中国寄生虫学与寄生虫病杂志 ›› 2022, Vol. 40 ›› Issue (1): 109-113.doi: 10.12140/j.issn.1000-7423.2022.01.017
张伶慧(), 陈根, 种世桂, 沈辉, 马慧, 赵玉敏*(
)
收稿日期:
2021-07-09
修回日期:
2021-09-15
出版日期:
2022-02-28
发布日期:
2022-01-18
通讯作者:
赵玉敏
作者简介:
张伶慧(1996-),女,硕士研究生,主要从事寄生虫病防治研究。E-mail: lhiii0517@163.com
ZHANG Ling-hui(), CHEN Gen, CHONG Shi-gui, SHEN Hui, MA Hui, ZHAO Yu-min*(
)
Received:
2021-07-09
Revised:
2021-09-15
Online:
2022-02-28
Published:
2022-01-18
Contact:
ZHAO Yu-min
摘要:
多房棘球蚴病(AE)是一类广泛分布于全世界并严重危害人类生产生活的人兽共患寄生虫病,人类AE常因误食多房棘球绦虫的虫卵而被感染所致,我国是AE流行高发国家之一。AE的病变部位通常在肝脏,通过浸润性生长造成邻近肝实质损伤、纤维化及衰竭。巨噬细胞、树突状细胞及T细胞等介导的免疫应答与AE的发生发展密切相关,巨噬细胞和树突状细胞在受到多房棘球蚴刺激后功能会发生相应转变,进而改变CD4+ T细胞的亚群,它们共同参与AE的免疫调节。本文从免疫细胞及相关细胞因子调控作用的角度,对AE的免疫机制作一概述,旨在为AE靶向治疗提供参考资料。
中图分类号:
张伶慧, 陈根, 种世桂, 沈辉, 马慧, 赵玉敏. 多房棘球蚴病中免疫细胞调控机制的研究进展[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(1): 109-113.
ZHANG Ling-hui, CHEN Gen, CHONG Shi-gui, SHEN Hui, MA Hui, ZHAO Yu-min. Research progress on the immune regulation mechanism in alveolar echinococcosis[J]. Chinese Journal of Parasitology and Parasitic Diseases, 2022, 40(1): 109-113.
[1] | World Health Organization. World health statistics 2018: monitoring health for the SDGs, sustainable development goals[M]. Geneva: WHO, 2018: 6-8. |
[2] | Deplazes P, Rinaldi L, Alvarez Rojas CA, et al. Global distribution of alveolar and cystic echinococcosis[J]. Adv Parasitol, 2017, 95: 315-493. |
[3] |
Wang ZH, Wang XM, Liu XQ. Echinococcosis in China, a review of the epidemiology of Echinococcus spp.[J]. Ecohealth, 2008, 5(2): 115-126.
doi: 10.1007/s10393-008-0174-0 |
[4] |
Anand S, Hanson K. Disability-adjusted life years: a critical review[J]. J Health Econ, 1997, 16(6): 685-702.
pmid: 10176779 |
[5] |
Torgerson PR, Keller K, Magnotta M, et al. The global burden of alveolar echinococcosis[J]. PLoS Negl Trop Dis, 2010, 4(6): e722.
doi: 10.1371/journal.pntd.0000722 |
[6] |
Niu FQ, Chong SG, Qin MQ, et al. Mechanism of fibrosis induced by Echinococcus spp.[J]. Diseases, 2019, 7(3): 51.
doi: 10.3390/diseases7030051 |
[7] | Zhao SY, Zhu HH, Wang XQ, et al. Present situation and progress of comprehensive treatments for hepatic alveolar echinococcosis[J]. Chin J Schisto Control, 2019, 31(6): 676-678. (in Chinese) |
(赵顺云, 朱海宏, 王向前, 等. 肝多房棘球蚴病的综合治疗现状和进展[J]. 中国血吸虫病防治杂志, 2019, 31(6): 676-678.) | |
[8] |
Wang J, Gottstein B. Immunoregulation in larval Echinococcus multilocularis infection[J]. Parasite Immunol, 2016, 38(3): 182-192.
doi: 10.1111/pim.12292 pmid: 26536823 |
[9] |
Zhang CS, Lin RY, Li ZD, et al. Immune exhaustion of T cells in alveolar echinococcosis patients and its reversal by blocking checkpoint receptor TIGIT in a murine model[J]. Hepatology, 2020, 71(4): 1297-1315.
doi: 10.1002/hep.v71.4 |
[10] | E WJ, Lu YL, Qi BM, et al. Association between serum macrophage polarization-related factors and liver fibrosis in echinococcosis multilocularis[J]. J Clin Hepatol, 2021, 37(12): 2813-2818. (in Chinese) |
(鄂维建, 芦永良, 祁秉民, 等. 血清巨噬细胞极化相关因子与多房棘球蚴病肝纤维化的相关性分析[J]. 临床肝胆病杂志, 2021, 37(12): 2813-2818.) | |
[11] |
Xuan WJ, Qu Q, Zheng B, et al. The chemotaxis of M1 and M2 macrophages is regulated by different chemokines[J]. J Leukoc Biol, 2015, 97(1): 61-69.
doi: 10.1189/jlb.1A0314-170R |
[12] | Huang L, Ma YF, Wang LJ, et al. Advances in researches on mechanism of macrophage migration inhibitory factor regulating parasite-host immune interaction[J]. Chin J Schisto Control, 2019, 31(4): 446-449. (in Chinese) |
(黄琳, 马元芬, 王灵军, 等. 巨噬细胞迁移抑制因子调节寄生虫与宿主免疫系统相互作用机制的研究进展[J]. 中国血吸虫病防治杂志, 2019, 31(4): 446-449.) | |
[13] | Wang DX, Wang H, Fan HN, et al. Study on the role of macrophage polarization during E. multilocularis-infection in mice[J]. Chin High Alt Med Biol, 2018, 39(2): 118-122. (in Chinese) |
(王东旭, 王虎, 樊海宁, 等. 巨噬细胞极化在小鼠泡型包虫病中的作用[J]. 中国高原医学与生物学杂志, 2018, 39(2): 118-122.) | |
[14] |
Wang H, Zhang CS, Fang BB, et al. Dual role of hepatic macrophages in the establishment of the Echinococcus multilocularis metacestode in mice[J]. Front Immunol, 2021, 11: 600635.
doi: 10.3389/fimmu.2020.600635 |
[15] |
Elchaninov AV, Fatkhudinov TK, Vishnyakova PA, et al. Phenotypical and functional polymorphism of liver resident macrophages[J]. Cells, 2019, 8(9): 1032.
doi: 10.3390/cells8091032 |
[16] |
Campana L, Starkey Lewis PJ, Pellicoro A, et al. The STAT3-IL-10-IL-6 pathway is a novel regulator of macrophage efferocytosis and phenotypic conversion in sterile liver injury[J]. J Immunol, 2018, 200(3): 1169-1187.
doi: 10.4049/jimmunol.1701247 pmid: 29263216 |
[17] |
Liu YM, Tian FM, Shan JY, et al. Kupffer cells: important participant of hepatic alveolar echinococcosis[J]. Front Cell Infect Microbiol, 2020, 10: 8.
doi: 10.3389/fcimb.2020.00008 |
[18] | Xu K, Wang HJ, Zhang L, et al. Research progress on the mechanisms underlying the impairment of host hepatocytes by Echinococcus multilocularis[J]. Chin J Parasitol Parasit Dis, 2021, 39(2): 256-260. (in Chinese) |
(徐凯, 王海久, 张丽, 等. 多房棘球蚴对宿主肝细胞损害机制的研究进展[J]. 中国寄生虫学与寄生虫病杂志, 2021, 39(2): 256-260.) | |
[19] |
Grubor NM, Jovanova-Nesic KD, Shoenfeld Y. Liver cystic echinococcosis and human host immune and autoimmune follow-up: a review[J]. World J Hepatol, 2017, 9(30): 1176-1189.
doi: 10.4254/wjh.v9.i30.1176 |
[20] |
Jenne L, Arrighi JF, Sauter B, et al. Dendritic cells pulsed with unfractionated helminthic proteins to generate antiparasitic cytotoxic T lymphocyte[J]. Parasite Immunol, 2001, 23(4): 195-201.
pmid: 11298296 |
[21] | Xu Y, Pang NN, Guo ZS, et al. The dynamic changes of CD11C+CD45RA- myeloid dendritic cells in the mice infected with Echinococcus multilocularis[J]. J Xinjiang Med Univ, 2016, 39(5): 565-568. (in Chinese) |
(徐岩, 庞楠楠, 郭忠帅, 等. CD11C+CD45RA-髓样树突状细胞在泡球蚴感染小鼠中的水平变化[J]. 新疆医科大学学报, 2016, 39(5): 565-568.) | |
[22] | Ma XJ, Shang M, Yin QC, et al. Maturation of dendritic cells in peripheral blood of patients with alveolar echinococcosis[J]. Chin Trop Med, 2019, 19(2): 111-115. (in Chinese) |
(马晓静, 尚梅, 尹启超, 等. 泡型肝包虫患者外周血树突状细胞成熟度[J]. 中国热带医学, 2019, 19(2): 111-115.) | |
[23] | Wei XL, Xu Q, Rexiti FL, et al. Dynamic changes of DC and T cell subsets in mice during Echinococcus multilocularis infection[J]. Cent Eur J Immunol, 2014, 39(1): 19-24. |
[24] |
Wang Y, Zhou HJ, Shen YJ, et al. Impairment of dendritic cell function and induction of CD4+CD25+Foxp3+ T cells by excretory-secretory products: a potential mechanism of immune evasion adopted by Echinococcus granulosus[J]. BMC Immunol, 2015, 16: 44.
doi: 10.1186/s12865-015-0110-3 |
[25] | Fu Y, Meng R, Jiang T, et al. Effect of multilocular cyst fluid on IDO expression in mouse bone marrow derived dendritic cells[J]. Chin J Zoonoses, 2018, 34(11): 1001-1005. (in Chinese) |
(付永, 孟茹, 姜涛, 等. 小鼠泡型包虫囊液对小鼠骨髓来源树突状细胞表达IDO的影响[J]. 中国人兽共患病学报, 2018, 34(11): 1001-1005.) | |
[26] | Wang YS, Han XM, Fan W, et al. Study on the immune response of Tibetan patients with echinococcosis in Qinghai[J]. J Pathog Biol, 2017, 12(11): 1070-1073. (in Chinese) |
(王永顺, 韩秀敏, 范雯, 等. 青海省藏族健康人群T淋巴细胞免疫表型及包虫病患者免疫应答研究[J]. 中国病原生物学杂志, 2017, 12(11): 1070-1073.) | |
[27] | Sungnak W, Wang C, Kuchroo VK. Multilayer regulation of CD4 T cell subset differentiation in the era of single cell genomics[J]. Adv Immunol, 2019, 141: 1-31. |
[28] |
Koda T, Namba A, Kinoshita M, et al. Sema4A is implicated in the acceleration of Th17 cell-mediated neuroinflammation in the effector phase[J]. J Neuroinflammation, 2020, 17(1): 82.
doi: 10.1186/s12974-020-01757-w |
[29] | Hou XL, Li LH, Li L, et al. Changes in subsets and functional exhaustion of CD4+ T cells in spleens of mice infected with Echinococcus multilocularis[J]. Chin J Parasitol Parasit Dis, 2020, 38(5): 611-618, 624. (in Chinese) |
(侯昕伶, 李玲慧, 李亮, 等. 多房棘球蚴感染小鼠脾CD4+ T细胞亚群及其功能耗竭的变化[J]. 中国寄生虫学与寄生虫病杂志, 2020, 38(5): 611-618, 624.) | |
[30] | Liu HD, Wang HB, Fan HN, et al. Alveolar echinococcosis and immune evasion[J]. Chin J Parasitol Parasit Dis, 2018, 36(6): 655-660. (in Chinese) |
(刘寒冬, 王宏宾, 樊海宁, 等. 多房棘球蚴病的免疫逃避机制[J]. 中国寄生虫学与寄生虫病杂志, 2018, 36(6): 655-660.) | |
[31] | Wang H, Zhang F, Ma X, et al. Prokaryotic expression and identification of B- and T-cell combined epitopes of Em95 antigen of Echinococcus multilocularis[J]. Int J Clin Exp Pathol, 2014, 7(8): 5117-5122. |
[32] |
Wang JH, Jebbawi F, Bellanger AP, et al. Immunotherapy of alveolar echinococcosis via PD-1/PD-L1 immune checkpoint blockade in mice[J]. Parasite Immunol, 2018, 40(12): e12596.
doi: 10.1111/pim.2018.40.issue-12 |
[33] | Yu XD, Ye JR. Research progress on the role of Th17/Treg imbalance in hydatid induced allergic reactions[J]. Current Immunol, 2020, 40(1): 81-85. (in Chinese) |
(于晓东, 叶建荣. Th17/Treg失衡在包虫所致过敏反应中作用的研究进展[J]. 现代免疫学, 2020, 40(1): 81-85.) | |
[34] |
Labsi M, Soufli I, Khelifi L, et al. In vivo treatment with IL-17A attenuates hydatid cyst growth and liver fibrogenesis in an experimental model of echinococcosis[J]. Acta Trop, 2018, 181: 6-10.
doi: 10.1016/j.actatropica.2018.01.014 |
[35] |
Mejri N, Müller N, Hemphill A, et al. Intraperitoneal Echinococcus multilocularis infection in mice modulates peritoneal CD4+ and CD8+ regulatory T cell development[J]. Parasitol Int, 2011, 60(1): 45-53.
doi: 10.1016/j.parint.2010.10.002 |
[36] |
Zhang LJ, Zhao Y. The regulation of Foxp3 expression in regulatory CD4+CD25+ T cells: multiple pathways on the road[J]. J Cell Physiol, 2007, 211(3): 590-597.
doi: 10.1002/(ISSN)1097-4652 |
[37] | Wang JH, Cardoso R, Marreros N, et al. Foxp3+ T regulatory cells as a potential target for immunotherapy against primary infection with Echinococcus multilocularis eggs[J]. Infect Immun, 2018, 86(10): e00542-18. |
[38] |
Wang JH, Zhang CS, Wei XF, et al. TGF-β and TGF-β/Smad signaling in the interactions between Echinococcus multilocularis and its hosts[J]. PLoS One, 2013, 8(2): e55379.
doi: 10.1371/journal.pone.0055379 |
[39] |
Pang NN, Zhang FB, Ma XM, et al. TGF-β/Smad signaling pathway regulates Th17/Treg balance during Echinococcus multilocularis infection[J]. Int Immunopharmacol, 2014, 20(1): 248-257.
doi: 10.1016/j.intimp.2014.02.038 |
[40] | Zhao H, Pang NN, Ma HM, et al. The levels of cytokines related to Tregs and Th17 cells in Echinococcus multilocularis infection[J]. J Pathog Biol, 2012, 7(2): 129-131, 160. (in Chinese) |
(赵慧, 庞楠楠, 马海梅, 等. 泡球蚴感染小鼠Tregs与Th17细胞相关细胞因子的平衡变化[J]. 中国病原生物学杂志, 2012, 7(2): 129-131, 160.) | |
[41] |
Nono JK, Lutz MB, Brehm K. EmTIP, a T-Cell immunomodulatory protein secreted by the tapeworm Echinococcus multilocularis is important for early metacestode development[J]. PLoS Negl Trop Dis, 2014, 8(1): e2632.
doi: 10.1371/journal.pntd.0002632 |
[42] |
Xu MX, Wang XH, Zou Y, et al. Key role of liver sinusoidal endothelial cells in liver fibrosis[J]. Biosci Trends, 2017, 11(2): 163-168.
doi: 10.5582/bst.2017.01007 |
[43] |
Gottstein B, Wang JH, Boubaker G, et al. Susceptibility versus resistance in alveolar echinococcosis (larval infection with Echinococcus multilocularis)[J]. Vet Parasitol, 2015, 213(3/4): 103-109.
doi: 10.1016/j.vetpar.2015.07.029 |
[44] |
Tuxun T, Apaer S, Ma HZ, et al. Plasma IL-23 and IL-5 as surrogate markers of lesion metabolic activity in patients with hepatic alveolar echinococcosis[J]. Sci Rep, 2018, 8(1): 4417.
doi: 10.1038/s41598-018-20301-8 |
[1] | 徐刚, 毛艺, 李江, 张宏伟, 张永国, 吴向未, 彭心宇, 孙红, 杨婧, 陈骞, 张示杰. 多房棘球蚴通过肝脏p38MAPK通路调控棘球蚴自身生长[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(4): 447-453. |
[2] | 蒉嫣, 薛垂召, 王旭, 刘白雪, 王莹, 王立英, 杨诗杰, 韩帅, 许学年. 2022年全国棘球蚴病防治工作进展[J]. 中国寄生虫学与寄生虫病杂志, 2024, 42(1): 8-16. |
[3] | 赵磊, 李佳, 莫刚, 李醇, 黄国洋, 彭小红. 华支睾吸虫感染对小鼠肝纤维化和免疫调节功能的影响[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(6): 760-765. |
[4] | 逯君霞, 许军英, 赵彬, 王芊文, 李文华, 耿玉庆, 侯隽, 吴向未, 陈雪玲. 细粒棘球蚴感染诱导巨噬细胞表达CD73和A2AR抑制炎症反应[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(5): 559-566. |
[5] | 朱爱娅, 王旭, 王江友, 王颖, 李杨, 宋珊, 耿燕, 兰子尧, 戴佳芮. 贵州省儿童多房棘球蚴病1例[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(4): 520-523. |
[6] | 叶井明, 何威, 刘慧媛, 鱼潇, 罗波, 刘美辰, 周必英. 猪囊尾蚴排泄分泌抗原TPx对仔猪树突状细胞活化的影响[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(3): 286-293. |
[7] | 娆琬·托勒洪, 阿不都撒拉木·阿不力克木, 杨凌菲, 陈璐, 李钊, 贾芳, 宋涛. 超声表现诊断肝多房棘球蚴病的效果评价及因素分析[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(3): 312-318. |
[8] | 蒉嫣, 薛垂召, 王旭, 刘白雪, 王莹, 王立英, 杨诗杰, 韩帅, 伍卫平, 肖宁. 2021年全国棘球蚴病防治进展[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(2): 142-148. |
[9] | 马慧, 种世桂, 陈根, 张伶慧, 秦俊梅, 赵玉敏. 多房棘球蚴病相关细胞信号通路的研究进展[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(2): 223-227. |
[10] | 焦红杰, 齐文静, 郭刚, 包建玲, 吴川川, 宋传龙, 李军, 张文宝, 严媚. 细粒棘球蚴抗原B对小鼠巨噬细胞RAW264.7的极化作用[J]. 中国寄生虫学与寄生虫病杂志, 2023, 41(1): 23-28. |
[11] | 安秀青, 王苗苗, 周鸿乾, 孟凯, 蔡剑平, 刘光辉, 阿吉德, 杨金煜. 肝多房棘球蚴病微血管密度的研究进展[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(6): 792-797. |
[12] | 李佳铭, 王艺璇, 杨宁爱, 马慧慧, 兰敏, 刘春兰, 赵志军. 刚地弓形虫ROP16蛋白对MH-S细胞极化和凋亡的影响及其相关机制[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(5): 579-586. |
[13] | 张婷婷, 杜秋沛, 郭新建, 张灵强, 王志鑫, 常正松, 赵乾, 王海久, 侯立朝. 肝多房棘球蚴病脉管侵犯的研究进展[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(4): 516-523. |
[14] | 吴亮亮, 杨凌菲, 宋涛. 不同方式建立肝多房棘球蚴感染SD大鼠模型病灶的超声及病理表现[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(4): 549-552. |
[15] | 王杰, 温红阳, 陈滢, 安然, 罗庆礼, 沈继龙, 都建. 刚地弓形虫巨噬细胞迁移抑制因子基因敲除虫株的构建与鉴定[J]. 中国寄生虫学与寄生虫病杂志, 2022, 40(3): 349-354. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||