Furlano R I, Walker W A
University of Basel School of Medicine, Basel, Switzerland.
Adv Pediatr. 1998;45:201-22.
Not only is the gastrointestinal tract the largest immune organ in the body, but it also contains one of the most important and interesting immunologic compartments. Host protection against pathogens and injurious agents by the gastrointestinal tract is essential for an individual's survival. The intestinal mucosal immune system, which is linked with other mucosal surfaces and together represents the common mucosal immune system, prevents the passage of potentially harmful antigens and pathogens into the systemic circulation of the host. In a healthy host, antigens crossing the mucosal barrier in physiologic quantities evoke the appropriate immune response, which includes polymeric IgA antibody production to the antigen and systemic tolerance.
胃肠道不仅是人体最大的免疫器官,还包含最重要且最有趣的免疫区室之一。胃肠道对病原体和有害因子的宿主保护作用对个体的生存至关重要。肠道黏膜免疫系统与其他黏膜表面相连,共同构成共同黏膜免疫系统,可防止潜在有害抗原和病原体进入宿主的体循环。在健康宿主中,以生理量穿过黏膜屏障的抗原会引发适当的免疫反应,包括针对该抗原产生聚合IgA抗体以及产生全身耐受性。