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肺部微生物调控免疫与肺移植稳态

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肺部微生物作为影响机体病理生理过程的复杂微生态系统,调控多种肺疾病的致病机制.肺部微生物不仅参与代谢、炎症和免疫稳态等多种生物学过程,而且影响肺移植术后慢性肺同种异体移植物功能障碍(chronic lung allograft dysfunction,CLAD)的发生发展.肺移植作为终末期肺疾病的主要治疗手段,其术后并发症一直是亟待解决的问题.本文主要介绍了机体健康和疾病状态下肺部微生物的组成,重点探讨了肺部微生物与免疫及肺移植稳态之间的联系,以期为肺部微生态环境的临床调控提供理论依据.
Lung microbes regulate immunity and homeostasis in lung transplantation
As a complex micro-ecological system that affects the pathophysiological process of the body,lung microorganisms regulate the pathogenic mechanisms of various lung diseases.Studies have found that lung microbes not only participate in various biological processes such as metabolism,inflammation,and immune homeostasis,but also affect the occurrence and development of chronic lung allograft dysfunction(CLAD)after lung transplantation.Lung transplantation is the main treatment for end-stage lung disease,and its postoperative complications have always been an urgent problem to be solved.This article mainly introduces the composition of the lung microbiome in healthy and diseased states and focuses on the relationship between the lung microbiome,immunity,and lung transplant homeostasis,to provide a theoretical basis for the clinical regulation of the lung microecological environment.

lung microbiomerespriatory diseasesimmune tolerancelung transplantation

刘天华、董明

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天津医科大学总医院肺部肿瘤外科,天津 300052

肺部微生物 呼吸系统疾病 免疫耐受 肺移植

天津市教育委员会自然科学基金天津市肺癌研究所面上基金中央高校基础研究基金

2019KJ202TJLCMS2021-053332018180

2023

生命的化学
中国生物化学与分子生物学会

生命的化学

CSTPCD
影响因子:0.404
ISSN:1000-1336
年,卷(期):2023.43(2)
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