Innate and Adaptive Immunity in Noninfectious Granulomatous Lung Disease.

Innate and Adaptive Immunity in Noninfectious Granulomatous Lung Disease.
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DOI:
10.4049/jimmunol.2101159
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发表时间:
2022-04-15
期刊:
Journal of immunology (Baltimore, Md. : 1950)
影响因子:
--
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其他
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结节病和慢性铍病是以非干酪性肉芽肿性炎症为特征的非传染性肺部疾病。慢性铍病是由职业性接触含铍颗粒引起的,而结节病的病因尚不清楚。这两种疾病的遗传易感性与特定的MHC II类等位基因有关,而CD4+T细胞参与了它们的发病机制。先天免疫系统在启动致病的CD4+T细胞反应以及向活动性肺部疾病的转变和疾病进展中起着关键作用。在这篇综述中,我们将重点介绍在CBD和结节病中抗原识别的最新见解。此外,我们还将讨论目前对先天免疫系统和获得性免疫系统之间的动态相互作用及其在疾病发病机制中的影响的理解。
Sarcoidosis and chronic beryllium disease are non-infectious lung diseases that are characterized by the presence of non-caseating granulomatous inflammation. Chronic beryllium disease is caused by occupational exposure to beryllium containing particles, while the etiology of sarcoidosis is not known. Genetic susceptibility for both diseases is associated with particular MHC class II alleles, and CD4+ T cells are implicated in their pathogenesis. The innate immune system plays a critical role in the initiation of pathogenic CD4+ T cell responses as well as the transition to active lung disease and disease progression. In this review, we will highlight recent insights into antigen recognition in CBD and sarcoidosis. In addition, we will discuss the current understanding of the dynamic interactions between the innate and adaptive immune systems and their impact on disease pathogenesis.
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