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疥疮:免疫发病机制与病理变化。

Scabies: Immunopathogenesis and pathological changes.

作者信息

Sharaf Mahmoud S

机构信息

Parasitology Department, Faculty of Medicine, Tanta University, Tanta, Gharbia, Egypt.

出版信息

Parasitol Res. 2024 Mar 4;123(3):149. doi: 10.1007/s00436-024-08173-6.

DOI:10.1007/s00436-024-08173-6
PMID:38433167
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10909795/
Abstract

Scabies is an itchy skin disease caused by the burrowing mite Sarcoptes scabiei. During their lifespan, the female mites invade the stratum corneum and create tunnels, in which they reside, move, feed, deposit fecal pellets, and lay eggs. Recently, scabies was included in the World Health Organization roadmap for neglected tropical diseases 2021-2030. This review attempts to summarize our knowledge about the mite's biology and the disease pathogenesis, pathological changes, and complications. Generally, the host-parasite interaction in scabies is highly complex and involves different mechanisms, some of which are yet largely unknown. Elucidation of the nature of such interaction as well as the underlying mechanisms could allow a better understanding of the mite's biology and the development of novel diagnostic and therapeutic options for scabies control programs. Moreover, identification of the molecular basis of such interaction could unveil novel targets for acaricidal agents and vaccines.

摘要

疥疮是由疥螨钻入皮肤引起的一种瘙痒性皮肤病。在其生命周期中,雌螨侵入角质层并形成隧道,它们在其中生存、移动、进食、排泄粪便颗粒并产卵。最近,疥疮被纳入世界卫生组织2021 - 2030年被忽视热带病路线图。本综述试图总结我们对疥螨生物学以及疾病发病机制、病理变化和并发症的认识。一般来说,疥疮中的宿主 - 寄生虫相互作用非常复杂,涉及不同机制,其中一些机制在很大程度上仍不为人知。阐明这种相互作用的性质及其潜在机制有助于更好地了解疥螨生物学,并为疥疮控制计划开发新的诊断和治疗方法。此外,确定这种相互作用的分子基础可以揭示杀螨剂和疫苗的新靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0f7/10909795/9ce2033b236b/436_2024_8173_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0f7/10909795/097b7b8993de/436_2024_8173_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0f7/10909795/758fe8b11c5d/436_2024_8173_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0f7/10909795/b3c5808b7391/436_2024_8173_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0f7/10909795/9ce2033b236b/436_2024_8173_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0f7/10909795/097b7b8993de/436_2024_8173_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0f7/10909795/758fe8b11c5d/436_2024_8173_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0f7/10909795/b3c5808b7391/436_2024_8173_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0f7/10909795/9ce2033b236b/436_2024_8173_Fig4_HTML.jpg

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本文引用的文献

1
Crusted scabies in a rabbit model: a severe skin disease or more?兔模型的结痂性疥疮:一种严重的皮肤疾病还是更多?
Parasit Vectors. 2023 Nov 14;16(1):413. doi: 10.1186/s13071-023-05995-8.
2
Evaluation of the scabicidal effect of a single dose of fluralaner in a rabbit model of crusted scabies.评价氟雷拉纳在结痂性疥疮兔模型中单剂的杀疥虫效果。
Parasitol Res. 2023 Nov;122(11):2477-2490. doi: 10.1007/s00436-023-07945-w. Epub 2023 Sep 1.
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Pharmacokinetic and pharmacodynamic considerations for treating sarcoptic mange with cross-relevance to Australian wildlife.
Open Vet J. 2025 Feb;15(2):901-910. doi: 10.5455/OVJ.2025.v15.i2.39. Epub 2025 Feb 28.
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Scabies in 604 Patients: A Glimpse into the Disease Burden and Its Associated Mortality in Hong Kong.604例疥疮患者:香港疾病负担及其相关死亡率一瞥。
Trop Med Infect Dis. 2024 Oct 19;9(10):245. doi: 10.3390/tropicalmed9100245.
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The Acari Hypothesis, IV: revisiting the role of hygiene in allergy.螨类假说,IV:重新审视卫生状况在过敏中的作用。
Front Allergy. 2024 Jul 10;5:1415124. doi: 10.3389/falgy.2024.1415124. eCollection 2024.
治疗疥疮的药代动力学和药效学考虑因素与澳大利亚野生动物的相关性。
Int J Parasitol Drugs Drug Resist. 2023 Apr;21:97-113. doi: 10.1016/j.ijpddr.2023.02.004. Epub 2023 Mar 5.
4
Prevalence, hematological, serum biochemical, histopathology, and molecular characterization of Sarcoptes scabiei in naturally infected rabbits from Minoufiya Governorate, Egypt.埃及米努夫省自然感染疥螨的家兔的流行情况、血液学、血清生化、组织病理学和分子特征。
Vet Parasitol Reg Stud Reports. 2022 Nov;36:100788. doi: 10.1016/j.vprsr.2022.100788. Epub 2022 Sep 30.
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Immune mechanisms in human Sarcoptes scabiei (Acari: Sarcoptidae) infestations.人体疥螨(蜱螨目:疥螨科)感染中的免疫机制。
Parasite Immunol. 2022 Jan;44(1-2):e12900. doi: 10.1111/pim.12900. Epub 2021 Dec 27.
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Amelioration of Sarcoptic Mange-Induced Oxidative Stress and Growth Performance in Ivermectin-Treated Growing Rabbits Using Turmeric Extract Supplementation.补充姜黄提取物对伊维菌素治疗的生长兔疥螨病诱导的氧化应激和生长性能的改善作用。
Animals (Basel). 2021 Oct 16;11(10):2984. doi: 10.3390/ani11102984.
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First report of interspecific transmission of sarcoptic mange from Iberian ibex to wild boar.首例伊比利亚野山羊至野猪的痒螨种间传播报告。
Parasit Vectors. 2021 Sep 19;14(1):481. doi: 10.1186/s13071-021-04979-w.
8
Scabies as a part of the World Health Organization roadmap for neglected tropical diseases 2021-2030: what we know and what we need to do for global control.疥疮作为世界卫生组织2021 - 2030年被忽视热带病路线图的一部分:我们所知道的以及为全球防治需要做的事情。
Trop Med Health. 2021 Aug 16;49(1):64. doi: 10.1186/s41182-021-00348-6.
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J Eur Acad Dermatol Venereol. 2021 Sep;35(9):1765-1776. doi: 10.1111/jdv.17334. Epub 2021 May 29.
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Early immune suppression leads to uncontrolled mite proliferation and potent host inflammatory responses in a porcine model of crusted versus ordinary scabies.早期免疫抑制导致结痂性与普通性疥疮猪模型中螨虫不受控制的增殖和强烈的宿主炎症反应。
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