Department of Nutritional Sciences, The Pennsylvania State University, University Park; Department of Medicine, The Pennsylvania State University College of Medicine, Hershey, PA, USA.
Biomed J. 2014 Sep-Oct;37(5):246-58. doi: 10.4103/2319-4170.130922.
The mammalian intestinal tract is the largest immune organ in the body and comprises cells from non-hemopoietic (epithelia, Paneth cells, goblet cells) and hemopoietic (macrophages, dendritic cells, T-cells) origin, and is also a dwelling for trillions of microbes collectively known as the microbiota. The homeostasis of this large microbial biomass is prerequisite to maintain host health by maximizing beneficial symbiotic relationships and minimizing the risks of living in such close proximity. Both microbiota and host immune system communicate with each other to mutually maintain homeostasis in what could be called a "love-hate relationship." Further, the host innate and adaptive immune arms of the immune system cooperate and compensate each other to maintain the equilibrium of a highly complex gut ecosystem in a stable and stringent fashion. Any imbalance due to innate or adaptive immune deficiency or aberrant immune response may lead to dysbiosis and low-grade to robust gut inflammation, finally resulting in metabolic diseases.
哺乳动物的肠道是体内最大的免疫器官,由非造血(上皮细胞、潘氏细胞、杯状细胞)和造血(巨噬细胞、树突状细胞、T 细胞)来源的细胞组成,也是数以万亿计的微生物的栖息地,这些微生物统称为微生物群。这种大量微生物生物量的内稳态是通过最大限度地促进有益共生关系和最小化生活在如此接近环境中的风险来维持宿主健康的前提条件。微生物群和宿主免疫系统相互交流,以在可以称之为“爱恨交织”的关系中相互维持内稳态。此外,宿主先天和适应性免疫系统的免疫臂相互合作并相互补偿,以稳定和严格的方式维持高度复杂的肠道生态系统的平衡。由于先天或适应性免疫缺陷或异常免疫反应导致的任何失衡,都可能导致肠道菌群失调和低度到高度的肠道炎症,最终导致代谢疾病。
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