Institut NeuroMyoGène, Université Claude Bernard Lyon 1, Univ Lyon, CNRS UMR 5310, INSERM U1217, Lyon, France.
Institute of Comparative Molecular Endocrinology, University of Ulm, Ulm, Germany.
Front Immunol. 2019 Jul 9;10:1591. doi: 10.3389/fimmu.2019.01591. eCollection 2019.
Inflammation is a complex process which is highly conserved among species. Inflammation occurs in response to injury, infection, and cancer, as an allostatic mechanism to return the tissue and to return the organism back to health and homeostasis. Excessive, or chronic inflammation is associated with numerous diseases, and thus strategies to combat run-away inflammation is required. Anti-inflammatory drugs were therefore developed to switch inflammation off. However, the inflammatory response may be beneficial for the organism, in particular in the case of sterile tissue injury. The inflammatory response can be divided into several parts. The first step is the mounting of the inflammatory reaction itself, characterized by the presence of pro-inflammatory cytokines, and the infiltration of immune cells into the injured area. The second step is the resolution phase, where immune cells move toward an anti-inflammatory phenotype and decrease the secretion of pro-inflammatory cytokines. The last stage of inflammation is the regeneration process, where the tissue is rebuilt. Innate immune cells are major actors in the inflammatory response, of which, macrophages play an important role. Macrophages are highly sensitive to a large number of environmental stimuli, and can adapt their phenotype and function on demand. This change in phenotype in response to the environment allow macrophages to be involved in all steps of inflammation, from the first mounting of the pro-inflammatory response to the post-damage tissue repair.
炎症是一种高度保守的物种间复杂过程。炎症发生于机体对损伤、感染和癌症的反应,是一种适应机制,旨在使组织恢复健康和内稳态。过度或慢性炎症与许多疾病相关,因此需要对抗失控性炎症的策略。因此,开发了抗炎药物来关闭炎症。然而,在某些情况下,炎症反应对机体可能是有益的,特别是在无菌组织损伤的情况下。炎症反应可以分为几个部分。第一步是炎症反应本身的启动,其特征是存在促炎细胞因子,以及免疫细胞浸润到损伤区域。第二步是解决阶段,免疫细胞向抗炎表型移动,并减少促炎细胞因子的分泌。炎症的最后阶段是组织重建的再生过程。先天免疫细胞是炎症反应的主要参与者,其中巨噬细胞起着重要作用。巨噬细胞对大量环境刺激非常敏感,并可以根据需要改变其表型和功能。这种对环境的表型变化使巨噬细胞能够参与炎症的所有阶段,从最初的促炎反应到损伤后的组织修复。