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探讨中性粒细胞在感染性和非感染性肺部疾病中的作用。

Exploring the role of neutrophils in infectious and noninfectious pulmonary disorders.

机构信息

Department of Biochemistry, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Int Rev Immunol. 2024;43(1):41-61. doi: 10.1080/08830185.2023.2222769. Epub 2023 Jun 24.

Abstract

With the change in global environment, respiratory disorders are becoming more threatening to the health of people all over the world. These diseases are closely linked to performance of immune system. Within the innate arm of immune system, Neutrophils are an important moiety to serve as an immune defense barrier. They are one of the first cells recruited to the site of infection and plays a critical role in pathogenesis of various pulmonary diseases. It is established that the migration and activation of neutrophils can lead to inflammation either directly or indirectly and this inflammation caused is very crucial for the clearance of pathogens and resolution of infection. However, the immunopathological mechanisms involved to carry out the same is very complex and not well understood. Despite there being studies concentrating on the role of neutrophils in multiple respiratory diseases, there is still a long way to go in order to completely understand the complexity of the participation of neutrophils and mechanisms involved in the development of these respiratory diseases. In the present article, we have reviewed the literature to comprehensively provide an insight in the current development and advancements about the role of neutrophils in infectious respiratory disorders including viral respiratory disorders such as Coronavirus disease (COVID-19) and bacterial pulmonary disorders with a focused review on pulmonary tuberculosis as well as in noninfectious disorders like Chronic obstructive pulmonary disease (COPD) and asthma. Also, future directions into research and therapeutic targets have been discussed for further exploration.

摘要

随着全球环境的变化,呼吸疾病对全世界人民的健康构成了更大的威胁。这些疾病与免疫系统的功能密切相关。在先天免疫系统中,中性粒细胞是作为免疫防御屏障的重要组成部分。它们是首批被招募到感染部位的细胞之一,在各种肺部疾病的发病机制中起着关键作用。已经确定,中性粒细胞的迁移和激活可以直接或间接地导致炎症,而这种炎症对于清除病原体和感染的解决非常重要。然而,执行相同功能的免疫病理机制非常复杂,尚未得到很好的理解。尽管有研究集中在中性粒细胞在多种呼吸道疾病中的作用,但要完全了解中性粒细胞参与和参与这些呼吸道疾病发展的机制的复杂性,还有很长的路要走。在本文中,我们回顾了文献,全面了解了中性粒细胞在感染性呼吸道疾病中的作用的最新进展和进展,包括病毒性呼吸道疾病,如冠状病毒病(COVID-19)和细菌性肺部疾病,重点关注肺结核以及非传染性疾病,如慢性阻塞性肺疾病(COPD)和哮喘。此外,还讨论了未来的研究方向和治疗靶点,以进行进一步探索。

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