Chem Rev. 2022 Feb 9;122(3):3414-3458. doi: 10.1021/acs.chemrev.1c00716. Epub 2021 Dec 6.
The innate immune system is an organism's first line of defense against an onslaught of internal and external threats. The downstream adaptive immune system has been a popular target for therapeutic intervention, while there is a relative paucity of therapeutics targeting the innate immune system. However, the innate immune system plays a critical role in many human diseases, such as microbial infection, cancer, and autoimmunity, highlighting the need for ongoing therapeutic research. In this review, we discuss the major innate immune pathways and detail the molecular strategies underpinning successful therapeutics targeting each pathway as well as previous and ongoing efforts. We will also discuss any recent discoveries that could inform the development of novel therapeutic strategies. As our understanding of the innate immune system continues to develop, we envision that therapies harnessing the power of the innate immune system will become the mainstay of treatment for a wide variety of human diseases.
先天免疫系统是机体抵御内部和外部威胁的第一道防线。下游适应性免疫系统一直是治疗干预的热门靶点,而针对先天免疫系统的治疗方法相对较少。然而,先天免疫系统在许多人类疾病中起着关键作用,如微生物感染、癌症和自身免疫,这突出表明需要进行持续的治疗研究。在这篇综述中,我们讨论了主要的先天免疫途径,并详细介绍了成功靶向每条途径的分子策略以及以前和正在进行的努力。我们还将讨论任何可能为新的治疗策略的发展提供信息的最新发现。随着我们对先天免疫系统的理解不断发展,我们预计利用先天免疫系统的力量的治疗方法将成为治疗各种人类疾病的主要手段。