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[调节性细胞CD4+CD25+在慢性感染性疾病发生发展中的作用]

[The role of regulatory cells CD4+CD25+ in the development of chronic infective diseases].

作者信息

Vorob'ev A A, Bykovskaia S N, Pashkov E P, Bykov A S

出版信息

Vestn Ross Akad Med Nauk. 2006(9-10):24-9.

Abstract

Regulatory T-cells CD4+CD25+Foxp3 (Treg) present a small subpopulation of CD4+ T lymphocytes, which develop in the thymus and are disseminated into peripheral lymphoid organs on the 3rd or the 4th day of the neonatal period. Treg play a decisive role in the pathogenesis of autoimmune diseases and the development of tolerance to transplantation antigens, regulate the immune response to allergens, and suppress antimicrobial immunity. Treg suppress proliferation as well as the cytotoxic effect and the secretion of Th1 and Th2 cytokines by effectory T lymphocytes, thus limiting the strength of the immune response of effectory T-cells, which makes them impossible to adequately control viral and bacterial infections. Recognition via antigen-presenting cells and the subsequent induction of the proliferation of antigen-reactive T and B lymphocytes, directed towards infectious agent elimination, is accompanied by the activation of regulatory T cells as well, which leads to immune response suppression; repeated microbial infections are not only able to strengthen T-cell immunity by generating memory T-cells, but can also strengthen the suppressive activity of endogenous T regulators CD4+CD25+. Moreover, T reg are capable of the direct recognition of a microbial product; these cells selectively express Toll-like receptors (TLR)-2, -4, -5, -7, and -8. Under normal conditions T reg are anergic, but are capable of direct proliferation in response to stimulation by TLR ligands, expressed on microbes and parasites. Treg removal enforces protective immune response to contagious microorganisms, including bacteria, viruses, and fungi, which leads to the elimination of pathogens from the host organism. The removal of Treg population will help to accomplish infectious pathogen elimination and diminish inflammation within a short period of time.

摘要

调节性T细胞CD4+CD25+Foxp3(Treg)是CD4+T淋巴细胞的一个小亚群,在胸腺中发育,并在新生期第3天或第4天扩散到外周淋巴器官。Treg在自身免疫性疾病的发病机制和对移植抗原的耐受性发展中起决定性作用,调节对过敏原的免疫反应,并抑制抗微生物免疫。Treg抑制效应性T淋巴细胞的增殖、细胞毒性作用以及Th1和Th2细胞因子的分泌,从而限制效应性T细胞免疫反应的强度,这使得它们无法充分控制病毒和细菌感染。通过抗原呈递细胞的识别以及随后针对感染因子消除的抗原反应性T和B淋巴细胞增殖的诱导,也伴随着调节性T细胞的激活,这导致免疫反应受到抑制;反复的微生物感染不仅能够通过产生记忆T细胞来增强T细胞免疫,还能增强内源性T调节细胞CD4+CD25+的抑制活性。此外,Treg能够直接识别微生物产物;这些细胞选择性表达Toll样受体(TLR)-2、-4、-5、-7和-8。在正常情况下,Treg处于无反应状态,但能够在受到微生物和寄生虫上表达的TLR配体刺激时直接增殖。去除Treg可增强对包括细菌、病毒和真菌在内的传染性微生物的保护性免疫反应,从而导致从宿主生物体中清除病原体。去除Treg群体将有助于在短时间内完成感染性病原体的清除并减轻炎症。

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