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[关于不可分型流感嗜血杆菌所致疾病发病机制的分子决定因素的研究进展]

[Progress toward molecular determinants of the pathogenesis of disease due to nontypeable Haemophilus influenzae].

作者信息

Tian Guo-Zhong, Zhang Li, Shao Zhu-Jun

机构信息

National Institute for Communicable Disease Control and Prevention, Chinese Center for Diseases Control and Prevention, Beijing 102206, China.

出版信息

Zhongguo Yi Miao He Mian Yi. 2009 Apr;15(2):174-9.

Abstract

Haemophilus influenzae (Hi) is a pathogen exclusively found in humans. It causes a wide range of infections from the upper respiratory tract to serious invasive diseases. Such as pneumonia, septicemia and meningitis. Strains of Hi are usually classified into six serotypes a to f and nontypeable H. influenzae (NTHI) according to the antigenicities and compositions of their polysaccharide capsules. Hib was a common cause of serious infections in younger children. The polysaccharide-protein conjugate vaccines against Hib had almost eliminated H. influenzae as a cause of pediatric meningitis. However, NTHI remains an important pathogen, particularly in children and the elderly. Efforts to understand and control NTHI disease have been hampered by the diversity of these bacteria. This review introduced the study progress about pathogenic mechanism of NTHI. In order to provide the help for development of vaccine, clinic treatment and prevent the occurrence of diseases causing by NTHI.

摘要

流感嗜血杆菌(Hi)是一种仅在人类中发现的病原体。它会引发从呼吸道上部感染到严重侵袭性疾病等广泛的感染,如肺炎、败血症和脑膜炎。Hi菌株通常根据其多糖荚膜的抗原性和组成分为6种血清型(a至f)和不可分型流感嗜血杆菌(NTHI)。b型流感嗜血杆菌(Hib)曾是年幼儿童严重感染的常见病因。针对Hib的多糖蛋白结合疫苗几乎已消除了流感嗜血杆菌作为小儿脑膜炎病因的情况。然而,NTHI仍然是一种重要的病原体,尤其是在儿童和老年人中。这些细菌的多样性阻碍了对NTHI疾病的理解和控制工作。本综述介绍了关于NTHI致病机制的研究进展,以便为疫苗研发、临床治疗提供帮助,并预防由NTHI引起的疾病的发生。

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