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肺部与肺外器官在感染和炎症中的相互作用。

Crosstalk Between Lung and Extrapulmonary Organs in Infection and Inflammation.

机构信息

West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University, Chengdu, Sichuan, China.

Department of Biomedical Sciences, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, ND, USA.

出版信息

Adv Exp Med Biol. 2021;1303:333-350. doi: 10.1007/978-3-030-63046-1_18.

Abstract

Acute and chronic lung inflammation is a risk factor for various diseases involving lungs and extrapulmonary organs. Intercellular and interorgan networks, including crosstalk between lung and brain, intestine, heart, liver, and kidney, coordinate host immunity against infection, protect tissue, and maintain homeostasis. However, this interaction may be counterproductive and cause acute or chronic comorbidities due to dysregulated inflammation in the lung. In this chapter, we review the relationship of the lung with other key organs during normal cell processes and disease development. We focus on how pneumonia may lead to a systemic pathophysiological response to acute lung injury and chronic lung disease through organ interactions, which can facilitate the development of undesirable and even deleterious extrapulmonary sequelae.

摘要

急性和慢性肺部炎症是涉及肺部和肺外器官的各种疾病的一个风险因素。细胞间和器官间网络,包括肺与脑、肠、心脏、肝脏和肾脏之间的串扰,协调宿主对感染的免疫反应,保护组织并维持内稳态。然而,这种相互作用可能适得其反,并因肺部炎症失调而导致急性或慢性合并症。在本章中,我们回顾了肺在正常细胞过程和疾病发展过程中与其他关键器官的关系。我们重点介绍了肺炎如何通过器官相互作用导致全身病理生理反应,从而导致急性肺损伤和慢性肺病,这可能促进不良甚至有害的肺外后遗症的发展。

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