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真菌性角膜炎的免疫机制

Immunologic mechanism of fungal keratitis.

作者信息

Yang Rui-Bo, Wu Li-Ping, Lu Xiao-Xiao, Zhang Chen, Liu Hui, Huang Yue, Jia Zhe, Gao Yi-Chen, Zhao Shao-Zhen

机构信息

Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 300384, China.

出版信息

Int J Ophthalmol. 2021 Jul 18;14(7):1100-1106. doi: 10.18240/ijo.2021.07.20. eCollection 2021.

DOI:10.18240/ijo.2021.07.20
PMID:34282397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8243179/
Abstract

Fungal keratitis (FK) is a refractory disease that poses a serious threat to vision, with common risk factors like eye trauma, contact lens wearing, topical corticosteroids and antibiotic abuse. Nowadays, topical and systemic anti-fungal drugs and ocular surgeries are still the main therapeutic modalities. However, the pathogenesis of FK, especially the immunologic mechanism within it, has not yet been deeply clarified. A better understanding of the pathogenesis of FK is imperative for more effective therapies and prognosis. Meanwhile, the immune protection strategies are also urgently required to manage FK. This review highlights recent advances in the immunologic mechanism in the pathogenesis of FK, in hope of providing valuable reference information for more effective anti-fungal treatment.

摘要

真菌性角膜炎(FK)是一种对视力构成严重威胁的难治性疾病,常见危险因素包括眼外伤、佩戴隐形眼镜、局部使用皮质类固醇和滥用抗生素。目前,局部和全身抗真菌药物以及眼科手术仍是主要治疗方式。然而,FK的发病机制,尤其是其中的免疫机制,尚未得到深入阐明。更好地了解FK的发病机制对于更有效的治疗和预后至关重要。同时,管理FK也迫切需要免疫保护策略。本综述重点介绍了FK发病机制中免疫机制的最新进展,希望为更有效的抗真菌治疗提供有价值的参考信息。

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Dectin-1 participates in the immune-inflammatory response to mouse keratitis by modulating macrophage polarization.Dectin-1 通过调节巨噬细胞极化参与小鼠角膜炎的免疫炎症反应。
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本文引用的文献

1
Imaging of Neutrophil Extracellular Traps (NETs): Visualization Methods and Outcomes.中性粒细胞胞外陷阱(NETs)的影像学:可视化方法与结果。
Biomed Res Int. 2020 Feb 1;2020:4192745. doi: 10.1155/2020/4192745. eCollection 2020.
2
Membrane-associated mucins of the ocular surface: New genes, new protein functions and new biological roles in human and mouse.眼表膜相关黏蛋白:人类和小鼠中的新基因、新蛋白功能和新生物学作用。
Prog Retin Eye Res. 2020 Mar;75:100777. doi: 10.1016/j.preteyeres.2019.100777. Epub 2019 Sep 4.
3
Glucocorticoids May Exacerbate Fungal Keratitis by Increasing Fungal Aggressivity and Inhibiting the Formation of Neutrophil Extracellular Traps.糖皮质激素可能通过增加真菌的侵袭性和抑制中性粒细胞胞外陷阱的形成而加重真菌性角膜炎。
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4
Interactions of thymic stromal lymphopoietin with TLR2 and TLR4 regulate anti-fungal innate immunity in Aspergillus fumigatus-induced corneal infection.胸腺基质淋巴细胞生成素与 TLR2 和 TLR4 的相互作用调节烟曲霉诱导性角膜感染中的抗真菌先天免疫。
Exp Eye Res. 2019 May;182:19-29. doi: 10.1016/j.exer.2019.02.020. Epub 2019 Mar 8.
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Maresin1 regulates neutrophil recruitment and IL-10 expression in Aspergillus fumigatus keratitis.马尿酸 1 调节烟曲霉菌角膜炎中性粒细胞募集和白细胞介素 10 表达。
Int Immunopharmacol. 2019 Apr;69:103-108. doi: 10.1016/j.intimp.2019.01.032. Epub 2019 Jan 25.
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Curr Med Sci. 2018 Feb;38(1):153-159. doi: 10.1007/s11596-018-1859-4. Epub 2018 Mar 15.
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Sci Rep. 2018 May 30;8(1):8365. doi: 10.1038/s41598-018-26798-3.
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