胃肠道屏障处的黏膜免疫系统。
The mucosal immune system at the gastrointestinal barrier.
作者信息
Schenk Mirjam, Mueller Christoph
机构信息
Institute of Pathology, University of Bern, Bern, Switzerland.
出版信息
Best Pract Res Clin Gastroenterol. 2008;22(3):391-409. doi: 10.1016/j.bpg.2007.11.002.
The immune system faces a considerable challenge in its efforts to maintain tissue homeostasis in the intestinal mucosa. It is constantly confronted with a large array of antigens, and has to prevent the dissemination and proliferation of potentially harmful agents while sparing the vital structures of the intestine from immune-mediated destruction. Complex interactions between the highly adapted effector cells and mechanisms of the innate and adaptive immune system generally prevent the luminal microflora from penetrating the intestinal mucosa and from spreading systemically. Non-haematopoietic cells critically contribute to the maintenance of local tissue homeostasis in an antigen-rich environment by producing protective factors (e.g. production of mucus by goblet cells, or secretion of microbicidal defensins by Paneth cells) and also through interactions with the adaptive and innate immune system (such as the production of chemotactic factors that lead to the selective recruitment of immune cell subsets). The complexity of the regulatory mechanisms that control the local immune response to luminal antigens is also reflected in the observation that mutations in immunologically relevant genes often lead to the development of uncontrolled inflammatory reactions in the microbially colonized intestine of experimental animals.
免疫系统在维持肠道黏膜组织稳态的过程中面临着巨大挑战。它不断面对大量抗原,必须防止潜在有害病原体的传播和增殖,同时避免肠道重要结构受到免疫介导的破坏。先天免疫系统和适应性免疫系统中高度适应的效应细胞及机制之间的复杂相互作用,通常可防止管腔微生物群穿透肠道黏膜并发生全身扩散。非造血细胞通过产生保护因子(如杯状细胞产生黏液,或潘氏细胞分泌杀菌防御素),以及与适应性免疫系统和先天免疫系统相互作用(如产生趋化因子,导致免疫细胞亚群的选择性募集),在富含抗原的环境中对维持局部组织稳态起着关键作用。控制对管腔抗原局部免疫反应的调节机制的复杂性还体现在以下观察结果中:免疫相关基因的突变常常导致实验动物微生物定植肠道中出现不受控制的炎症反应。