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你不得通过:补体 C5 如何介导抗真菌免疫以阻止系统性念珠菌病并维持肾脏组织屏障。

You shall not pass: how complement C5 mediated antifungal immunity blocks systemic candidiasis and preserves renal tissue barriers.

机构信息

Department of Biological Sciences, University of Notre Dame, Notre Dame, USA.

出版信息

Tissue Barriers. 2024 Jul 2;12(3):2257110. doi: 10.1080/21688370.2023.2257110. Epub 2023 Oct 4.

DOI:10.1080/21688370.2023.2257110
PMID:37794527
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11262218/
Abstract

The rising prevalence of fungal infections is a significant and growing public health threat, and this risk is further underscored by our incomplete understanding of why organs like the kidney are so susceptible to systemic candidiasis. To combat the high mortality of such infections, we urgently need to advance our understanding of fungal pathogenesis and how it articulates with human immune response. Now, a recent landmark study has illuminated a crucial role of the complement system in the response to candidiasis and determined the stepwise local response of phagocytes within the kidney during infection. These fundamental discoveries provide crucial insights that can be leveraged to improve the care and outcome for patients with fungal infections.

摘要

真菌性感染的发病率不断上升,对公众健康构成了重大且日益严重的威胁。此外,我们对肾脏等器官为何如此容易受到系统性念珠菌病影响的原因也缺乏了解,这进一步加剧了这种风险。为了应对此类感染的高死亡率,我们迫切需要深入了解真菌病的发病机制,以及它与人体免疫反应的相互作用。现在,最近一项具有里程碑意义的研究阐明了补体系统在对抗念珠菌病中的关键作用,并确定了感染过程中肾脏中吞噬细胞的逐步局部反应。这些基础性发现提供了至关重要的见解,可用于改善真菌感染患者的护理和预后。

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本文引用的文献

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The role of C5a receptors in autoimmunity.C5a 受体在自身免疫中的作用。
Immunobiology. 2023 Sep;228(5):152413. doi: 10.1016/j.imbio.2023.152413. Epub 2023 Jun 20.
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Real-world safety profile of eculizumab in patients with paroxysmal nocturnal hemoglobinuria, atypical hemolytic uremic syndrome, or generalized myasthenia gravis: an integrated analysis of post-marketing surveillance in Japan.在阵发性夜间血红蛋白尿、非典型溶血性尿毒症综合征或全身性重症肌无力患者中使用依库珠单抗的真实世界安全性:日本上市后监测的综合分析。
Int J Hematol. 2023 Oct;118(4):419-431. doi: 10.1007/s12185-023-03630-x. Epub 2023 Jul 29.
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C5a-licensed phagocytes drive sterilizing immunity during systemic fungal infection.C5a 配体吞噬细胞在系统性真菌感染期间驱动杀菌性免疫。
Cell. 2023 Jun 22;186(13):2802-2822.e22. doi: 10.1016/j.cell.2023.04.031. Epub 2023 May 22.
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Advances in the treatment of invasive fungal disease.侵袭性真菌病治疗的进展。
PLoS Pathog. 2023 May 4;19(5):e1011322. doi: 10.1371/journal.ppat.1011322. eCollection 2023 May.
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Complosome - the intracellular complement system.Complosome-细胞内补体系统。
Nat Rev Nephrol. 2023 Jul;19(7):426-439. doi: 10.1038/s41581-023-00704-1. Epub 2023 Apr 13.
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Immune responses to human fungal pathogens and therapeutic prospects.人类真菌病原体的免疫反应和治疗前景。
Nat Rev Immunol. 2023 Jul;23(7):433-452. doi: 10.1038/s41577-022-00826-w. Epub 2023 Jan 4.
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Pathogenesis and virulence of .. 的发病机制和毒力。
Virulence. 2022 Dec;13(1):89-121. doi: 10.1080/21505594.2021.2019950.
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Complement blockade for TA-TMA: lessons learned from a large pediatric cohort treated with eculizumab.补体阻断治疗 TA-TMA:依库珠单抗治疗的大型儿科队列中获得的经验教训。
Blood. 2020 Mar 26;135(13):1049-1057. doi: 10.1182/blood.2019004218.
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Eculizumab in paroxysmal nocturnal haemoglobinuria and atypical haemolytic uraemic syndrome: 10-year pharmacovigilance analysis.依库珠单抗治疗阵发性睡眠性血红蛋白尿症和非典型溶血尿毒综合征:10 年药物警戒分析。
Br J Haematol. 2019 Apr;185(2):297-310. doi: 10.1111/bjh.15790. Epub 2019 Feb 15.
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Invasive candidiasis.侵袭性念珠菌病。
Nat Rev Dis Primers. 2018 May 11;4:18026. doi: 10.1038/nrdp.2018.26.