Ooi Eng H, Psaltis Alkis J, Witterick Ian J, Wormald Peter-John
Department of Otolaryngology Head and Neck Surgery, University of Toronto, Mount Sinai Hospital, 600 University Avenue, Room 413, Toronto, ON M5G 1X5, Canada.
Otolaryngol Clin North Am. 2010 Jun;43(3):473-87, vii. doi: 10.1016/j.otc.2010.02.020.
Innate immunity is an exciting area of research in rhinology because emerging evidence suggests that abnormal local immune responses, rather than pathogen-specific adaptive immunity, may play a more important role in the pathogenesis of chronic rhinosinusitis (CRS). This article reviews important recent research regarding the innate immune system and CRS, with particular focus on the role of pattern recognition receptors, antimicrobial peptides and biofilms, epithelial ciliary function, cystic fibrosis, and cigarette smoking, and on areas for future research and therapy.
先天性免疫是鼻科学中一个令人兴奋的研究领域,因为新出现的证据表明,异常的局部免疫反应而非病原体特异性适应性免疫,可能在慢性鼻-鼻窦炎(CRS)的发病机制中发挥更重要的作用。本文综述了近期有关先天性免疫系统与CRS的重要研究,特别关注模式识别受体、抗菌肽与生物膜、上皮纤毛功能、囊性纤维化和吸烟的作用,以及未来研究和治疗的方向。