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激活黏膜免疫作为对抗布鲁氏菌病的一种新型治疗策略。

Activation of mucosal immunity as a novel therapeutic strategy for combating brucellosis.

作者信息

Pascual David W, Goodwin Zakia I, Bhagyaraj Ella, Hoffman Carol, Yang Xinghong

机构信息

Department of Infectious Diseases and Immunology, College of Veterinary Medicine, University of Florida, Gainesville, FL, United States.

出版信息

Front Microbiol. 2022 Dec 22;13:1018165. doi: 10.3389/fmicb.2022.1018165. eCollection 2022.

Abstract

Brucellosis is a disease of livestock that is commonly asymptomatic until an abortion occurs. Disease in humans results from contact of infected livestock or consumption of contaminated milk or meat. zoonosis is primarily caused by one of three species that infect livestock, in cattle, in goats and sheep, and in pigs. To aid in disease prophylaxis, livestock vaccines are available, but are only 70% effective; hence, improved vaccines are needed to mitigate disease, particularly in countries where disease remains pervasive. The absence of knowing which proteins confer complete protection limits development of subunit vaccines. Instead, efforts are focused on developing new and improved live, attenuated vaccines, since these mimic attributes of wild-type , and stimulate host immune, particularly T helper 1-type responses, required for protection. In considering their development, the new mutants must address 's defense mechanisms normally active to circumvent host immune detection. Vaccination approaches should also consider mode and route of delivery since disease transmission among livestock and humans is believed to occur the naso-oropharyngeal tissues. By arming the host's mucosal immune defenses with resident memory T cells (TRMs) and by expanding the sources of IFN-γ, brucellae dissemination from the site of infection to systemic tissues can be prevented. In this review, points of discussion focus on understanding the various immune mechanisms involved in disease progression and which immune players are important in fighting disease.

摘要

布鲁氏菌病是一种家畜疾病,通常在流产发生之前没有症状。人类感染该疾病是由于接触受感染的家畜或食用受污染的牛奶或肉类。人畜共患病主要由感染家畜的三种布鲁氏菌中的一种引起,即牛种布鲁氏菌、羊种布鲁氏菌和猪种布鲁氏菌。为了预防疾病,有可用的家畜疫苗,但仅70%有效;因此,需要改进疫苗来减轻疾病,特别是在疾病仍然普遍存在的国家。由于不知道哪些蛋白质能提供完全保护,限制了亚单位疫苗的开发。相反,工作重点是开发新的和改进的减毒活疫苗,因为这些疫苗模拟野生型布鲁氏菌的特性,并刺激宿主免疫反应,特别是保护所需的辅助性T细胞1型反应。在考虑其开发时,新的突变体必须应对布鲁氏菌通常用于规避宿主免疫检测的防御机制。疫苗接种方法还应考虑给药方式和途径,因为据信家畜和人类之间的疾病传播发生在鼻-口咽组织。通过用驻留记忆T细胞(TRM)增强宿主的黏膜免疫防御,并通过扩大干扰素-γ的来源,可以防止布鲁氏菌从感染部位扩散到全身组织。在这篇综述中讨论的要点集中在理解疾病进展中涉及的各种免疫机制以及哪些免疫参与者在对抗疾病中很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a129/9814167/aa3e47732cb9/fmicb-13-1018165-g001.jpg

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