Clinical Immunology, Angioedema and Allergy Unit, The Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Tel Hashomer, Tel Aviv, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Rheumatology (Oxford). 2019 Nov 1;58(Suppl 6):vi1-vi8. doi: 10.1093/rheumatology/kez387.
Innate immunity is one of two immune defence system arms. It is present at birth and does not require 'learning' through exposure to foreign organisms. It activates various mechanisms collectively to eliminate pathogens and hold an infection until the adaptive response are mounted. The innate immune system consists of four elements: the epithelial barrier, cells (e.g. macrophages, NK cells), plasma proteins (e.g. complement) and cytokines. These components act in concert to induce complex processes, as well as recruitment, activation and differentiation of adaptive responses. The innate response is more than just the 'first line of defence', as it essentially withholds the vast majority of any intruder, has a complex interplay with the adaptive arm and is crucial for survival of the host. Finally, yet importantly, a myriad of diseases has been linked with innate immune dysregulation. In this mini-review we will shed some light on these conditions, particularly regarding autoinflammatory ones.
先天免疫系统是两个免疫防御系统之一。它是与生俱来的,不需要通过接触外来生物体来“学习”。它通过激活各种机制来共同消除病原体并控制感染,直到适应性反应被启动。先天免疫系统由四个元素组成:上皮屏障、细胞(如巨噬细胞、自然杀伤细胞)、血浆蛋白(如补体)和细胞因子。这些成分协同作用,诱导复杂的过程,以及适应性反应的募集、激活和分化。先天反应不仅仅是“第一道防线”,因为它基本上可以阻止绝大多数入侵者,与适应性免疫臂有着复杂的相互作用,对宿主的生存至关重要。最后,同样重要的是,许多疾病与先天免疫失调有关。在这篇小型综述中,我们将重点介绍这些情况,特别是自身炎症性疾病。