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病毒感染与免疫反应在面瘫发病机制中的协同作用。

The synergistic role of viral infection and immune response in the pathogenesis of facial palsy.

作者信息

Wang Aijun, Xie Wei, Zhang Jian

机构信息

Quzhou hospital of TCM, Quzhou, China.

出版信息

J Neurovirol. 2025 May 15. doi: 10.1007/s13365-025-01258-7.

Abstract

Facial palsy refers to facial muscle paralysis and is typically brought about by viral infections, such as herpes simplex virus type 1 (HSV-1), herpes zoster virus (VZV), and SARS-CoV-2. While significant progress has been achieved in viral facial palsy pathogenesis, mechanisms of viral infection-immunity synergy are yet to be revealed. The authors of this article made an attempt to fill this gap by critically summarizing how viral infection causes inflammation and damage to the facial nerve through an immune response mechanism in the facial palsy pathogenesis. We also summarize the current treatment modalities and their respective efficacies. The article set the conditions under which viral infections caused by HSV-1, VZV, SARS-CoV-2, HIV, and EBV lead to facial paralysis and how the viruses infect the facial nerve, initiate an immune response, and cause nerve death. The impact involved direct viral invasion of neurons, immune evasion and induction of neuroinflammation. The review also discusses the primary role of T cells, B cells and innate immune cells in inducing or relieving the condition. The study emphasizes the need to understand the synergic effect of viral infection and immuneresponse of facial palsy as the foundation of the creation of more potent therapeutic strategies. The paper provides a detailed overview of complex interaction of immuneresponse and viral infection of facial palsy with significant level of importance regarding future research and clinical application.

摘要

面神经麻痹是指面部肌肉瘫痪,通常由病毒感染引起,如单纯疱疹病毒1型(HSV-1)、带状疱疹病毒(VZV)和严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)。虽然在病毒性面神经麻痹发病机制方面已取得重大进展,但病毒感染与免疫协同作用的机制仍有待揭示。本文作者试图通过批判性地总结在面神经麻痹发病机制中病毒感染如何通过免疫反应机制导致面神经炎症和损伤来填补这一空白。我们还总结了当前的治疗方式及其各自的疗效。本文阐述了由HSV-1、VZV、SARS-CoV-2、HIV和EBV引起的病毒感染导致面瘫的条件,以及这些病毒如何感染面神经、引发免疫反应并导致神经死亡。其影响包括病毒直接侵袭神经元、免疫逃逸和诱导神经炎症。该综述还讨论了T细胞、B细胞和固有免疫细胞在诱发或缓解该病中的主要作用。该研究强调,了解病毒感染与面神经麻痹免疫反应的协同效应是制定更有效治疗策略的基础。本文详细概述了面神经麻痹免疫反应与病毒感染的复杂相互作用,对未来研究和临床应用具有重要意义。

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