The William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, London, UK.
J Innate Immun. 2013;5(4):367-76. doi: 10.1159/000350612. Epub 2013 Apr 30.
Following tissue injury or microbial invasion, neutrophils are robustly recruited to inflammatory loci, which is a hallmark of the host inflammatory response. This event initiates a series of processes required to activate resolution, including recruitment of monocytes, clearance of microbes, cellular debris and apoptotic neutrophils, the egress of phagocytes and, ultimately, regain of tissue homeostasis. Substantial evidence now signifies that resolution of inflammation is a highly coordinated, active process dictated by the spatial-temporal generation of proresolving mediators that act on specific receptors to modulate cell and tissue reactivity. This review will focus on the mediators, targets and pathways initiated to orchestrate resolution. Importantly, disruption of the key processes involved in inflammatory resolution could result in delayed restoration of tissue homeostasis, leading to fibrosis and/or persistent inflammation.
在组织损伤或微生物入侵后,中性粒细胞会被大量募集到炎症部位,这是宿主炎症反应的一个标志。这一事件引发了一系列激活解决过程所需的过程,包括单核细胞的募集、微生物、细胞碎片和凋亡中性粒细胞的清除、吞噬细胞的迁出,以及组织平衡的最终恢复。大量证据表明,炎症的解决是一个高度协调的、主动的过程,由特定受体上的促解决介质的时空产生来调节细胞和组织反应。这篇综述将集中讨论介导、靶向和途径启动以协调解决。重要的是,炎症解决过程中关键过程的中断可能导致组织平衡的恢复延迟,导致纤维化和/或持续炎症。