Odegaard J I, Hsieh M H
Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.
Parasite Immunol. 2014 Sep;36(9):428-38. doi: 10.1111/pim.12084.
Urogenital schistosomiasis is one of the greatest single infectious sources of human morbidity and mortality known. Through a complex cycle of infection, migration and eventual maturation and mating, S. haematobium (the aetiological agent of urogenital schistosomiasis) deposits highly immunogenic eggs within the bladder and other pelvic organs, activating a wide range of immune programs that determine both infection outcome as well as downstream immunopathology. In this review, we discuss the experimental and observational bases for our current understanding of these immune programs, focusing specifically on how the balance of type 1 and type 2 responses governs subsequent immunopathology and clinical outcome.
泌尿生殖系统血吸虫病是已知的人类发病和死亡的最大单一传染源之一。通过复杂的感染、迁移以及最终成熟和交配循环,埃及血吸虫(泌尿生殖系统血吸虫病的病原体)在膀胱和其他盆腔器官内沉积具有高度免疫原性的虫卵,激活一系列广泛的免疫程序,这些程序既决定感染结果,也决定下游免疫病理情况。在本综述中,我们讨论了当前对这些免疫程序理解的实验和观察依据,特别关注1型和2型反应的平衡如何控制随后的免疫病理和临床结果。