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The conservative physiology of the immune system

机译:免疫系统的保守生理

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Current immunological opinion disdains the necessity to define global interconnections between lymphocytes and regards natural autoantibodies and autoreactive T cells as intrinsically pathogenic. Immunological theories address the recognition of foreignness by independent clones of lymphocytes, not the relations among lymphocytes or between lymphocytes and the organism. However, although extremely variable in cellular/molecular composition, the immune system preserves as invariant a set of essential relations among its components and constantly enacts contacts with the organism of which it is a component. These invariant relations are reflected, for example, in the life-long stability of profiles of reactivity of immunoglobulins formed by normal organisms (natural antibodies). Oral contacts with dietary proteins and the intestinal microbiota also result in steady states that lack the progressive quality of secondary-type reactivity. Autoreactivity (natural autoantibody and autoreactive T cell formation) is also stable and lacks the progressive quality of clonal expansion. Specific immune responses, currently regarded as the fundament of the operation of the immune system, may actually result from transient interruptions in this stable connectivity among lymphocytes. More permanent deficits in interconnectivity result in oligoclonal expansions of T lymphocytes, as seen in Omenn's syndrome and in the experimental transplantation of a suboptimal diversity of syngeneic T cells to immunodeficient hosts, which also have pathogenic consequences. Contrary to theories that forbid autoreactivity as potentially pathogenic, the physiology of the immune system is conservative and autoreactive. Pathology derives from failures of these conservative mechanisms.
机译:当前的免疫学观点驳斥了定义淋巴细胞之间的整体相互联系的必要性,并将天然自身抗体和自身反应性T细胞视为内​​在致病性。免疫学理论致力于通过淋巴细胞的独立克隆来识别异物,而不是淋巴细胞之间或淋巴细胞与生物之间的关系。然而,尽管细胞/分子组成变化很大,但免疫系统在其组成部分之间保留了一组基本关系作为不变,并不断与组成其的生物体进行接触。这些不变的关系例如反映在由正常生物(天然抗体)形成的免疫球蛋白的反应性谱的终生稳定性中。与饮食蛋白和肠道菌群的口服接触也会导致稳态,而该稳态缺乏二级反应性的进行性质量。自身反应性(天然自身抗体和自身反应性T细胞形成)也很稳定,缺乏克隆扩增的质量。目前被认为是免疫系统运作基础的特定免疫反应,实际上可能是由于淋巴细胞之间这种稳定连通性的短暂中断而引起的。如Omenn综合征和同种T细胞亚最佳多样性的实验性移植到免疫缺陷宿主的实验性移植中所示,互连性中更多的永久缺陷会导致T淋巴细胞的寡克隆扩增。与禁止自身反应潜在致病的理论相反,免疫系统的生理机制是保守的和自身反应的。病理学源于这些保守机制的失败。

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