医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
12期
2142-2145
,共4页
郭雪玲(综述)%刘辉国(审校)
郭雪玲(綜述)%劉輝國(審校)
곽설령(종술)%류휘국(심교)
结核分枝杆菌%Toll样受体%天然免疫%获得性免疫%免疫逃避
結覈分枝桿菌%Toll樣受體%天然免疫%穫得性免疫%免疫逃避
결핵분지간균%Toll양수체%천연면역%획득성면역%면역도피
Mycobacterium tuberculosis%Toll-like receptors%Innate immunity%Adaptive immunity%Immune evasion
结核分枝杆菌是结核病的致病菌,机体免疫反应在结核菌的防御和致病中发挥关键调控作用。模式识别受体家族中的Toll样受体( TLRs)能感知结核杆菌感染,并参与调控天然免疫和获得性免疫应答;而TLRs 亦能介导结核分枝杆菌的免疫逃避机制过程,促进慢性感染的发生、发展。利用免疫佐剂调控TLRs的功能水平可能有助于增强机体抗结核反应,并有望成为结核病预防和治疗的方向。
結覈分枝桿菌是結覈病的緻病菌,機體免疫反應在結覈菌的防禦和緻病中髮揮關鍵調控作用。模式識彆受體傢族中的Toll樣受體( TLRs)能感知結覈桿菌感染,併參與調控天然免疫和穫得性免疫應答;而TLRs 亦能介導結覈分枝桿菌的免疫逃避機製過程,促進慢性感染的髮生、髮展。利用免疫佐劑調控TLRs的功能水平可能有助于增彊機體抗結覈反應,併有望成為結覈病預防和治療的方嚮。
결핵분지간균시결핵병적치병균,궤체면역반응재결핵균적방어화치병중발휘관건조공작용。모식식별수체가족중적Toll양수체( TLRs)능감지결핵간균감염,병삼여조공천연면역화획득성면역응답;이TLRs 역능개도결핵분지간균적면역도피궤제과정,촉진만성감염적발생、발전。이용면역좌제조공TLRs적공능수평가능유조우증강궤체항결핵반응,병유망성위결핵병예방화치료적방향。
Mycobacterium tuberculosis is the pathogenic agent of tuberculosis.The host immune respon-ses have critical regulation effect on the defense and pathogenesis of tuberculosis.Toll-like receptors(TLRs), belonging to pattern recognition receptors family,act as key sensors of mycobacterial infections and can regu-late innate immunity and adaptive immunity.Besides,TLRs participate in the immune evasion process of my-cobacterium tuberculosis,so as to facilitate the incidence and development of chronic infection.The immune-adjuvant may help to regulate function of TLRs to enhance the host immune response and would become new direction for the prevention and treatment of tuberculosis.