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母体免疫激活引起的免疫系统异常对产后的影响。

Influence of Immune System Abnormalities Caused by Maternal Immune Activation in the Postnatal Period.

机构信息

Department of Pediatrics, Daido Hospital, Nagoya 457-8511, Japan.

Department of Anatomy, Kanazawa Medical University, Kahoku 920-0265, Japan.

出版信息

Cells. 2023 Feb 25;12(5):741. doi: 10.3390/cells12050741.

Abstract

The developmental origins of health and disease (DOHaD) indicate that fetal tissues and organs in critical and sensitive periods of development are susceptible to structural and functional changes due to the adverse environment in utero. Maternal immune activation (MIA) is one of the phenomena in DOHaD. Exposure to maternal immune activation is a risk factor for neurodevelopmental disorders, psychosis, cardiovascular diseases, metabolic diseases, and human immune disorders. It has been associated with increased levels of proinflammatory cytokines transferred from mother to fetus in the prenatal period. Abnormal immunity induced by MIA includes immune overreaction or immune response failure in offspring. Immune overreaction is a hypersensitivity response of the immune system to pathogens or allergic factor. Immune response failure could not properly fight off various pathogens. The clinical features in offspring depend on the gestation period, inflammatory magnitude, inflammatory type of MIA in the prenatal period, and exposure to prenatal inflammatory stimulation, which might induce epigenetic modifications in the immune system. An analysis of epigenetic modifications caused by adverse intrauterine environments might allow clinicians to predict the onset of diseases and disorders before or after birth.

摘要

健康与疾病的发育起源(DOHaD)表明,胎儿在发育的关键和敏感时期的组织和器官容易受到子宫内不利环境的影响,导致结构和功能发生变化。母体免疫激活(MIA)是 DOHaD 现象之一。母体免疫激活的暴露是神经发育障碍、精神病、心血管疾病、代谢疾病和人类免疫紊乱的一个风险因素。它与产前从母亲转移到胎儿的促炎细胞因子水平升高有关。MIA 引起的异常免疫包括后代的免疫过度反应或免疫反应失败。免疫过度反应是免疫系统对病原体或过敏因素的过度敏感反应。免疫反应失败不能正确抵御各种病原体。后代的临床特征取决于妊娠期、炎症程度、产前 MIA 的炎症类型以及产前炎症刺激的暴露,这可能会导致免疫系统的表观遗传修饰。对不良宫内环境引起的表观遗传修饰的分析可能使临床医生能够预测出生前或出生后的疾病发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db41/10001371/14eead3d7aed/cells-12-00741-g001.jpg

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