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脑型疟疾的发病机制:开发辅助治疗方法的新趋势与见解

Pathogenesis of Cerebral Malaria: New Trends and Insights for Developing Adjunctive Therapies.

作者信息

Sahu Praveen Kishore, Mohanty Sanjib

机构信息

Department of Molecular Biology & Infectious Diseases, Community Welfare Society Hospital, Rourkela 769042, Odisha, India.

Infectious Disease Biology Unit, Ispat General Hospital, Rourkela 769005, Odisha, India.

出版信息

Pathogens. 2023 Mar 27;12(4):522. doi: 10.3390/pathogens12040522.

Abstract

No specific or adjunctive therapies exist to treat cerebral malaria (CM) as of date. CM is a neuropathological manifestation of the malaria infection in humans, caused by the hemoparasitic pathogen . Driven through a multitude of virulence factors, varied immune responses, variations in brain swelling with regard to the age of patients, parasite biomass, and parasite-typing, the essential pathogenetic mechanisms underlying clinical CM have remained elusive. However, a recent series of studies based on molecular, immunologic, and advanced neuroradiologic and machine-learning approaches have unraveled new trends and insights to better understand and focus on the key determinants of CM in humans. This could possibly be the beginning of the design of new and effective adjunctive therapies that may not be common or applicable to the entire malarious world, but that could, rather, be specific to the variations in the determinants of CM.

摘要

截至目前,尚无治疗脑型疟疾(CM)的特异性或辅助性疗法。CM是人类疟疾感染的一种神经病理学表现,由血液寄生性病原体引起。由于多种毒力因子、不同的免疫反应、患者年龄、寄生虫数量及寄生虫类型导致的脑肿胀差异,临床CM的基本发病机制仍不清楚。然而,最近一系列基于分子、免疫、先进神经放射学和机器学习方法的研究揭示了新的趋势和见解,有助于更好地理解和关注人类CM的关键决定因素。这可能是设计新的有效辅助疗法的开端,这些疗法可能并不普遍适用于整个疟疾流行地区,而是可能针对CM决定因素的差异。

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本文引用的文献

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Cerebral malaria-using the retina to study the brain.脑疟疾——从视网膜研究大脑。
Eye (Lond). 2023 Aug;37(12):2379-2384. doi: 10.1038/s41433-023-02432-z. Epub 2023 Feb 14.
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Trends Parasitol. 2022 Jun;38(6):428-434. doi: 10.1016/j.pt.2022.02.008. Epub 2022 Mar 9.

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