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肺炎球菌性脑膜炎的发病机制和治疗进展。

Advances in the pathogenesis and treatment of pneumococcal meningitis.

机构信息

Department of Laboratory Medicine, Shengjing Hospital of China Medical University, Liaoning Clinical Research Center for Laboratory Medicine, Shenyang, China.

出版信息

Virulence. 2024 Dec;15(1):2387180. doi: 10.1080/21505594.2024.2387180. Epub 2024 Aug 27.

DOI:10.1080/21505594.2024.2387180
PMID:39192572
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11364070/
Abstract

is a common pathogen associated with community-acquired bacterial meningitis, characterized by high morbidity and mortality rates. While vaccination reduces the incidence of meningitis, many survivors experience severe brain damage and corresponding sequelae. The pathogenesis of pneumococcal meningitis has not been fully elucidated. Currently, meningitis requires bacterial disruption of the blood - brain barrier, a process that involves the interaction of bacterial surface components with host cells and various inflammatory responses. This review delineates the global prevalence, pathogenesis, and treatment strategies of pneumococcal meningitis. The objective is to enhance the thorough comprehension of the clinical manifestations and biological mechanisms of the disease, thereby enabling more efficient prevention, diagnosis, and therapeutic interventions.

摘要

是一种常见的与社区获得性细菌性脑膜炎相关的病原体,其特征是发病率和死亡率高。虽然疫苗接种降低了脑膜炎的发病率,但许多幸存者仍经历严重的脑损伤和相应的后遗症。肺炎球菌性脑膜炎的发病机制尚未完全阐明。目前,脑膜炎需要细菌破坏血脑屏障,这一过程涉及细菌表面成分与宿主细胞的相互作用以及各种炎症反应。本综述阐述了肺炎球菌性脑膜炎的全球流行情况、发病机制和治疗策略。目的是增强对该疾病临床表现和生物学机制的全面理解,从而更有效地进行预防、诊断和治疗干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/505d/11364070/be00e0ed3358/KVIR_A_2387180_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/505d/11364070/ea3610af9233/KVIR_A_2387180_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/505d/11364070/a924e4726568/KVIR_A_2387180_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/505d/11364070/be00e0ed3358/KVIR_A_2387180_F0003_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/505d/11364070/ea3610af9233/KVIR_A_2387180_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/505d/11364070/a924e4726568/KVIR_A_2387180_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/505d/11364070/be00e0ed3358/KVIR_A_2387180_F0003_OC.jpg

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本文引用的文献

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High Concentration of Protein Oxidation Biomarker O-Tyr/Phe Predicts Better Outcome in Childhood Bacterial Meningitis.高浓度蛋白质氧化生物标志物O-酪氨酸/苯丙氨酸预示儿童细菌性脑膜炎预后较好。
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Bacteria hijack a meningeal neuroimmune axis to facilitate brain invasion.
细菌劫持脑膜神经免疫轴促进大脑入侵。
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CSF-contacting neurons respond to Streptococcus pneumoniae and promote host survival during central nervous system infection.脑脊液接触神经元对肺炎链球菌产生反应,并在中枢神经系统感染期间促进宿主存活。
Curr Biol. 2023 Mar 13;33(5):940-956.e10. doi: 10.1016/j.cub.2023.01.039. Epub 2023 Feb 14.
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Serotype distribution of and pneumococcal vaccine coverage in adults in Turkey between 2015 and 2018.2015 年至 2018 年土耳其成人中 型和肺炎球菌疫苗接种率的血清型分布。
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Pneumolysin boosts the neuroinflammatory response to Streptococcus pneumoniae through enhanced endocytosis.肺炎球菌溶血素通过增强内吞作用增强肺炎链球菌的神经炎症反应。
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Emergence of a multidrug-resistant and virulent Streptococcus pneumoniae lineage mediates serotype replacement after PCV13: an international whole-genome sequencing study.PCV13 接种后,一种具有多重耐药性和强毒力的肺炎链球菌谱系的出现介导了血清型转变:一项国际全基因组测序研究。
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Pericyte derived chemokines amplify neutrophil recruitment across the cerebrovascular endothelial barrier.周细胞衍生趋化因子扩增中性粒细胞穿过脑血管内皮屏障的募集。
Front Immunol. 2022 Jul 28;13:935798. doi: 10.3389/fimmu.2022.935798. eCollection 2022.
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Pneumococcal meningitis in Greece: A retrospective serotype surveillance study in the post-PCV13 era (2010-2020).希腊肺炎球菌性脑膜炎:PCV13 时代后(2010-2020 年)的回顾性血清型监测研究。
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