a EA3064-GIMAP , University of Lyon-UJM , Saint-Etienne , France.
b Laboratory of Infectious Agents and Hygiene, University Hospital of Saint-Etienne , Saint Etienne , France.
Platelets. 2018 Sep;29(6):533-540. doi: 10.1080/09537104.2018.1445842. Epub 2018 Mar 13.
In addition to their haemostatic role and function in the repair of damaged vascular epithelium, platelets play a defensive role in innate immunity, having the capacity to produce and secrete various anti-infectious factors, as well as cytokines, chemokines and related products, to interact with other immune cells to modulate immune responses to pathogens. Thus, it is now widely acknowledged that platelets participate in inflammatory processes and infection resolution, most notably by expressing and using receptors to bind infectious pathogen moieties and contributing to pathogen clearance. The ability of platelets to sense external danger signals relates to the expression of certain innate immunity receptors, such as toll-like receptors (TLRs), and the activation of efficient cell signalling machinery. TLR engagement triggers platelet response, which results in adapted degranulation according to: the type of TLR engaged, the nature of the ligand and the milieu; together, the TLR-mediated event and other signalling events may be followed by aggregation. Platelets thus use complex tools to mediate a whole range of functions upon sensing danger. By linking the inflammatory and haemostatic platelet response to infection, TLRs play a central role. The extent of the inflammatory response to pathogen clearance is still a debatable issue and is discussed in this short review.
除了在受损血管上皮的修复中发挥止血作用和功能外,血小板在先天免疫中还发挥防御作用,能够产生和分泌各种抗感染因子以及细胞因子、趋化因子和相关产物,与其他免疫细胞相互作用,调节对病原体的免疫反应。因此,现在人们普遍认为血小板参与炎症过程和感染的清除,尤其是通过表达和使用受体来结合感染性病原体的部分,并有助于清除病原体。血小板感知外部危险信号的能力与某些先天免疫受体(如 Toll 样受体(TLR))的表达和有效的细胞信号转导机制的激活有关。TLR 的激活触发血小板反应,根据:所涉及的 TLR 类型、配体的性质和环境;TLR 介导的事件和其他信号事件的组合,可能会随之发生聚集。因此,血小板通过感知危险来使用复杂的工具来介导一系列功能。通过将炎症和止血的血小板反应与感染联系起来,TLR 发挥了核心作用。清除病原体后的炎症反应的程度仍然是一个有争议的问题,本文将对此进行讨论。