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《传染病的临床生物钟学》

For Whom the Clock Ticks: Clinical Chronobiology for Infectious Diseases.

机构信息

Aix-Marseille Univ, MEPHI, IRD, AP-HM, Marseille, France.

IHU-Méditerranée Infection, Marseille, France.

出版信息

Front Immunol. 2020 Jul 9;11:1457. doi: 10.3389/fimmu.2020.01457. eCollection 2020.

Abstract

The host defense against pathogens varies among individuals. Among the factors influencing host response, those associated with circadian disruptions are emerging. These latter depend on molecular clocks, which control the two partners of host defense: microbes and immune system. There is some evidence that infections are closely related to circadian rhythms in terms of susceptibility, clinical presentation and severity. In this review, we overview what is known about circadian rhythms in infectious diseases and update the knowledge about circadian rhythms in immune system, pathogens and vectors. This heuristic approach opens a new fascinating field of time-based personalized treatment of infected patients.

摘要

宿主防御病原体的能力因人而异。在影响宿主反应的诸多因素中,与昼夜节律紊乱相关的因素正逐渐显现。这些因素依赖于分子钟,它控制着宿主防御的两大伙伴:微生物和免疫系统。有一些证据表明,感染与昼夜节律在易感性、临床表现和严重程度方面密切相关。在这篇综述中,我们概述了传染病中昼夜节律的已知知识,并更新了免疫系统、病原体和媒介昼夜节律的相关知识。这种启发式的方法开辟了一个基于时间的治疗感染患者的新的迷人领域。

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