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动物模型能让人类了解哪些关于结核病的知识。

What animal models teach humans about tuberculosis.

作者信息

Dharmadhikari Ashwin S, Nardell Edward A

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA 02114, USA.

出版信息

Am J Respir Cell Mol Biol. 2008 Nov;39(5):503-8. doi: 10.1165/rcmb.2008-0154TR. Epub 2008 Jun 12.

Abstract

Animal models have become standard tools for the study of a wide array of human infectious diseases. Although there are no true animal reservoirs for Mycobacterium tuberculosis, many different animal species are susceptible to infection with this organism and have served as valuable tools for the study of tuberculosis (TB). The most commonly used experimental animal models of TB are the mouse, rabbit, and guinea pig. Although substantial differences in TB susceptibility and disease manifestations exist between these species, they have contributed significantly to the understanding of TB immunopathogenesis, host genetic influence on infection, efficacy of antimicrobial therapy, and host/pathogen interactions that determine the outcome or severity of infection. Among the three species, mice are relatively resistant to TB infection, followed by rabbits and then guinea pigs, which are extremely vulnerable to infection. Mice are most often used in experiments on immune responses to TB infection and drug regimens against TB. Rabbits, unlike the other two animal models, develop cavitary TB and offer a means to study the factors leading to this form of the disease. Guinea pigs, due to their high susceptibility to infection, have been ideal for studies on airborne transmission and vaccine efficacy. In addition to these three species, TB research has occasionally involved nonhuman primates and cattle models. Current concepts in TB pathogenesis have also been derived from animal studies involving experimentally induced infections with related mycobacteria (e.g., Mycobacterium bovis) whose manifestations in select animal hosts mimic human TB.

摘要

动物模型已成为研究多种人类传染病的标准工具。尽管结核分枝杆菌没有真正的动物储存宿主,但许多不同的动物物种都易感染这种病原体,并已成为研究结核病(TB)的宝贵工具。最常用的结核病实验动物模型是小鼠、兔子和豚鼠。尽管这些物种在结核病易感性和疾病表现方面存在显著差异,但它们对理解结核病免疫发病机制、宿主基因对感染的影响、抗菌治疗的疗效以及决定感染结果或严重程度的宿主/病原体相互作用做出了重大贡献。在这三个物种中,小鼠对结核感染相对有抵抗力,其次是兔子,然后是豚鼠,豚鼠极易感染。小鼠最常用于结核病感染免疫反应和抗结核药物治疗方案的实验。与其他两种动物模型不同,兔子会发展为空洞性结核病,为研究导致这种疾病形式的因素提供了一种手段。豚鼠由于对感染高度敏感,一直是空气传播和疫苗效力研究的理想对象。除了这三个物种,结核病研究偶尔还涉及非人灵长类动物和牛模型。结核病发病机制的当前概念也来自涉及用相关分枝杆菌(如牛分枝杆菌)进行实验性诱导感染的动物研究,这些分枝杆菌在特定动物宿主中的表现类似于人类结核病。

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