Microbiology Section, Department of Experimental Medicine and Biochemical Sciences, University of Perugia, Via del Giochetto, Perugia, Italy.
Best Pract Res Clin Haematol. 2011 Sep;24(3):435-42. doi: 10.1016/j.beha.2011.04.006. Epub 2011 Jul 1.
Resistance and tolerance are two types of host defense mechanisms that increase fitness in response to fungi. Several genetic polymorphisms in pattern recognition receptors, most remarkably Toll-like receptors (TLRs), have been described to influence resistance and tolerance to aspergillosis in distinct clinical settings. TLRs on dendritic cells pivotally contribute in determining the balance between immunopathology and protective immunity to the fungus. Epithelial cells also contribute to this balance via selected TLRs converging on indoleamine-2,3-dioxygenase (IDO). Studies in experimental hematopoietic transplantation confirmed the dichotomy of pathways leading to resistance and tolerance to the fungus providing new insights on the relative contribution of the hematopoietic/nonhematopoietic compartments.
抗性和耐受是宿主防御机制的两种类型,可在真菌的刺激下提高适应性。在不同的临床环境中,模式识别受体(尤其是 Toll 样受体)的几种遗传多态性已被描述为影响曲霉菌病的抗性和耐受。树突状细胞上的 TLR 对于确定真菌免疫病理学和保护性免疫之间的平衡至关重要。上皮细胞也通过聚集于色氨酸 2,3-双加氧酶(IDO)的选定 TLR 有助于这种平衡。造血移植的实验研究证实了导致对真菌的抗性和耐受的两条途径的二分法,为造血/非造血细胞区室的相对贡献提供了新的见解。