Gastrointestinal Unit and Center for the Study of Inflammatory Bowel Disease, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA.
Nature. 2011 Jun 15;474(7351):307-17. doi: 10.1038/nature10209.
Recent advances have provided substantial insight into the maintenance of mucosal immunity and the pathogenesis of inflammatory bowel disease. Cellular programs responsible for intestinal homeostasis use diverse intracellular and intercellular networks to promote immune tolerance, inflammation or epithelial restitution. Complex interfaces integrate local host and microbial signals to activate appropriate effector programs selectively and even drive plasticity between these programs. In addition, genetic studies and mouse models have emphasized the role of genetic predispositions and how they affect interactions with microbial and environmental factors, leading to pro-colitogenic perturbations of the host-commensal relationship.
最近的进展为我们深入了解黏膜免疫的维持和炎症性肠病的发病机制提供了大量的信息。负责肠道内稳态的细胞程序利用多种细胞内和细胞间网络来促进免疫耐受、炎症或上皮修复。复杂的界面整合局部宿主和微生物信号,以有选择地激活适当的效应程序,甚至在这些程序之间驱动可塑性。此外,遗传研究和小鼠模型强调了遗传易感性的作用,以及它们如何影响与微生物和环境因素的相互作用,导致宿主共生关系的促结肠炎发生变化。
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