In search of a germ theory equivalent for chronic disease.

In search of a germ theory equivalent for chronic disease.
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DOI:
10.5888/pcd9.110301
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发表时间:
2012
影响因子:
5.5
通讯作者:
Egger G
Egger G
中科院分区:
医学3区
文献类型:
--
作者:
Egger G

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世纪,随着细菌学说的巩固,与传染病的斗争取得了巨大的进展。这种对感染的主要原因(即微生物病原体)的关注最终导致了医学和公共卫生的进步(例如,免疫接种,巴氏杀菌,抗生素)。然而,世纪感染率下降的同时,慢性非传染性疾病的发病率却在上升,这种疾病没有单一的潜在病因。发现一种与现代人造环境和生活方式相关的诱导物(广义上称为“过敏原”)有关的低度全身性和慢性炎症(“metaflammation”),表明慢性疾病的潜在基础可以提供21世纪的细菌理论。
The fight against infectious disease advanced dramatically with the consolidation of the germ theory in the 19th century. This focus on a predominant cause of infections (ie, microbial pathogens) ultimately led to medical and public health advances (eg, immunization, pasteurization, antibiotics). However, the resulting declines in infections in the 20th century were matched by a rise in chronic, noncommunicable diseases, for which there is no single underlying etiology. The discovery of a form of low-grade systemic and chronic inflammation (“metaflammation”), linked to inducers (broadly termed “anthropogens”) associated with modern man-made environments and lifestyles, suggests an underlying basis for chronic disease that could provide a 21st-century equivalent of the germ theory.
炎症和代谢疾病中的脂肪因子。
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