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免疫系统:严重急性呼吸综合征冠状病毒2型感染后的一把双刃剑

  • 周韵娇1 ,
  • 江庆玲2 ,
  • 王乔1
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  • 1. 复旦大学上海医学院基础医学院病原生物学系, 教育部、卫健委、医科院医学分子病毒学重点实验室, 上海 200032;  2. 四川大学华西公共卫生学院/四川大学华西第四医院,成都 610041

收稿日期: 2020-02-28

  网络出版日期: 2020-10-25

基金资助

国家自然科学基金(31872730)

Immunity, a double-edged sword against severe acute respiratory syndrome coronavirus 2 infection

  • ZHOU Yunjiao1 ,
  • JIANG Qingling2 ,
  • WANG Qiao1
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  • 1. Key Laboratory of Medical Molecular Virology (MOE/NHC/CAMS), and Department of Microbiology and Parasitology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, Shanghai 200032, China;  2. West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China

Received date: 2020-02-28

  Online published: 2020-10-25

摘要

免疫系统是人体内的一把双刃剑,它一方面能清除侵染的各类病原体,但另一方面其异常调控又能在人体中引发各类免疫性疾病,甚至导致死亡。本文将简要讨论人体免疫系统与新的冠状病毒﹝即严重急性呼吸综合征冠状病毒2型(severe acute respiratory syndrome coronavirus 2,SARS-CoV-2)〕感染的相互关系。一方面免疫系统能全方位地预防病毒感染,进化出一整套从分子到细胞、从短期到长期的病毒清除机制;另一方面,免疫系统又可能引发“细胞因子风暴”,给SARS-CoV-2的感染患者带来负面作用。本文还将讨论受到广泛关注的免疫相关的治疗策略,着重探讨抗体依赖的增强效应(antibody-dependent enhancement, ADE)可能给疫苗研发带来的困难与挑战。

本文引用格式

周韵娇1 , 江庆玲2 , 王乔1 . 免疫系统:严重急性呼吸综合征冠状病毒2型感染后的一把双刃剑[J]. 微生物与感染, 2020 , 15(5) : 309 -315 . DOI: 10.3969/j.issn.1673-6184.2020.05.007

Abstract

Immune system acts as a natural barrier and kills pathogenic organism that can cause infection. However, dysregulated immune response may lead to many diseases and even death. In this article we will discuss the immune response against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and understand how a complex of protection measures, including mechanical barriers, innate and adaptive immune responses, coordinate and combat against pathogenic elements. Meanwhile, coronavirus infection might elicit overreactive immune reactions, called cytokine storm, resulting in overwhelming inflammation and even death. We will also briefly discuss the challenges and difficulties in human coronavirus vaccine development due to the antibody-dependent enhancement effect.
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