Songjiang Hospital Affiliated to Shanghai Jiao Tong University School of Medicine (Preparatory Stage), Shanghai, China.
Shanghai Songjiang Clinical Medical College of Nanjing Medical University, Shanghai, China.
Mediators Inflamm. 2021 Jan 4;2021:6643603. doi: 10.1155/2021/6643603. eCollection 2021.
Neutrophils play a critical role in innate immune defense and directly contribute to infectious and autoimmune ailments. Great efforts are underway to better understand the nature of neutrophilic inflammation. Of note, CARD9, a myeloid cell-specific signaling protein that mainly expresses in macrophages and dendritic cells, is also present in neutrophils, emerging as a critical mediator for intercellular communication. CARD9-deficiency neutrophils display an increased susceptibility to fungal infection that primarily localize to the central nervous system, subcutaneous, and skin tissue. Additionally, CARD9-deficiency neutrophils are associated with some autoimmune diseases and even provide protection against a few bacteria. Here, the review summarizes recent preclinical and clinical advances that have provided a novel insight into the pathogenesis of CARD9 deficiency in neutrophils.
中性粒细胞在先天免疫防御中发挥着关键作用,并直接导致感染和自身免疫性疾病。目前正在进行大量努力以更好地了解中性粒细胞炎症的性质。值得注意的是,CARD9 是一种髓样细胞特异性信号蛋白,主要在巨噬细胞和树突状细胞中表达,也存在于中性粒细胞中,作为细胞间通讯的关键介质而出现。CARD9 缺陷的中性粒细胞对真菌感染的易感性增加,主要定位于中枢神经系统、皮下组织和皮肤组织。此外,CARD9 缺陷的中性粒细胞与一些自身免疫性疾病有关,甚至对某些细菌具有保护作用。在这里,综述总结了最近的临床前和临床进展,为中性粒细胞中 CARD9 缺乏症的发病机制提供了新的见解。