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了解免疫系统的复杂平衡:激活、耐受与自我保护。

Understanding the Immune System's Intricate Balance: Activation, Tolerance, and Self-Protection.

作者信息

Chen Jui-Yun, Shih Li-Jane, Liao Min-Tser, Tsai Kuo-Wang, Lu Kuo-Cheng, Hu Wan-Chung

机构信息

Department of Laboratory Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City 231, Taiwan.

Department of Medical Laboratory, Taoyuan Armed Forces General Hospital, Longtan, Taoyuan City 325, Taiwan.

出版信息

Int J Mol Sci. 2025 Jun 8;26(12):5503. doi: 10.3390/ijms26125503.

Abstract

Understanding the mechanisms of immune activation and deactivation is paramount. A host must initiate effective immunity against pathogenic infections while avoiding triggering immunity against self-antigens, which can lead to detrimental autoimmune disorders. Host immunological pathways can be categorized as Immunoglobulin (Ig)G-dominant eradicable immune reactions and IgA-dominant tolerable immune reactions. Eradicable immune reactions include Th1, Th2, Th22, and Thαβ immune responses against four different types of pathogens. Tolerable immune reactions include Th1-like, Th9, Th17, and Th3 immune responses against four different types of pathogens. Here, we try to determine the mechanisms of activation and deactivation of host immune reactions. The spleen and liver play contrasting roles in mediating immune responses: the spleen is primarily involved in immune activation, whereas the liver is responsible for immune deactivation. Similarly, the sympathetic and parasympathetic nervous systems have opposing functions in immune modulation, with the sympathetic system promoting pro-inflammatory responses and the parasympathetic system facilitating anti-inflammatory processes. Furthermore, adrenocorticotropic hormone (ACTH) and glucocorticosteroids exhibit contrasting effects on immune regulation: ACTH is involved in activating adaptive immunity while inhibiting innate immunity, whereas glucocorticosteroids activate natural IgM antibody associated with innate immunity while inhibiting adaptive immunity. Heat shock proteins, particularly molecular chaperones induced by fever, play pivotal roles in immune activation. Conversely, IgD B cells and gamma/delta T cells contribute to immune deactivation through mechanisms such as clonal anergy. Understanding these mechanisms provides insights into immunological pathways, aiding in the better management of infectious diseases and autoimmune disorders.

摘要

了解免疫激活和失活的机制至关重要。宿主必须启动针对致病性感染的有效免疫,同时避免触发针对自身抗原的免疫反应,因为这可能导致有害的自身免疫性疾病。宿主免疫途径可分为以免疫球蛋白(Ig)G为主导的可根除免疫反应和以IgA为主导的可耐受免疫反应。可根除免疫反应包括针对四种不同类型病原体的Th1、Th2、Th22和Thαβ免疫反应。可耐受免疫反应包括针对四种不同类型病原体的Th1样、Th9、Th17和Th3免疫反应。在这里,我们试图确定宿主免疫反应激活和失活的机制。脾脏和肝脏在介导免疫反应中发挥着相反的作用:脾脏主要参与免疫激活,而肝脏负责免疫失活。同样,交感神经系统和副交感神经系统在免疫调节中具有相反的功能,交感神经系统促进促炎反应,副交感神经系统促进抗炎过程。此外,促肾上腺皮质激素(ACTH)和糖皮质激素在免疫调节中表现出相反的作用:ACTH参与激活适应性免疫,同时抑制先天性免疫,而糖皮质激素激活与先天性免疫相关的天然IgM抗体,同时抑制适应性免疫。热休克蛋白,特别是发热诱导的分子伴侣,在免疫激活中起关键作用。相反,IgD B细胞和γ/δT细胞通过克隆无能等机制促进免疫失活。了解这些机制有助于深入了解免疫途径,有助于更好地管理传染病和自身免疫性疾病。

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