首页|基于组织驻留记忆CD4+T细胞探讨溃疡性结肠炎复发过程中"伏邪"的生物学基础

基于组织驻留记忆CD4+T细胞探讨溃疡性结肠炎复发过程中"伏邪"的生物学基础

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从组织驻留记忆CD4+T细胞(CD4+TRM)细胞入手,综述其生理病理特点及其在溃疡性结肠炎(UC)复发中的作用,探讨UC复发过程中"伏邪"的生物学基础,为中医药抗UC复发提供新策略。CD4+TRM细胞在UC的发病机制中具有核心作用,参与了 UC肠道炎症的反复发作。伏邪是感邪后藏伏于体内不立即发病的邪气,或湿热瘀血等邪气并未随疾病治愈根除而是潜伏于内的病邪,是UC反复发作、迁延难愈的主要病因。伏邪的致病特点与CD4+TRM细胞免疫记忆、感而引动、待机而发的特性暗相契合,因此CD4+TRM细胞可能是UC"伏邪"的生物学基础之一。
Discussion on the Biological Basis of"Hidden Pathogens"in the Recurrence Process of Ulcerative Colitis Based on Tissue Resident Memory CD4+T Cells
Starting from the tissue resident memery CD4+cells(CD4+TRM cells),this article reviews their physiological and pathological characteristics and their role in the recurrence of ulcerative colitis(UC),explores the biological basis of"hidden pathogens"in the process of UC recurrence,and provided new strategies for traditional Chinese medicine to prevent UC recurrence.CD4+TRM cells play a core role in the pathogenesis of UC and are involved in the recurrent episodes of intestinal inflammation in UC.Hidden pathogens referes to the hidden pathogenic factors in the body that did not immediately develop after being infected,or the pathogenic factors such as damp heat and blood stasis that are not cured and eradicated with the disease but lurked inside.It is the main cause of recrudescence and persistent UC.The pathogenic characteristics of hidden pathogens are closely related to the immune memory,induction,and triggered at a specific time characteristics of CD4+TRM cells.Therefore,CD4+TRM cells may be one of the biological foundations of UC's"hidden pathogens".

ulcerative colitistissue resident memory CD4+T cellshidden pathogensbiological basisrecrudescence

袁亚利、李军祥、谢春娥、王木源、张文基、邢韵淇、毛堂友

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北京中医药大学东方医院,北京 100078

深圳市宝安区中医院,广东 深圳 518100

溃疡性结肠炎 组织驻留记忆CD4+T细胞 伏邪 生物学基础 复发

国家自然科学基金项目首都卫生发展科研专项项目中华中医药学会青年人才托举工程项目

82374411首发2022-4-4205CACM-2022-QNRC2-A02

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(3)
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