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关于HIV-结核病合并感染中免疫衰老和慢性免疫激活的机制性见解。

Mechanistic insights on immunosenescence and chronic immune activation in HIV-tuberculosis co-infection.

作者信息

Shankar Esaki M, Velu Vijayakumar, Kamarulzaman Adeeba, Larsson Marie

机构信息

Esaki M Shankar, Tropical Infectious Disease Research and Education Center, Department of Medical Microbiology, Faculty of Medicine, University of Malaya, Lembah Pantai, Kuala Lumpur 50603, Malaysia.

出版信息

World J Virol. 2015 Feb 12;4(1):17-24. doi: 10.5501/wjv.v4.i1.17.

Abstract

Immunosenescence is marked by accelerated degradation of host immune responses leading to the onset of opportunistic infections, where senescent T cells show remarkably higher ontogenic defects as compared to healthy T cells. The mechanistic association between T-cell immunosenescence and human immunodeficiency virus (HIV) disease progression, and functional T-cell responses in HIV-tuberculosis (HIV-TB) co-infection remains to be elaborately discussed. Here, we discussed the association of immunosenescence and chronic immune activation in HIV-TB co-infection and reviewed the role played by mediators of immune deterioration in HIV-TB co-infection necessitating the importance of designing therapeutic strategies against HIV disease progression and pathogenesis.

摘要

免疫衰老的特征是宿主免疫反应加速退化,导致机会性感染的发生,其中衰老的T细胞与健康T细胞相比显示出明显更高的个体发育缺陷。T细胞免疫衰老与人类免疫缺陷病毒(HIV)疾病进展之间的机制关联,以及HIV-结核病(HIV-TB)合并感染中的功能性T细胞反应仍有待详细讨论。在这里,我们讨论了HIV-TB合并感染中免疫衰老与慢性免疫激活的关联,并回顾了免疫恶化介质在HIV-TB合并感染中所起的作用,这使得设计针对HIV疾病进展和发病机制的治疗策略变得至关重要。

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