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在慢性肺部疾病中:理清失调的宿主免疫反应。

in chronic lung disease: untangling the dysregulated host immune response.

作者信息

Nickerson Rhea, Thornton Christina S, Johnston Brent, Lee Amy H Y, Cheng Zhenyu

机构信息

Department of Microbiology and Immunology, Faculty of Medicine, Dalhousie University, Halifax, NS, Canada.

Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

出版信息

Front Immunol. 2024 Jun 28;15:1405376. doi: 10.3389/fimmu.2024.1405376. eCollection 2024.

Abstract

is a highly adaptable opportunistic pathogen capable of exploiting barriers and immune defects to cause chronic lung infections in conditions such as cystic fibrosis. In these contexts, host immune responses are ineffective at clearing persistent bacterial infection, instead driving a cycle of inflammatory lung damage. This review outlines key components of the host immune response to chronic infection within the lung, beginning with initial pathogen recognition, followed by a robust yet maladaptive innate immune response, and an ineffective adaptive immune response that propagates lung damage while permitting bacterial persistence. Untangling the interplay between host immunity and chronic infection will allow for the development and refinement of strategies to modulate immune-associated lung damage and potentiate the immune system to combat chronic infection more effectively.

摘要

是一种高度适应性的机会致病菌,能够利用屏障和免疫缺陷在诸如囊性纤维化等情况下引起慢性肺部感染。在这些情况下,宿主免疫反应在清除持续性细菌感染方面无效,反而驱动了炎症性肺损伤的循环。本综述概述了宿主对肺部慢性感染的免疫反应的关键组成部分,首先是初始病原体识别,随后是强烈但适应不良的固有免疫反应,以及无效的适应性免疫反应,这种反应在允许细菌持续存在的同时加剧肺损伤。理清宿主免疫与慢性感染之间的相互作用将有助于制定和完善策略,以调节与免疫相关的肺损伤,并增强免疫系统更有效地对抗慢性感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/523c/11250099/66bfe0416b07/fimmu-15-1405376-g001.jpg

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