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特应性疾病的免疫预防:曙光在望?

Immunoprophylaxis of atopy: light at the end of the tunnel?

作者信息

Holt P G

机构信息

Institute for Child Health Research, West Perth, Australia.

出版信息

Immunol Today. 1994 Oct;15(10):484-9. doi: 10.1016/0167-5699(94)90194-5.

DOI:10.1016/0167-5699(94)90194-5
PMID:7945774
Abstract

Current research in the field of atopy is directed almost exclusively towards treatment of established allergic disease. In particular, treatment has concentrated on controlling the release and actions of various mediators, such as cytokines, from the allergy effector cells at the end of the immuno-inflammatory cascade. Here, Patrick Holt argues that a potentially more-effective and achievable goal may be the prevention of initial T helper 2 (Th2)-cell sensitization to environmental allergens during infancy. This might be achieved via amplification of the endogenous 'immune deviation' mechanism(s) that normally facilitate discrimination between pathogenic and non-pathogenic antigens at the mucosal surfaces of the body.

摘要

目前,过敏症领域的研究几乎完全集中在已确诊的过敏性疾病的治疗上。特别是,治疗主要集中在控制免疫炎症级联反应末端过敏效应细胞释放和作用各种介质,如细胞因子。在此,帕特里克·霍尔特认为,一个可能更有效且可实现的目标或许是在婴儿期预防初始T辅助2(Th2)细胞对环境过敏原的致敏。这或许可通过增强内源性“免疫偏离”机制来实现,该机制通常有助于在机体黏膜表面区分致病性和非致病性抗原。

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Immunoprophylaxis of atopy: light at the end of the tunnel?特应性疾病的免疫预防:曙光在望?
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Are we getting enough allergens?我们摄入的过敏原够多吗?
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Mimicking microbial 'education' of the immune system: a strategy to revert the epidemic trend of atopy and allergic asthma?模仿免疫系统的微生物“训练”:一种扭转特应性和过敏性哮喘流行趋势的策略?
Respir Res. 2000;1(3):129-32. doi: 10.1186/rr22. Epub 2000 Oct 25.
3
BCG infection in allergen-presensitized rats suppresses Th2 immune response and prevents the development of allergic asthmatic reaction.
卡介苗感染致敏大鼠可抑制Th2免疫反应并预防过敏性哮喘反应的发生。
J Clin Immunol. 2001 Jan;21(1):51-9. doi: 10.1023/a:1006745116360.
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Importance of intestinal colonisation in the maturation of humoral immunity in early infancy: a prospective follow up study of healthy infants aged 0-6 months.肠道定植在婴儿早期体液免疫成熟中的重要性:一项对0至6个月健康婴儿的前瞻性随访研究
Arch Dis Child Fetal Neonatal Ed. 2000 Nov;83(3):F186-92. doi: 10.1136/fn.83.3.f186.
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Thorax. 1999 Oct;54(10):938-46. doi: 10.1136/thx.54.10.938.
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Resting respiratory tract dendritic cells preferentially stimulate T helper cell type 2 (Th2) responses and require obligatory cytokine signals for induction of Th1 immunity.静息呼吸道树突状细胞优先刺激2型辅助性T细胞(Th2)反应,并且诱导Th1免疫需要特定的细胞因子信号。
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Immunology. 1998 Jul;94(3):304-9. doi: 10.1046/j.1365-2567.1998.00518.x.
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Programming for responsiveness to environmental antigens that trigger allergic respiratory disease in adulthood is initiated during the perinatal period.对成年期引发过敏性呼吸道疾病的环境抗原产生反应的编程在围产期就已启动。
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