Rua da Quinta Grande, 6, 2780-156 Oeiras, Portugal.
Rua da Quinta Grande, 6, 2780-156 Oeiras, Portugal.
Trends Immunol. 2014 Oct;35(10):483-94. doi: 10.1016/j.it.2014.08.001. Epub 2014 Aug 30.
Immune-driven resistance mechanisms are the prevailing host defense strategy against infection. By contrast, disease tolerance mechanisms limit disease severity by preventing tissue damage or ameliorating tissue function without interfering with pathogen load. We propose here that tissue damage control underlies many of the protective effects of disease tolerance. We explore the mechanisms of cellular adaptation that underlie tissue damage control in response to infection as well as sterile inflammation, integrating both stress and damage responses. Finally, we discuss the potential impact of targeting these mechanisms in the treatment of disease.
免疫驱动的耐药机制是宿主抵御感染的主要防御策略。相比之下,疾病耐受机制通过防止组织损伤或改善组织功能而不干扰病原体负荷来限制疾病的严重程度。我们在这里提出,组织损伤控制是疾病耐受的许多保护作用的基础。我们探讨了细胞适应的机制,这些机制是针对感染和无菌性炎症的组织损伤控制的基础,整合了应激和损伤反应。最后,我们讨论了靶向这些机制治疗疾病的潜在影响。