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Toll样受体在感染性休克中的作用
作者:马海鹰1 殷国庆2 
单位:1.东南大学临床医学院急诊科,江苏,南京,210009; 2.东南大学医学院附属南京第二医院,江苏,南京,210003
关键词:Toll样受体 感染性休克 细胞因子 炎症反应 
分类号:R392.11, R441.9
出版年·卷·期(页码):2004·23·第六期(422-426)
摘要:

感染性休克是多种病原体引起,以革兰阴性菌为主介导的一组严重的临床综合征,其病死率很高.Toll样受体(TLR)是免疫细胞膜上的病原体识别受体,在介导病原体识别、信号转导、免疫反应的激活中起关键作用.在疾病早期,TLR表达增强的细胞对病原体高度敏感,通过上调肿瘤坏死因子等细胞因子的表达,增强炎症反应杀伤病原体.然而,过高的促炎反应将造成组织器官的损害.

Septic shock, a severe clinic syndrome, is induce d by a several of pat hogens, especially gram-negative bacteria, of which the mortality is still hi gh.  Toll-like receptors (TLR), pathogen-recognized receptors, are located on su rfac e of innate immune cells. TLRs play an important role in identifying pathogen,   transferring signals and activating immune response. During signal transduction ,  TLRs activate NFκB, upregulate cytokines, such as TNF and IL-1, and enhanc e in flammatory response which kill the pathogens. However, hyper-responses of infl ammation result in organs injury.

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