Neelam Sudha, Niederkorn Jerry Y
Department of Ophthalmology, University of Texas Southwestern Medical Center, Dallas, TX.
Yale J Biol Med. 2017 Jun 23;90(2):261-268. eCollection 2017 Jun.
keratitis (AK) is a rare but sight-threatening disease caused by pathogenic species of . Despite its ubiquitous nature, the incidence of AK is relatively low compared to other forms of infectious keratitis. Although contact lens wear is a major risk factor, exposure to contaminated water and ocular trauma are also associated with AK. Once a patient develops AK the prognosis is very poor unless an aggressive treatment regimen is initiated early. Some of the intriguing features of AK are the lack of immunological memory, resistance of the dormant cyst form to treatment, differences between the pathogenic strains and soil isolates of and the unique role of the innate immune system in controlling this disease. Understanding the series of steps involved in the pathogenesis of the disease and the host immune response against antigens is crucial for developing effective therapeutic strategies targeting the disease.
棘阿米巴角膜炎(AK)是一种由棘阿米巴致病物种引起的罕见但威胁视力的疾病。尽管其分布广泛,但与其他形式的感染性角膜炎相比,AK的发病率相对较低。虽然佩戴隐形眼镜是一个主要危险因素,但接触受污染的水和眼外伤也与AK有关。一旦患者患上AK,除非早期启动积极的治疗方案,否则预后非常差。AK的一些有趣特征包括缺乏免疫记忆、休眠囊肿形式对治疗的抗性、致病菌株与土壤分离株之间的差异以及先天免疫系统在控制这种疾病中的独特作用。了解该疾病发病机制中涉及的一系列步骤以及宿主针对棘阿米巴抗原的免疫反应对于制定针对该疾病的有效治疗策略至关重要。