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囊性纤维化。对铜绿假单胞菌的感染与免疫。

Cystic fibrosis. Infection and immunity to Pseudomonas.

作者信息

Sorensen R U, Waller R L, Klinger J D

机构信息

Department of Pediatrics, Louisiana State University Medical Center, New Orleans 70112.

出版信息

Clin Rev Allergy. 1991 Spring-Summer;9(1-2):47-74. doi: 10.1007/BF02914534.

DOI:10.1007/BF02914534
PMID:1884328
Abstract

Chronic pulmonary infection with P. aeruginosa in CF may result from: 1. An initial failure of clearance mechanisms (increased adherence) leading to the development of a highly compartmentalized inflammatory reaction; 2. Inhibition of clearing mechanisms for bacteria present in the bronchial lumen; and 3. A largely ineffective, and possibly damaging, hyperactivity of inflammatory cells in the lumen and bronchial wall. The special relationship between the CF host and P. aeruginos, always long-term, and frequently subtle in its complexity, needs further understanding in order to develop new strategies for the treatment of chronic lung infections with this organism.

摘要

囊性纤维化(CF)患者肺部的铜绿假单胞菌慢性感染可能由以下原因导致:1. 清除机制最初失效(黏附增加),导致高度分隔的炎症反应发展;2. 支气管腔内存在的细菌清除机制受到抑制;3. 管腔和支气管壁内炎症细胞的过度活跃在很大程度上无效,甚至可能具有破坏性。CF宿主与铜绿假单胞菌之间的特殊关系一直是长期的,其复杂性往往很微妙,为了开发针对该病原体慢性肺部感染的新治疗策略,需要进一步了解。

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本文引用的文献

1
Antiphagocytic Effect of Slime from a Mucoid Strain of Pseudomonas aeruginosa.铜绿假单胞菌黏液型菌株的抗吞噬作用。
Infect Immun. 1971 Jun;3(6):762-7. doi: 10.1128/iai.3.6.762-767.1971.
2
Passive immunization against experimental pseudomonas infection: correlation of protection to verder and evans "o" serotypes.针对实验性铜绿假单胞菌感染的被动免疫:与弗尔德和埃文斯“O”血清型的保护相关性。
Infect Immun. 1971 Jan;3(1):51-8. doi: 10.1128/iai.3.1.51-58.1971.
3
Inhibition of Pseudomonas aeruginosa pigment formation by chloramphenicol and erythromycin.
Infect Immun. 1992 Sep;60(9):3913-5. doi: 10.1128/iai.60.9.3913-3915.1992.
氯霉素和红霉素对铜绿假单胞菌色素形成的抑制作用。
Antibiot Chemother (Northfield). 1960 Jan;10:30-3.
4
Neutrophil granulocyte function in patients with pulmonary infection.肺部感染患者中性粒细胞的功能
J Pediatr. 1974 Jan;84(1):55-8. doi: 10.1016/s0022-3476(74)80553-6.
5
Pulmonary nonspecific defense mechanisms in cystic fibrosis. I. Phagocytic capacity of alveolar macrophages and neutrophils.囊性纤维化中的肺部非特异性防御机制。I. 肺泡巨噬细胞和中性粒细胞的吞噬能力。
Pediatr Res. 1980 Nov;14(11):1212-5. doi: 10.1203/00006450-198011000-00012.
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Synthesis and secretion of cystic fibrosis ciliary dyskinesia substances by purified subpopulations of leukocytes.白细胞纯化亚群对囊性纤维化纤毛运动障碍物质的合成与分泌。
J Clin Invest. 1980 Nov;66(5):1010-9. doi: 10.1172/JCI109929.
7
Is anti-Pseudomonas therapy warranted in acute respiratory exacerbations in children with cystic fibrosis?囊性纤维化患儿急性呼吸道加重期是否需要进行抗假单胞菌治疗?
J Pediatr. 1980 Jul;97(1):144-7. doi: 10.1016/s0022-3476(80)80155-7.
8
Hypogammaglobulinemia in patients with cystic fibrosis.囊性纤维化患者的低丙种球蛋白血症
N Engl J Med. 1980 Jan 31;302(5):245-9. doi: 10.1056/NEJM198001313020501.
9
Analysis of granulocyte beta-adrenergic response in cystic fibrosis: correlation of decreased responsiveness with disease severity.囊性纤维化中粒细胞β-肾上腺素能反应的分析:反应性降低与疾病严重程度的相关性。
Am Rev Respir Dis. 1981 Jun;123(6):622-6. doi: 10.1164/arrd.1981.123.6.622.
10
Cystic fibrosis ciliary dyskinesia substances and pulmonary disease. Effects of ciliary dyskinesia substances on neutrophil movement in vitro.囊性纤维化纤毛运动障碍物质与肺部疾病。纤毛运动障碍物质对体外中性粒细胞运动的影响。
J Clin Invest. 1981 Jul;68(1):171-83. doi: 10.1172/jci110233.