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毒物兴奋效应与传染病防御

Hormesis and Defense of Infectious Disease.

作者信息

Weis Sebastian, Rubio Ignacio, Ludwig Kristin, Weigel Cynthia, Jentho Elisa

机构信息

Department of Anesthesiology and Intensive Care Medicine, University Hospital Jena, Jena 07747, Germany.

Center for Infectious Diseases and Infection Control, University Hospital Jena, Jena 07747, Germany.

出版信息

Int J Mol Sci. 2017 Jun 15;18(6):1273. doi: 10.3390/ijms18061273.

Abstract

Infectious diseases are a global health burden and remain associated with high social and economic impact. Treatment of affected patients largely relies on antimicrobial agents that act by directly targeting microbial replication. Despite the utility of host specific therapies having been assessed in previous clinical trials, such as targeting the immune response via modulating the cytokine release in sepsis, results have largely been frustrating and did not lead to the introduction of new therapeutic tools. In this article, we will discuss current evidence arguing that, by applying the concept of hormesis, already approved pharmacological agents could be used therapeutically to increase survival of patients with infectious disease via improving disease tolerance, a defense mechanism that decreases the extent of infection-associated tissue damage without directly targeting pathogenic microorganisms.

摘要

传染病是全球的健康负担,并且仍然具有很高的社会和经济影响。对受感染患者的治疗在很大程度上依赖于通过直接靶向微生物复制起作用的抗菌药物。尽管在先前的临床试验中已经评估了宿主特异性疗法的效用,例如通过调节脓毒症中的细胞因子释放来靶向免疫反应,但结果大多令人沮丧,并没有导致新治疗工具的引入。在本文中,我们将讨论当前的证据,这些证据表明,通过应用应激适应的概念,已经获批的药物可以用于治疗,通过提高疾病耐受性来增加传染病患者的存活率,疾病耐受性是一种防御机制,可减少感染相关组织损伤的程度,而无需直接靶向病原微生物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a55e/5486095/45d8d3f00293/ijms-18-01273-g001.jpg

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