Mycobacterial diseases in patients with inborn errors of immunity.

Mycobacterial diseases in patients with inborn errors of immunity.
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DOI:
10.1016/j.coi.2021.07.001
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发表时间:
2021-10
影响因子:
7
通讯作者:
--
中科院分区:
医学2区
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由结核病病原体结核分枝杆菌和毒性较低的分枝杆菌(如卡介苗(BCG)疫苗和环境分枝杆菌)引起的临床疾病可由先天性免疫缺陷(IEIs)引起。IEI是超过450种疾病的基础,每种疾病都与参与宿主防御的造血和/或非造血细胞的发育和/或功能受损相关。只有少数IEIs赋予分枝杆菌疾病的易感性。真正结核病易感性的IEI比毒性较低的分枝杆菌易感性的IEI更难描述。然而,所有这些IEI都有一个共同的功能:干扰素γ(IFN-γ)介导的免疫功能损害。更严重的IFN-γ缺乏与更易受弱毒力分枝杆菌感染有关,而更有选择性的IFN-γ缺乏与更有选择性的分枝杆菌疾病易感性有关。本文就近年来有关分枝杆菌感染的研究进展作一综述。
Clinical disease caused by the agent of tuberculosis, Mycobacterium tuberculosis, and by less virulent mycobacteria, such as bacillus Calmette-Guérin (BCG) vaccines and environmental mycobacteria, can result from inborn errors of immunity (IEIs). IEIs underlie more than 450 conditions, each associated with an impairment of the development and/or function of hematopoietic and/or non-hematopoietic cells involved in host defense. Only a minority of IEIs confer predisposition to mycobacterial disease. The IEIs underlying susceptibility to bona fide tuberculosis are less well delineated than those responsible for susceptibility to less virulent mycobacteria. However, all these IEIs share a defining feature: the impairment of immunity mediated by interferon gamma (IFN-γ). More profound IFN-γ deficiency is associated with a greater vulnerability to weakly virulent mycobacteria, whereas more selective IFN-γ deficiency is associated with a more selective predisposition to mycobacterial disease. We review here recent progress in the study of IEIs underlying mycobacterial diseases.
危及生命的Covid-19患者中针对I型IFN的自身抗体。
DOI: 10.1126/science.abd4585
发表时间: 2020-10-23
期刊: Science (New York, N.Y.)
影响因子: --
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期刊: Science (New York, N.Y.)
影响因子: --
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