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克氏锥虫病的区域性免疫反应差异。

Differential regional immune response in Chagas disease.

机构信息

Laboratory on Thymus Research, Oswaldo Cruz Institute, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.

出版信息

PLoS Negl Trop Dis. 2009 Jul 7;3(7):e417. doi: 10.1371/journal.pntd.0000417.

Abstract

Following infection, lymphocytes expand exponentially and differentiate into effector cells to control infection and coordinate the multiple effector arms of the immune response. Soon after this expansion, the majority of antigen-specific lymphocytes die, thus keeping homeostasis, and a small pool of memory cells develops, providing long-term immunity to subsequent reinfection. The extent of infection and rate of pathogen clearance are thought to determine both the magnitude of cell expansion and the homeostatic contraction to a stable number of memory cells. This straight correlation between the kinetics of T cell response and the dynamics of lymphoid tissue cell numbers is a constant feature in acute infections yielded by pathogens that are cleared during the course of response. However, the regional dynamics of the immune response mounted against pathogens that are able to establish a persistent infection remain poorly understood. Herein we discuss the differential lymphocyte dynamics in distinct central and peripheral lymphoid organs following acute infection by Trypanosoma cruzi, the causative agent of Chagas disease. While the thymus and mesenteric lymph nodes undergo a severe atrophy with massive lymphocyte depletion, the spleen and subcutaneous lymph nodes expand due to T and B cell activation/proliferation. These events are regulated by cytokines, as well as parasite-derived moieties. In this regard, identifying the molecular mechanisms underlying regional lymphocyte dynamics secondary to T. cruzi infection may hopefully contribute to the design of novel immune intervention strategies to control pathology in this infection.

摘要

感染后,淋巴细胞呈指数级扩增并分化为效应细胞,以控制感染并协调免疫反应的多个效应臂。在这种扩增之后不久,大多数抗原特异性淋巴细胞死亡,从而保持体内平衡,一小部分记忆细胞池发育,为随后的再感染提供长期免疫力。感染的程度和病原体清除的速度被认为决定了细胞扩增的程度以及向稳定数量的记忆细胞的体内平衡收缩。T 细胞反应的动力学和淋巴细胞组织细胞数量的动力学之间的这种直接相关性是由在反应过程中清除的病原体引起的急性感染中始终存在的特征。然而,针对能够建立持续性感染的病原体的免疫反应的区域动力学仍知之甚少。本文讨论了在克氏锥虫(恰加斯病的病原体)急性感染后,不同的中央和外周淋巴器官中的淋巴细胞动力学差异。虽然胸腺和肠系膜淋巴结发生严重萎缩,大量淋巴细胞耗竭,但脾脏和皮下淋巴结由于 T 和 B 细胞的激活/增殖而扩张。这些事件受到细胞因子以及寄生虫衍生成分的调节。在这方面,确定克氏锥虫感染后区域淋巴细胞动力学的分子机制,有望有助于设计新型免疫干预策略来控制该感染的病理学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0108/2700264/dbc2f0716e57/pntd.0000417.g001.jpg

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