Impact and Clinical Implications of Prematurity on Adaptive Immune Development.

Impact and Clinical Implications of Prematurity on Adaptive Immune Development.
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DOI:
10.1007/s40124-020-00234-5
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发表时间:
2020-12
影响因子:
1.9
通讯作者:
Connors TJ
Connors TJ
中科院分区:
其他
文献类型:
--
作者:
Idzikowski E;Connors TJ

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详细说明正常的适应性免疫成熟在胎儿和新生儿的生活和审查的临床意义逮捕免疫发展。免疫学领域的进步使得对胎儿生命期间开始的适应性免疫的研究成为可能。新的见解已经在新生儿和成人免疫系统之间做出了重要的区分。在围产期存在不同的免疫反应表明在子宫内免疫发育的重要性。由于早产导致的免疫成熟的破坏可能对临床病理学具有重要意义。在围产期建立保护性适应性免疫对于以后生活中的有效免疫应答至关重要。早产儿易受异常免疫系统成熟的影响,炎症免疫反应与坏死性小肠结肠炎(NEC)和支气管肺发育不良(BPD)的发生有关。提高我们对免疫反应如何促进NEC和BPD发病机制的理解,可能为未来治疗和预防这些疾病提供新的机会。
Detail normal adaptive immune maturation during fetal and neonatal life and review the clinical implications of arrested immune development. Advancements in the field of immunology have enabled investigations of the adaptive immunity starting during fetal life. New insights have drawn important distinctions between the neonatal and adult immune systems. The presence of diverse immunologic responses in the perinatal period suggests the importance of in utero immune development. Disruption of immune maturation due to premature birth may have significant implications for clinical pathology. Establishing protective adaptive immunity during the perinatal period is critical for effective immune responses later in life. Preterm infants are susceptible to aberrant immune system maturation and inflammatory immune responses have been associated with the development of necrotizing enterocolitis (NEC) and bronchopulmonary dysplasia (BPD). Improving our understanding of how immune responses contribute to the pathogenesis of NEC and BPD may offer new opportunities for future treatment and prevention of these diseases.
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