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全身感染时的肝脏变化。

Hepatic changes in systemic infection.

机构信息

Department of Hepatology, Addenbrookes Hospital, Cambridge, UK.

出版信息

Best Pract Res Clin Gastroenterol. 2013 Aug;27(4):485-95. doi: 10.1016/j.bpg.2013.06.011.

Abstract

Liver is an integral part of the host-defense mechanism and facilitates clearance of pathogenic organisms in systemic infection by modulating the immunological response. It undergoes several cellular and molecular changes resulting in the release of pro-inflammatory cytokines, which regulate various metabolic and immunological signalling pathways. Some of these changes are pathogen-specific and essential in determining the host response to systemic infection. However, alterations in the immunological homeostasis can adversely affect the liver and lead to hepatic dysfunction. This article focuses on these molecular and immunological changes that occur within the liver in response to extra-hepatic systemic infection and its consequences.

摘要

肝脏是宿主防御机制的重要组成部分,通过调节免疫反应促进全身性感染中病原体的清除。肝脏发生多种细胞和分子变化,导致促炎细胞因子的释放,从而调节各种代谢和免疫信号通路。其中一些变化具有病原体特异性,对于确定宿主对全身性感染的反应至关重要。然而,免疫稳态的改变可能会对肝脏产生不利影响,导致肝功能障碍。本文重点介绍了肝脏对肝外全身性感染及其后果的反应中发生的这些分子和免疫学变化。

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