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肺部免疫与免疫病理学:来自呼吸道合胞病毒的经验教训。

Pulmonary immunity and immunopathology: lessons from respiratory syncytial virus.

作者信息

Olson Matthew R, Varga Steven M

机构信息

Department of Microbiology, Interdisciplinary Graduate Program in Immunology, 51 Newton Road, 3-532 Bowen Science Building, University of Iowa, Iowa City, IA 52242, USA.

出版信息

Expert Rev Vaccines. 2008 Oct;7(8):1239-55. doi: 10.1586/14760584.7.8.1239.

Abstract

Respiratory syncytial virus (RSV) is the leading cause of severe respiratory disease in infants and is an important source of morbidity and mortality in the elderly and immunocompromised. This review will discuss the humoral and cellular adaptive immune responses to RSV infection and how these responses are shaped in the immature immune system of the infant and the aged environment of the elderly. Furthermore, we will provide an overview of our current understanding of the role the various arms of the adaptive immune response play in mediating the delicate balance between the successful elimination of the virus from the host and the induction of immunopathology. Efficacious immunization against RSV remains a high priority within the field and we will highlight recent advances made in vaccine design.

摘要

呼吸道合胞病毒(RSV)是婴儿严重呼吸道疾病的主要病因,也是老年人和免疫功能低下者发病和死亡的重要原因。本综述将讨论针对RSV感染的体液和细胞适应性免疫反应,以及这些反应在婴儿未成熟免疫系统和老年人衰老环境中的形成方式。此外,我们将概述目前对适应性免疫反应各分支在介导从宿主体内成功清除病毒与诱导免疫病理之间微妙平衡中所起作用的理解。针对RSV的有效免疫接种仍是该领域的高度优先事项,我们将重点介绍疫苗设计方面的最新进展。

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