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靶向中性粒细胞促进炎症消退。

Targeting Neutrophils for Promoting the Resolution of Inflammation.

机构信息

Department of Pathology and Cell Biology, University of Montreal, Montreal, QC, Canada.

Research Center, Maisonneuve-Rosemont Hospital, Montreal, QC, Canada.

出版信息

Front Immunol. 2022 Mar 16;13:866747. doi: 10.3389/fimmu.2022.866747. eCollection 2022.

Abstract

Acute inflammation is a localized and self-limited innate host-defense mechanism against invading pathogens and tissue injury. Neutrophils, the most abundant immune cells in humans, play pivotal roles in host defense by eradicating invading pathogens and debris. Ideally, elimination of the offending insult prompts repair and return to homeostasis. However, the neutrophils` powerful weaponry to combat microbes can also cause tissue damage and neutrophil-driven inflammation is a unifying mechanism for many diseases. For timely resolution of inflammation, in addition to stopping neutrophil recruitment, emigrated neutrophils need to be disarmed and removed from the affected site. Accumulating evidence documents the phenotypic and functional versatility of neutrophils far beyond their antimicrobial functions. Hence, understanding the receptors that integrate opposing cues and checkpoints that determine the fate of neutrophils in inflamed tissues provides insight into the mechanisms that distinguish protective and dysregulated, excessive inflammation and govern resolution. This review aims to provide a brief overview and update with key points from recent advances on neutrophil heterogeneity, functional versatility and signaling, and discusses challenges and emerging therapeutic approaches that target neutrophils to enhance the resolution of inflammation.

摘要

急性炎症是一种针对入侵病原体和组织损伤的局部且自限性的固有宿主防御机制。中性粒细胞是人类中最丰富的免疫细胞,通过消除入侵的病原体和碎片在宿主防御中发挥关键作用。理想情况下,消除致病因素会促使修复并恢复到体内平衡。然而,中性粒细胞对抗微生物的强大武器也会导致组织损伤,而中性粒细胞驱动的炎症是许多疾病的统一机制。为了及时缓解炎症,除了阻止中性粒细胞募集外,还需要使迁移的中性粒细胞失去作用并从受影响的部位清除。越来越多的证据表明,中性粒细胞的表型和功能多样性远远超出了其抗菌功能。因此,了解整合对立线索的受体和决定炎症组织中中性粒细胞命运的检查点,为区分保护性和失调性、过度炎症以及控制炎症消退的机制提供了深入的了解。本综述旨在提供一个简要的概述,并更新关于中性粒细胞异质性、功能多样性和信号转导的最新进展的要点,并讨论针对中性粒细胞以增强炎症消退的治疗方法的挑战和新兴方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bdc/8966391/90d5854a5ac0/fimmu-13-866747-g001.jpg

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