Immune responses to Helicobacter pylori colonization: mechanisms and clinical outcomes.
Immune responses to Helicobacter pylori colonization: mechanisms and clinical outcomes.
复制标题
对幽门螺杆菌定植的免疫反应:机制和临床结果。
DOI:
10.1042/cs20050232
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发表时间:
2006
期刊:
影响因子:
--
通讯作者:
Perez-Perez,GuillermoI
中科院分区:
文献类型:
--
作者:
Portal-Celhay,Cynthia;Perez-Perez,GuillermoI
Helicobacter pyloricolonizes the stomachs of half of the world's population and usually persists in the gastric mucosa of human hosts for decades or life. Although mostH. pylori-positive people are asymptomatic, the presence ofH. pyloriis associated with increased risk for the development of peptic ulcer disease, gastric adenocarcinoma and gastric lymphoma. The development of a sustained gastric inflammatory and immune response to infection appears to be pivotal for the development of disease. During its long co-existence with humans,H. pylorihas evolved complex strategies to maintain a mild inflammation of the gastric epithelium while limiting the extent of immune effector activity. In this review, the nature of the host immune response toH. pyloriinfection and the mechanism employed by the bacterium to evade them is considered. Understanding the mechanisms of colonization, persistence and virulence factors of the bacterium as well as the innate and adaptive immune responses of the host are critically important for the development of new strategies to prevent the development ofH. pylori-induced gastroduodenal disease.