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自噬在免疫和炎症中的治疗潜力:现状与未来展望。

Therapeutic potential of autophagy in immunity and inflammation: current and future perspectives.

机构信息

Department of Pharmacology, The First People's Hospital of Yunnan Province, Kunming, 650032, Yunnan Province, China.

Department of Pharmaceutical Science, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, 650032, Yunnan Province, China.

出版信息

Pharmacol Rep. 2023 Jun;75(3):499-510. doi: 10.1007/s43440-023-00486-0. Epub 2023 Apr 29.

Abstract

Autophagy is recognized as a lysosomal degradation pathway important for cellular and organismal homeostasis. Accumulating evidence has demonstrated that autophagy is a paradoxical mechanism that regulates homeostasis and prevents stress under physiological and pathological conditions. Nevertheless, how autophagy is implicated in immune responses remains unclear. It is well established that autophagy bridges innate and adaptive immunity, while autophagic dysfunction is closely related to infection, inflammation, neurodegeneration, and tumorigenesis. Therefore, autophagy has attracted great attention from fundamental and translational fields due to its crucial role in inflammation and immunity. Inflammation is involved in the development and progression of various human diseases, and as a result, autophagy might be a potential target to prevent and treat inflammatory diseases. Nevertheless, insufficient autophagy might cause cell death, perpetrate inflammation, and trigger hereditary unsteadiness. Hence, targeting autophagy is a promising disease prevention and treatment strategy. To accomplish this safely, we should thoroughly understand the basic aspects of how autophagy works. Herein, we systematically summarized the correlation between autophagy and inflammation and its implication for human diseases.

摘要

自噬被认为是一种溶酶体降解途径,对细胞和机体的内稳态很重要。越来越多的证据表明,自噬是一种调节生理和病理条件下内稳态和预防应激的矛盾机制。然而,自噬如何参与免疫反应尚不清楚。自噬连接先天免疫和适应性免疫已被充分证实,而自噬功能障碍与感染、炎症、神经退行性变和肿瘤发生密切相关。因此,自噬因其在炎症和免疫中的关键作用而引起了基础和转化领域的极大关注。炎症参与了各种人类疾病的发展和进展,因此,自噬可能是预防和治疗炎症性疾病的一个潜在靶点。然而,自噬不足可能导致细胞死亡、炎症持续和遗传不稳定性。因此,靶向自噬是一种有前途的疾病预防和治疗策略。为了安全地实现这一目标,我们应该彻底了解自噬作用的基本方面。在此,我们系统地总结了自噬与炎症之间的相关性及其对人类疾病的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4717/10227116/0871c1c535f5/43440_2023_486_Fig1_HTML.jpg

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