实用医学杂志 ›› 2024, Vol. 40 ›› Issue (13): 1895-1900.doi: 10.3969/j.issn.1006-5725.2024.13.023

• 综述 • 上一篇    

T细胞耗竭与呼吸系统疾病关系的研究进展

丁紫琪1,张倩1,2()   

  1. 1.南京医科大学附属常州第二人民医院呼吸与危重症医学科 (江苏 常州 213164 )
    2.南京医科大学常州医学中心 (江苏 常州 213164 )
  • 收稿日期:2023-12-28 出版日期:2024-07-10 发布日期:2024-07-09
  • 通讯作者: 张倩 E-mail:qianzhang@njmu.edu.cn
  • 基金资助:
    江苏省社会发展项目(BE2020651);江苏省第五期“333” 高层次人才项目(BRA2020015);常州市科技项目(CE20205023)

Research progress in T cell exhaustion and its relationship with respiratory diseases

Ziqi DING1,Qian. ZHANG1,2()   

  1. Department of Respiratory and Critical Care Medicine,Affiliated Changzhou Second People′s Hospital of Nanjing Medical University,Changzhou 213164,China
  • Received:2023-12-28 Online:2024-07-10 Published:2024-07-09
  • Contact: Qian. ZHANG E-mail:qianzhang@njmu.edu.cn

摘要:

T细胞耗竭多发生在慢性感染、癌症及自身免疫性疾病中,持续的抗原刺激会导致耗竭的T细胞产生,其主要特征为效应功能的逐渐丧失,抑制性受体的持续高表达,转录及表观遗传学的改变和代谢的失调等。对T细胞耗竭的研究正在不断深入,其具体机制的阐明将为呼吸系统疾病中慢性感染、肺癌及慢性气道炎症性疾病的免疫治疗方法提供新的思路。本文探讨了T细胞耗竭产生的影响因素和特征,并回顾了T细胞耗竭与呼吸系统疾病的研究现状。

关键词: T细胞耗竭, 抑制性受体, 呼吸系统疾病, 免疫治疗

Abstract:

T cell exhaustion occurs mostly in chronic infections, cancers and autoimmune diseases. Continuous antigenic stimulation leads to the generation of exhausted T cells, which is characterized by progressive loss of effector function, continuous high expression of inhibitory receptors, transcription and epigenetic changes, and metabolic disorders. The in-depth study of the specific mechanism of T cell exhaustion is providing new ideas for the immunotherapy of chronic infection, lung cancer and chronic airway inflammatory disease in respiratory diseases. This paper discussed the influencing factors and characteristics of T cell exhaustion and reviewed the current research status of T cell exhaustion and respiratory diseases.

Key words: T cell exhaustion, inhibitory receptors, respiratory diseases, immunotherapy

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