生物
免疫系统
免疫学
肺结核
结核分枝杆菌
效应器
免疫
先天免疫系统
肺
医学
病理
内科学
出处
期刊:Annual Review of Immunology
[Annual Reviews]
日期:2009-04-01
卷期号:27 (1): 393-422
被引量:1043
标识
DOI:10.1146/annurev.immunol.021908.132703
摘要
Tuberculosis is primarily a disease of the lung, and dissemination of the disease depends on productive infection of this critical organ. Upon aerosol infection with Mycobacterium tuberculosis (Mtb), the acquired cellular immune response is slow to be induced and to be expressed within the lung. This slowness allows infection to become well established; thus, the acquired response is expressed in an inflammatory site that has been initiated and modulated by the bacterium. Mtb has a variety of surface molecules that interact with the innate response, and this interaction along with the autoregulation of the immune response by several mechanisms results in less-than-optimal control of bacterial growth. To improve current vaccine strategies, we must understand the factors that mediate induction, expression, and regulation of the immune response in the lung. We must also determine how to induce both known and novel immunoprotective responses without inducing immunopathologic consequences.
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