肠道真菌与克罗恩病的抗真菌分泌型免疫球蛋白 A

Intestinal fungi and antifungal secretory immunoglobulin A in Crohn's disease.

机构信息

Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Front Immunol. 2023 Jun 8;14:1177504. doi: 10.3389/fimmu.2023.1177504. eCollection 2023.

Abstract

The human gastrointestinal tract harbors trillions of commensal microorganisms. Emerging evidence points to a possible link between intestinal fungal dysbiosis and antifungal mucosal immunity in inflammatory bowel disease, especially in Crohn's disease (CD). As a protective factor for the gut mucosa, secretory immunoglobulin A (SIgA) prevents bacteria from invading the intestinal epithelium and maintains a healthy microbiota community. In recent years, the roles of antifungal SIgA antibodies in mucosal immunity, including the regulation of intestinal immunity binding to hyphae-associated virulence factors, are becoming increasingly recognized. Here we review the current knowledge on intestinal fungal dysbiosis and antifungal mucosal immunity in healthy individuals and in patients with CD, discuss the factors governing antifungal SIgA responses in the intestinal mucosa in the latter group, and highlight potential antifungal vaccines targeting SIgA to prevent CD.

摘要

人类胃肠道中栖息着数以万亿计的共生微生物。越来越多的证据表明,肠道真菌失调与炎症性肠病(尤其是克罗恩病)中的抗真菌黏膜免疫之间可能存在联系。分泌型免疫球蛋白 A(SIgA)作为肠黏膜的保护因子,可防止细菌侵入肠上皮细胞,并维持健康的微生物群落。近年来,抗真菌 SIgA 抗体在黏膜免疫中的作用,包括调节与菌丝相关的毒力因子结合的肠道免疫,正逐渐得到认识。本文综述了健康个体和 CD 患者的肠道真菌失调和抗真菌黏膜免疫的相关知识,讨论了影响后者肠道黏膜抗真菌 SIgA 反应的因素,并强调了针对 SIgA 的潜在抗真菌疫苗,以预防 CD。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6717/10285161/b23f1b7ee4ce/fimmu-14-1177504-g001.jpg

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