Understanding the tuberculosis granuloma: the matrix revolutions.

Understanding the tuberculosis granuloma: the matrix revolutions.
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DOI:
10.1016/j.molmed.2021.11.004
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发表时间:
2022-03
影响因子:
13.6
通讯作者:
Leslie A
Leslie A
中科院分区:
医学1区
文献类型:
--
作者:
Elkington P;Polak ME;Reichmann MT;Leslie A

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结核分枝杆菌(Mycobacterium tuberculosis,Mtb)导致人类疾病结核病(TB),并且仍然是继2019冠状病毒病(COVID-19)之后的全球最大传染性流行病。此外,在长期的共同进化以优化其致病策略之后,结核病比任何其他病原体杀死了更多的人。充分了解人类的基本疾病过程对于成功对抗这种非常成功的病原体是必要的。虽然免疫缺陷的重要性早已得到公认,但生物疗法和无偏见的方法正在为宿主-病原体相互作用的复杂性提供前所未有的见解。保护性反应的性质比以前假设的要复杂得多。在这里,我们整合了来自人类研究和公正方法的最新证据,以考虑结核分枝杆菌如何导致人类结核病,并强调细胞外基质(ECM)周转的反复出现的主题。
Mycobacterium tuberculosis (Mtb) causes the human disease tuberculosis (TB) and remains the top global infectious pandemic after coronavirus disease 2019 (COVID-19). Furthermore, TB has killed many more humans than any other pathogen, after prolonged coevolution to optimise its pathogenic strategies. Full understanding of fundamental disease processes in humans is necessary to successfully combat this highly successful pathogen. While the importance of immunodeficiency has been long recognised, biologic therapies and unbiased approaches are providing unprecedented insights into the intricacy of the host–pathogen interaction. The nature of a protective response is more complex than previously hypothesised. Here, we integrate recent evidence from human studies and unbiased approaches to consider how Mtb causes human TB and highlight the recurring theme of extracellular matrix (ECM) turnover.
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