肾小球疾病中的自身免疫与感染

Autoimmunity and Infection in Glomerular Disease.

作者信息

Casuscelli Chiara, Longhitano Elisa, Maressa Veronica, Di Carlo Silvia, Peritore Luigi, Di Lorenzo Simone, Calabrese Vincenzo, Cernaro Valeria, Santoro Domenico

机构信息

Unit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, A.O.U. "G. Martino", University of Messina, 98122 Messina, Italy.

出版信息

Microorganisms. 2023 Sep 2;11(9):2227. doi: 10.3390/microorganisms11092227.

Abstract

The ongoing glomerular damage of infections is not limited to the most widely known form of post-streptococcal glomerulonephritis, which is today less common in the Western world; other forms of glomerulonephritis are associated with several bacterial, viral and parasitic pathogens. The mechanisms responsible range from the direct damage of glomerular cells to the formation and deposition of immunocomplexes to molecular mimicry to the secretion of superantigens. Similarly, in the course of glomerular disease, infections are more frequent than in the general population due to the loss of immunoglobulins in urine and the immunosuppressive agents used to treat the autoimmune disease that decrease the activity of the immune system. Recognizing this two-way link, understanding its pathogenetic mechanism, and identifying the most appropriate therapeutic choice are essential for the personalized management of patients. In this continuously developing field, this short review summarizes the current state of the art as support for physicians, who are increasingly involved in managing patients with glomerular disease and infections.

摘要

感染导致的持续性肾小球损伤并不局限于最广为人知的链球菌感染后肾小球肾炎,如今这种疾病在西方世界已不那么常见;其他形式的肾小球肾炎与多种细菌、病毒和寄生虫病原体有关。其发病机制包括从肾小球细胞的直接损伤到免疫复合物的形成与沉积,再到分子模拟以及超抗原的分泌。同样,在肾小球疾病病程中,由于尿液中免疫球蛋白的丢失以及用于治疗自身免疫性疾病的免疫抑制剂会降低免疫系统活性,感染比普通人群更为频繁。认识到这种双向联系、理解其发病机制并确定最合适的治疗选择对于患者的个性化管理至关重要。在这个不断发展的领域,这篇简短综述总结了当前的最新进展以支持医生,他们越来越多地参与到肾小球疾病和感染患者的管理中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0f9/10538233/efa0665a2447/microorganisms-11-02227-g001.jpg

引用本文的文献

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索