肠道微生物与自身免疫性肝病研究进展与评价
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  • 英文篇名:Intestinal microbiome and autoimmune liver disease
  • 作者:池肇春
  • 英文作者:Zhao-Chun Chi;Department of Gastroenterology, Qingdao Municipal Hospital, Affiliated Hospital of Shandong University Medical College;
  • 关键词:自身免疫性肝炎 ; 原发性硬化性胆管炎 ; 原发性胆汁性胆管炎 ; 先天免疫 ; 肠菌生态失衡 ; 黏膜屏障 ; 益生菌
  • 英文关键词:Autoimmune hepatitis;;Primary sclerosing cholangitis;;Primary biliary cholangitis;;Innate immunity;;Intestinal ecological imbalance;;Mucosal barrier;;Probiotics
  • 中文刊名:XXHB
  • 英文刊名:World Chinese Journal of Digestology
  • 机构:山东大学医学院附属医院青岛市市立医院消化内科;
  • 出版日期:2019-01-08
  • 出版单位:世界华人消化杂志
  • 年:2019
  • 期:v.27;No.621
  • 语种:中文;
  • 页:XXHB201901012
  • 页数:13
  • CN:01
  • 分类号:55-67
摘要
目前,已被证实与肠道微生物有关的疾病涉及人体的多个器官系统疾病的发生与发展.肠道微生物群是微生物抗原和活化免疫细胞的蓄积体,肠道菌群组成的改变(生物障碍)可以破坏肠道和共生菌的系统免疫耐受性.肠内的Toll样受体可以识别微生物相关的分子模式和T辅助淋巴细胞的形状亚群,这些亚群可以与宿主抗原(分子模拟)交叉反应.活化的肠源性淋巴细胞可以迁移到淋巴结,肠源性微生物抗原可以转移到肠外部位.炎症小体可以在肝细胞和肝星状细胞中形成,它们可以驱动促炎、免疫介导和纤维化反应.本文就肠道微生物在自身免疫性肝病发病机制和治疗上的作用的研究作一综述和评价.
        At present, it has been proved that intestinal microbialrelated disorders are involved in the development and progression of multi-organ system diseases. Intestinal microflora is the accumulation of microbial antigens and activated immune cells. Changes in the composition of intestinal microflora(biological disorders) can destroy the systemic immune tolerance of intestinal andsymbiotic bacteria. Toll-like receptors in the intestine recognize microbial-related molecular patterns and T helper lymphocyte subpopulations that can crossreact with host antigens(molecular mimics). Activated enterogenous lymphocytes can migrate to lymph nodes, and enterogenous microbial antigens can migrate to extraintestinal sites. Inflammasomes can form in hepatocytes and hepatic stellate cells, which can drive inflammatory, immune-mediated and fibrotic responses. This article reviews and evaluates the role of intestinal microorganisms in the pathogenesis and treatment of autoimmune liver disease.
引文
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