Disease tolerance: concept and mechanisms.

Disease tolerance: concept and mechanisms.
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DOI:
10.1016/j.coi.2017.12.003
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发表时间:
2018-03
影响因子:
7
通讯作者:
Ayres JS
Ayres JS
中科院分区:
医学2区
文献类型:
--
作者:
McCarville JL;Ayres JS

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两种不同的防御策略使宿主能够抵御传染病:抵抗力和耐受性。耐药性取决于宿主杀死病原体的能力。耐受性促进宿主健康,同时对病原体适应性有中性到积极的影响。免疫反应几乎不可避免地被定义为病原体耐药性。然而,最近的证据表明,由于先天和适应性免疫机制的激活而产生的几种效应,不能轻易地用免疫作为微生物破坏效应物的范式来解释。这篇综述的重点是将疾病耐受性的概念整合到免疫系统功能的最新研究中,这些功能与组织损伤的调节和解决、T细胞衰竭和对无害抗原的耐受性有关。
Two distinct defense strategies provide a host with survival to infectious diseases: resistance and tolerance. Resistance is dependent on the ability of the host to kill pathogens. Tolerance promotes host health while having a neutral to positive impact of pathogen fitness. Immune responses are almost inevitably defined in terms of pathogen resistance. Recent evidence has shown, however, that several effects attributed to activation of innate and adaptive immune mechanisms, cannot be readily explained with the paradigm of immunity as effectors of microbial destruction. This review focuses on integrating the concept of disease tolerance into recent studies of immune system function related to the regulation and resolution of tissue damage, T cell exhaustion, and tolerance to innocuous antigen.
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