Roan Nadia R, Starnbach Michael N
Department of Microbiology and Molecular Genetics, Harvard Medical School, Boston, MA 02115, USA.
Cell Microbiol. 2008 Jan;10(1):9-19. doi: 10.1111/j.1462-5822.2007.01069.x. Epub 2007 Nov 2.
Infection with the bacterium Chlamydia trachomatis can lead to a variety of diseases, including ectopic pregnancy, infertility and blindness. Exposure of the host to C. trachomatis stimulates multiple innate and adaptive immune effectors that can contribute towards controlling bacterial replication. However, these effectors are often insufficient to resolve the infection and prevent re-infection, and the continued presence of C. trachomatis within the host may induce immune effectors to chronically produce inflammatory cytokines. This may eventually lead to the tissue pathologies associated with the infection. Reducing the incidence and sequelae of infection will ultimately require the development of a C. trachomatis vaccine that can stimulate sterilizing immunity while avoiding immune-mediated pathology.
沙眼衣原体感染可导致多种疾病,包括异位妊娠、不孕和失明。宿主接触沙眼衣原体可刺激多种先天性和适应性免疫效应器,这些效应器有助于控制细菌复制。然而,这些效应器往往不足以消除感染并预防再次感染,沙眼衣原体在宿主体内的持续存在可能会诱导免疫效应器长期产生炎性细胞因子。这最终可能导致与感染相关的组织病变。降低感染的发生率和后遗症最终需要开发一种沙眼衣原体疫苗,该疫苗能够刺激无菌免疫,同时避免免疫介导的病理反应。