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皮肤和系统性疾病中的马拉色菌属。

The Malassezia genus in skin and systemic diseases.

机构信息

Department of Skin and Venereal Diseases, University of Ioannina Medical School, Greece.

出版信息

Clin Microbiol Rev. 2012 Jan;25(1):106-41. doi: 10.1128/CMR.00021-11.

Abstract

In the last 15 years, the genus Malassezia has been a topic of intense basic research on taxonomy, physiology, biochemistry, ecology, immunology, and metabolomics. Currently, the genus encompasses 14 species. The 1996 revision of the genus resulted in seven accepted taxa: M. furfur, M. pachydermatis, M. sympodialis, M. globosa, M. obtusa, M. restricta, and M. slooffiae. In the last decade, seven new taxa isolated from healthy and lesional human and animal skin have been accepted: M. dermatis, M. japonica, M. yamatoensis, M. nana, M. caprae, M. equina, and M. cuniculi. However, forthcoming multidisciplinary research is expected to show the etiopathological relationships between these new species and skin diseases. Hitherto, basic and clinical research has established etiological links between Malassezia yeasts, pityriasis versicolor, and sepsis of neonates and immunocompromised individuals. Their role in aggravating seborrheic dermatitis, dandruff, folliculitis, and onychomycosis, though often supported by histopathological evidence and favorable antifungal therapeutic outcomes, remains under investigation. A close association between skin and Malassezia IgE binding allergens in atopic eczema has been shown, while laboratory data support a role in psoriasis exacerbations. Finally, metabolomic research resulted in the proposal of a hypothesis on the contribution of Malassezia-synthesized aryl hydrocarbon receptor (AhR) ligands to basal cell carcinoma through UV radiation-induced carcinogenesis.

摘要

在过去的 15 年中,马拉色菌属一直是分类学、生理学、生物化学、生态学、免疫学和代谢组学等基础研究的热门话题。目前,该属包含 14 个种。1996 年对该属的修订导致了七个被接受的分类群:糠秕马拉色菌、厚皮马拉色菌、合轴马拉色菌、球形马拉色菌、钝形马拉色菌、限制马拉色菌和 slooffiae 马拉色菌。在过去的十年中,从健康和病变的人和动物皮肤中分离出的七个新种被接受:糠秕马拉色菌、日本马拉色菌、山梨醇马拉色菌、小马拉色菌、山羊马拉色菌、马马拉色菌和兔马拉色菌。然而,即将到来的多学科研究预计将显示这些新物种与皮肤疾病之间的病因关系。迄今为止,基础和临床研究已经确立了马拉色酵母与花斑癣和新生儿及免疫功能低下个体败血症之间的病因联系。尽管常伴有组织病理学证据和有利的抗真菌治疗结果,但它们在加重脂溢性皮炎、头皮屑、毛囊炎和甲真菌病中的作用仍在研究中。特应性皮炎中皮肤与马拉色菌 IgE 结合变应原之间存在密切关联,而实验室数据支持其在银屑病恶化中的作用。最后,代谢组学研究提出了一个假设,即马拉色菌合成的芳香烃受体(AhR)配体通过紫外线辐射诱导的致癌作用对基底细胞癌有贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc7a/3255962/ad1d3302d983/zcm9990923720008.jpg

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