疟疾:寄生虫的免疫逃避
Malaria: immune evasion by parasites.
作者信息
Hisaeda Hajime, Yasutomo Koji, Himeno Kunisuke
机构信息
Department of Parasitology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku Fukuoka 812-8582, Japan.
出版信息
Int J Biochem Cell Biol. 2005 Apr;37(4):700-6. doi: 10.1016/j.biocel.2004.10.009.
Malaria is one of the most life-threatening infectious diseases worldwide. Specific immunity to natural infection is acquired slowly despite a high degree of repeated exposure and rarely continues for a long time even in endemic areas. Malaria parasites have evolved to acquire diverse immune evasion mechanisms that evoke poor immune responses and allow infection of individuals previously exposed. The shrewd schema of malaria parasites also hampers the development of effective vaccines. Furthermore, some of those mechanisms are essential for malaria pathogenesis. In this article, an outline of protective immunity to malaria is given, then strategies used by malaria parasites to evade host immunity, including antigen diversity/polymorphism, antigen variation and total immune suppression, are reviewed. Finally, trials to control malaria based on accumulating insights into the host-parasite relationship are discussed.
疟疾是全球最具生命威胁的传染病之一。尽管反复高度暴露于疟疾环境中,但对自然感染的特异性免疫获得缓慢,即使在流行地区也很少能长期持续。疟原虫已经进化出多种免疫逃避机制,这些机制引发的免疫反应较弱,并使先前暴露过的个体受到感染。疟原虫的巧妙机制也阻碍了有效疫苗的研发。此外,其中一些机制对疟疾发病机制至关重要。本文概述了对疟疾的保护性免疫,然后回顾了疟原虫用于逃避宿主免疫的策略,包括抗原多样性/多态性、抗原变异和全面免疫抑制。最后,讨论了基于对宿主-寄生虫关系的深入了解而进行的疟疾控制试验。