Division of Hematology and Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
Hematology Am Soc Hematol Educ Program. 2021 Dec 10;2021(1):281-286. doi: 10.1182/hematology.2021000260.
From an evolutionary perspective, the immune system developed primarily to protect the host from pathogens. In the continuous balance between killing pathogens and protecting host tissues, selective pressures have shaped the discriminatory functions of the immune system. In addition to protection against microbial pathogens, the immune system also plays a critical role in antitumor immunity. Immune dysfunction, either under- or overactivity, is found in a wide range of hematologic disorders. Here we review the fundamental features of the immune system and the key concepts critical to understanding the impact of immune dysfunction on hematologic disorders.
从进化的角度来看,免疫系统的主要功能是保护宿主免受病原体的侵害。在杀死病原体和保护宿主组织之间的持续平衡中,选择压力塑造了免疫系统的辨别功能。除了抵御微生物病原体外,免疫系统在抗肿瘤免疫中也起着关键作用。在广泛的血液系统疾病中,存在免疫功能低下或过度活跃的情况。在这里,我们回顾了免疫系统的基本特征以及理解免疫功能障碍对血液系统疾病影响的关键概念。