强调了免疫细胞的变化和改善长期免疫健康的策略,在这个不断增长的人口中.
科学领域:
- 免疫学 免疫学 免疫学
- 老年学是一门学科.
- 传染性疾病 传染性疾病
背景情况:
- 抗逆转录病毒疗法增加了艾滋病毒感染者的预期寿命,导致人口老龄化.
- PWH表现出加速的免疫衰老 (免疫衰老),增加对感染,并发病和癌症的易感性.
- 在PWH中免疫发生是一个显著的长期健康挑战.
研究的目的:
- 审查PWH的先天性和适应性免疫细胞中与免疫发生相关的变化.
- 讨论在PWH中加速免疫衰老的因素.
- 总结潜在的治疗和生活方式干预措施,以减轻免疫衰退.
主要方法:
- 审查NK细胞,单细胞,巨细胞和树突细胞的表型和功能变化.
- 对T和B细胞变化的分析,包括胸膜缩和T细胞耗尽.
- 检查诸如CMV联合感染,炎症,线粒体损伤和吸烟等因素.
主要成果:
- 艾滋病毒感染和老化加快免疫衰老,影响先天性和适应性免疫力.
- 诸如CMV联合感染,炎症和生活方式选择等因素加剧了免疫力下降.
- 新兴的策略旨在减轻免疫衰变,但证据有限.
结论:
- 缺少一种普华永道病毒中免疫发生的通用生物标志物.
- 制定量身定制的生物标志物面板和干预措施至关重要.
- 对于PWH,需要综合战略,将ART与免疫恢复和抗衰老方法相结合.
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