Strategy of the Host-Directed Therapy for Tuberculosis: the Importance of Interferon-Gamma in the Pathogenesis and Therapy of Tuberculosis Infection

G. Mozhokina, A. G. Samoylova, A. Abramchenko, M. I. Romanova, I. A. Vasilyeva
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Abstract

The review analyzes of 69 publications and discusses treatment of drug-resistant tuberculosis from the standpoint of the influence on immune mechanisms that limit progression of inflammation and damage to lung tissue. Interferon-gamma is the most significant cytokine in tuberculosis infection pathogenesis. The article describes genotypic and phenotypic features of interferon-gamma production in various clinical forms of pulmonary tuberculosis. It presents the data supporting the therapeutic use of recombinant interferon-gamma and results of its clinical use as adjuvant treatment additionally to chemotherapy. It demonstrates the prospects for immunotherapy with Ingaron, the drug manufactured in Russia, for patients with multiple drug-resistant pulmonary tuberculosis.
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宿主引导的结核病治疗策略:干扰素-γ 在结核病感染的发病机制和治疗中的重要性
这篇综述分析了 69 篇出版物,并从对限制炎症进展和肺组织损伤的免疫机制的影响角度讨论了耐药性结核病的治疗。γ干扰素是肺结核感染发病机制中最重要的细胞因子。文章描述了各种临床形式的肺结核中γ干扰素产生的基因型和表型特征。文章介绍了支持重组γ干扰素治疗应用的数据,以及其作为化疗辅助治疗的临床应用结果。它展示了俄罗斯生产的 Ingaron 药物对多重耐药性肺结核患者进行免疫治疗的前景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tuberculosis and Lung Diseases
Tuberculosis and Lung Diseases Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.20
自引率
0.00%
发文量
88
审稿时长
8 weeks
期刊介绍: The Journal is aimed for professional development of researchers, doctors, teachers of medical universities and training institutions. The Journal focuses on the presentation of results of research, case studies, issues of differential diagnostics and treatment in the phthisiologist’s practice, national programs on tuberculosis control in the Russian Federation, WHO strategies, discussion of prevention issues to stop transmission of TB/HIVco-infection, and extrapulmonary tuberculosis.
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