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探索消化性溃疡与免疫血液学反应之间的复杂关系:一项叙述性综述。

Exploring the intricate relationship between peptic ulcers and immunohematological responses: A narrative review.

作者信息

Obeagu Emmanuel Ifeanyi, Obeagu Getrude Uzoma

机构信息

Department of Biomedical and Laboratory Science, Africa University, Mutare, Zimbabwe.

School of Nursing Science, Kampala International University, Kampala, Uganda.

出版信息

Medicine (Baltimore). 2025 Apr 11;104(15):e42187. doi: 10.1097/MD.0000000000042187.

Abstract

Peptic ulcers have long been a focus of medical research due to their significant impact on public health worldwide. Traditionally attributed to factors such as Helicobacter pylori infection and excessive gastric acid secretion, recent scientific endeavors have increasingly unveiled the pivotal role of immunohematological responses in the pathogenesis and clinical course of peptic ulcers. This review aims to synthesize and analyze the intricate relationship between peptic ulcers and immunohematological responses, shedding light on the complex interplay between the immune system and ulcer development, progression, and healing. Immunological factors, encompassing inflammatory mediators, immune cells, and the host response to H pylori, play a substantial role in the multifaceted landscape of peptic ulcers. Inflammation orchestrated by cytokines and chemokines derived from immune cells intricately contributes to mucosal damage and repair processes. Moreover, the chronic nature of H pylori infection triggers a cascade of immune responses, involving both innate and adaptive immunity, which significantly influences the course of ulceration. This paper consolidates current knowledge while highlighting the need for further research elucidating the intricate immunological pathways involved in peptic ulcer pathogenesis. The integration of immunology into the broader context of peptic ulcer disease presents opportunities for innovative therapeutic interventions aimed at modulating immune responses for improved clinical outcomes and enhanced patient care. Ultimately, unraveling the intricate relationship between peptic ulcers and immunohematological responses holds significant promise in advancing the understanding and management of this prevalent gastrointestinal disorder.

摘要

消化性溃疡长期以来一直是医学研究的重点,因为它们对全球公众健康有着重大影响。传统上认为消化性溃疡是由幽门螺杆菌感染和胃酸分泌过多等因素引起的,但最近的科学研究越来越多地揭示了免疫血液学反应在消化性溃疡发病机制和临床过程中的关键作用。本综述旨在综合和分析消化性溃疡与免疫血液学反应之间的复杂关系,阐明免疫系统与溃疡发生、发展和愈合之间的复杂相互作用。免疫因素,包括炎症介质、免疫细胞以及宿主对幽门螺杆菌的反应,在消化性溃疡的多方面情况中起着重要作用。由免疫细胞产生的细胞因子和趋化因子所协调的炎症,对粘膜损伤和修复过程有着复杂的影响。此外,幽门螺杆菌感染的慢性性质引发了一系列免疫反应,涉及固有免疫和适应性免疫,这对溃疡形成过程有显著影响。本文整合了当前的知识,同时强调需要进一步研究以阐明消化性溃疡发病机制中涉及的复杂免疫途径。将免疫学融入消化性溃疡疾病的更广泛背景中,为旨在调节免疫反应以改善临床结果和加强患者护理的创新治疗干预措施提供了机会。最终,揭示消化性溃疡与免疫血液学反应之间的复杂关系,在推进对这种常见胃肠道疾病的理解和管理方面具有重大前景。

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