Mechanisms of viral inflammation and disease in humans.

Mechanisms of viral inflammation and disease in humans.
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DOI:
10.1126/science.abj7965
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发表时间:
2021-11-26
期刊:
Science (New York, N.Y.)
影响因子:
--
通讯作者:
Abel L
Abel L
中科院分区:
其他
文献类型:
--
作者:
Casanova JL;Abel L

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疾病和伴随的炎症是人类病毒感染的罕见结果。如果稳态细胞内在免疫和白细胞对病毒的免疫失败,则发生临床炎症。在无数病毒和细胞之间令人困惑的战斗中,人类遗传学的研究可以将炎症和疾病的根本原因与其后果分开。细胞内在免疫或白细胞免疫的单基因先天性缺陷导致皮肤、大脑或肺部对各种感染的易感性,这有助于阐明病毒性疾病的人类决定因素。在具有特定脆弱性概况的单个患者中对免疫缺陷的遗传学阐明可以揭示在其他患者中可能由其他原因(遗传或其他原因)触发的炎症和疾病的机制。这种对病毒感染的人类基因解剖正在引起对生物学和新医学的新理解。
Disease and accompanying inflammation are uncommon outcomes of viral infection in humans. Clinical inflammation occurs if steady-state cell-intrinsic and leukocytic immunity to viruses fails. In the confusing battle between a myriad of viruses and cells, studies of human genetics can separate the root cause of inflammation and disease from its consequences. Single-gene inborn errors of cell-intrinsic or leukocytic immunity underlying susceptibility to diverse infections in the skin, brain, or lungs can help to clarify the human determinants of viral disease. The genetic elucidation of immunological deficits in a single patient with a specific vulnerability profile can reveal mechanisms of inflammation and disease that may be triggered by other causes, inherited or otherwise, in other patients. This human genetic dissection of viral infections is giving rise to a new understanding of biology and new medicine.
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