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[肠道微生物群在免疫反应调节中的作用]

[The role of gut microbiota in the regulation of the immune response].

作者信息

Alarcón Pedro, González Margarita, Castro Érica

机构信息

Departamento de Bioquímica Clínica e Inmunología, Facultad de Farmacia, Universidad de Concepción, Chile,

Departamento de Bioquímica Clínica e Inmunología, Facultad de Farmacia, Universidad de Concepción, Chile.

出版信息

Rev Med Chil. 2016 Jul;144(7):910-6. doi: 10.4067/S0034-98872016000700013.

Abstract

The gastrointestinal tract hosts around 10(14) bacterial microorganisms, in a constantly growing density from the stomach to the distal colon. This microbiota is composed by more than 500 species of bacteria, which are quickly acquired after birth, fairly stable during the host’s life, and essential for human homeostasis. These bacteria have important functions, such as stimulating the immune system, protecting the host from invading bacteria and viruses, and improving digestion, especially of complex carbohydrates. Also, the gut microbiota interacts directly with the immune system. However, the interaction of the intestinal epithelium and its microbiota with the immune system has yet to be fully understood. Secretory immunoglobulin A, produced by the plasma cells in Peyer’s patches and in the lamina propria, maintains non-invasive commensal bacteria and neutralize invasive pathogens. Dendritic cells migrate from the lamina propria of the secondary lymphoid organs to regulate gut immunity. They also have a key role maintaining luminal IgA and inducing the growth of regulatory T cells. Dendritic cells supervise the gut microenvironment too, keeping an immunological equilibrium and tolerance. The importance of the gut microbiota in regulating the immune system lies mostly in the homeostasis-or positive equilibrium. Thus, many diseases are a consequence of poor interactions or a loss of this equilibrium.

摘要

胃肠道中寄居着约10¹⁴个细菌微生物,从胃部到结肠远端,其密度不断增加。这种微生物群由500多种细菌组成,出生后很快就会获得,在宿主生命过程中相当稳定,对人体的内环境稳定至关重要。这些细菌具有重要功能,如刺激免疫系统、保护宿主免受入侵细菌和病毒的侵害以及改善消化,尤其是对复杂碳水化合物的消化。此外,肠道微生物群直接与免疫系统相互作用。然而,肠道上皮及其微生物群与免疫系统之间的相互作用尚未完全了解。派尔集合淋巴结和固有层中的浆细胞产生的分泌型免疫球蛋白A可维持非侵袭性共生细菌并中和侵袭性病原体。树突状细胞从次级淋巴器官的固有层迁移以调节肠道免疫。它们在维持肠腔IgA和诱导调节性T细胞生长方面也起着关键作用。树突状细胞也监督肠道微环境,保持免疫平衡和耐受。肠道微生物群在调节免疫系统中的重要性主要在于内环境稳定——或正平衡。因此,许多疾病是这种相互作用不良或失去这种平衡的结果。

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