Shang Lanqi, Xiang Weijia, Lun Mengting, Qu Songyan, Yin Yizhen, Xu Ya, Zhou Yongqin, Zhu Ping, Song Yinhong
Hubei Key Laboratory of Tumor Microenvironment and Immunotherapy, China Three Gorges University, Yichang, People's Republic of China.
Institution of Infection and Inflammation, China Three Gorges University, Yichang, People's Republic of China.
J Inflamm Res. 2025 Aug 11;18:10821-10833. doi: 10.2147/JIR.S535302. eCollection 2025.
() is a foodborne Gram-positive pathogenic bacterium that primarily causes clinical manifestations such as sepsis, meningitis, and monocytosis. The main susceptible populations include newborns, pregnant women, adults over 40 years old, and immunocompromised individuals. Currently, antibiotic therapy remains the primary clinical treatment, but in recent years the issue of antibiotic resistance has become increasingly prominent. This review summarizes recent advances in host immune mechanisms against infection, focusing on: (1) the defensive roles of host barrier systems (intestinal, blood-brain, and placental barriers); (2) innate immune responses, including pathogen recognition via TLRs/NLRs signaling pathways, macrophage phagocytosis, and NK cell immune surveillance; and (3) adaptive immunity, particularly CD4/CD8 T cell-mediated specific immune responses and the long-term protective effects of memory T cells. By systematically elucidating the molecular mechanisms of these immune processes, this review aims to provide novel therapeutic strategies through enhancement of host immune functions for clinical management of infection.
()是一种食源性革兰氏阳性病原菌,主要引起败血症、脑膜炎和单核细胞增多症等临床表现。主要易感人群包括新生儿、孕妇、40岁以上成年人和免疫功能低下者。目前,抗生素治疗仍然是主要的临床治疗方法,但近年来抗生素耐药性问题日益突出。本综述总结了宿主抗感染免疫机制的最新进展,重点关注:(1)宿主屏障系统(肠道、血脑屏障和胎盘屏障)的防御作用;(2)固有免疫反应,包括通过TLRs/NLRs信号通路识别病原体、巨噬细胞吞噬作用和NK细胞免疫监视;(3)适应性免疫,特别是CD4/CD8 T细胞介导的特异性免疫反应以及记忆T细胞的长期保护作用。通过系统阐明这些免疫过程的分子机制,本综述旨在通过增强宿主免疫功能为感染的临床管理提供新的治疗策略。