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Macrophage Polarization Is Decisive for Chronic Bacterial Infection-Induced Carcinogenesis 巨噬细胞极化在慢性细菌感染诱导的癌变中起决定性作用
Pub Date : 2019-10-28 DOI: 10.5772/intechopen.88171
M. Wasson, S. Kapoor, M. Garg, Sandhya Singh, H. Prakash
Macrophages are the special cells of the immune system and play both immu-nological and physiological role. One of the peculiar characteristics of macrophages is that they are double-edged and highly plastic component of immune system. Due to this characteristic, they are responsible for both progressions as well control of a variety of inflammatory, infectious and metabolic diseases and cancer. These are found in the body in three major phenotypes, which are known as M0 (also known as naïve); M1 (classically activated macrophages); and/or M2 (alternatively activated macrophages) at normal physiological conditions. We have been exploring macrophages in context of bacterial infection and previ-ously demonstrated that M2 polarization of M1 effector alveolar macrophages during chronic/persistent Chlamydia pneumonia , Mycobacterium tuberculosis and Helicobacter pylori pathogens are decisive for the infection induced cancer development in host. Since chronic infection with these pathogens has been associated with adenocarcinoma, therefore, we feel that disruption of macrophage plasticity plays crucial role in the host for the development of cancer. On the basis of this, we propose that in such pathological conditions, management of M1/M2 imbalance is paramount for minimizing the risk of developing cancer by chronic and persistent infection. macrophage for subverting effector mechanisms during latency. Pathogenic bacteria interfere with various key signaling pathways which are important for the effector responses, e.g., recognition by receptors, uptake, and phagocytosis, lysosomal degradation, and alter signaling pathways and secretion of Th1 cytokines for establishing Th2 bias.
巨噬细胞是免疫系统的特殊细胞,具有免疫和生理双重作用。巨噬细胞的独特特征之一是它们是免疫系统的双刃剑和高度可塑性成分。由于这一特点,它们既对各种炎症、感染性和代谢性疾病和癌症的进展负责,也对其进行控制。它们在体内有三种主要的表型,它们被称为M0(也被称为naïve);M1(经典活化巨噬细胞);和/或M2(选择性活化的巨噬细胞)在正常生理条件下。我们已经在细菌感染的背景下研究了巨噬细胞,并在之前的研究中证明了慢性/持续性肺炎衣原体、结核分枝杆菌和幽门螺杆菌病原体中M1效应肺泡巨噬细胞的M2极化是感染诱导宿主癌症发展的决定性因素。由于这些病原体的慢性感染与腺癌有关,因此,我们认为巨噬细胞可塑性的破坏在宿主癌症的发展中起着至关重要的作用。在此基础上,我们建议在这种病理条件下,M1/M2失衡的管理对于减少慢性和持续性感染导致癌症的风险至关重要。巨噬细胞在潜伏期破坏效应机制。致病菌干扰对效应反应至关重要的各种关键信号通路,如受体识别、摄取、吞噬、溶酶体降解,并改变信号通路和Th1细胞因子的分泌,以建立Th2偏倚。
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引用次数: 1
Macrophages in the Pathogenesis of Leprosy 巨噬细胞在麻风病发病中的作用
Pub Date : 2019-09-26 DOI: 10.5772/INTECHOPEN.88754
Rhana Berto da Silva Prata, M. G. M. Barbosa, B. Silva, Jéssica Araújo da Paixão de Oliveira, Tamiris Lameira Bittencourt, R. Pinheiro
Leprosy is a chronic infectious disease caused by the intracellular pathogen Mycobacterium leprae . The disease may present different clinical forms depending on the immunological status of the host. M. leprae may infect macrophages and Schwann cells, and recent studies have demonstrated that macrophages are funda-mental cells for determining the outcome of the disease. Skin lesions from patients with the paucibacillary form of the disease present a predominance of macrophages with a pro-inflammatory phenotype (M1), whereas skin lesions of multibacillary patients present a predominance of anti-inflammatory macrophages (M2). More recently, it was shown that autophagy is responsible for the control of bacillary load in paucibacillary macrophages and that the blockade of autophagy is involved in the onset of acute inflammatory reactional episodes in multibacillary cells. So, strategies that aim to induce autophagy in infected macrophages are promising not only to improve the efficacy of multidrug therapy (MDT) but also to avoid the occurrence of reactional episodes that are responsible for the disabilities observed in leprosy patients.
麻风病是一种由细胞内病原体麻风分枝杆菌引起的慢性传染病。该病可根据宿主的免疫状态表现出不同的临床形式。麻风分枝杆菌可能感染巨噬细胞和雪旺细胞,最近的研究表明,巨噬细胞是决定疾病结局的基础细胞。少杆菌型患者的皮肤病变以促炎表型(M1)的巨噬细胞为主,而多杆菌型患者的皮肤病变以抗炎表型(M2)的巨噬细胞为主。最近,研究表明,自噬负责控制少杆菌巨噬细胞中的细菌负荷,自噬的阻断参与了多杆菌细胞急性炎症反应发作的发生。因此,旨在诱导感染巨噬细胞自噬的策略不仅有望提高多药治疗(MDT)的疗效,而且有望避免导致麻风患者残疾的反应性事件的发生。
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引用次数: 6
Macrophages: The Potent Immunoregulatory Innate Immune Cells 巨噬细胞:有效的免疫调节先天免疫细胞
Pub Date : 2019-07-18 DOI: 10.5772/intechopen.88013
Vijay Kumar
Macrophages are ubiquitously present innate immune cells in humans and animals belonging to both invertebrates and vertebrates. These cells were first recognized by Elia Metchnikoff in 1882 in the larvae of starfish upon insertion of thorns of tangerine tree and later in Daphnia magna or common water flea infected with fungal spores as cells responsible for the process of phagocytosis of foreign particles. Elia Metchnikoff received the Noble prize (Physiology and Medicine) for his discovery and describing the process of phagocytosis in 1908. More than 130 years have passed and different subtypes and roles of macrophages as innate immune cells have been established by the researchers. In addition to their immunoregulatory role in immune homeostasis and pathogenic infection, they also play a crucial role in the pathogenesis of sterile inflammatory conditions including autoimmunity, obesity, and cancer. The present chapter describes the immunoregulatory role of macrophages in the homeostasis and inflammatory diseases varying from autoimmunity to metabolic diseases including obesity.
巨噬细胞是人类和动物体内普遍存在的先天免疫细胞,属于无脊椎动物和脊椎动物。这些细胞最早是由Elia Metchnikoff于1882年在海星的幼虫中发现的,当时海星的幼虫插入了陈桔树的刺,后来在感染了真菌孢子的大水蚤或普通水蚤中发现的,它们是负责吞噬外来颗粒的细胞。1908年,埃利亚·梅契尼科夫因发现并描述了吞噬作用的过程而获得诺贝尔生理学和医学奖。130多年过去了,巨噬细胞作为先天免疫细胞的不同亚型和作用已经被研究人员确立。除了在免疫稳态和致病性感染中发挥免疫调节作用外,它们在无菌性炎症(包括自身免疫、肥胖和癌症)的发病机制中也起着至关重要的作用。本章描述了巨噬细胞在体内平衡和炎症性疾病中的免疫调节作用,从自身免疫到代谢疾病,包括肥胖。
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引用次数: 45
The Pivotal Role of Macrophages in Metabolic Distress 巨噬细胞在代谢窘迫中的关键作用
Pub Date : 2019-07-09 DOI: 10.5772/INTECHOPEN.86474
Joseph L. Roberts, P. Fallon, E. Hams
Obesity is a prevalent condition with several associated co-morbidities including the development of metabolic diseases. In obesity there is immune cell infiltration into the white adipose tissue and this is associated with the generation of inflammation and insulin resistance (IR). A large majority of the infiltrating leukocytes in obese adipose tissue are pro-inflammatory macrophages, which upon activation induce a switch in metabolism from oxidative phosphorylation, as is utilised by macrophages in lean adipose tissue, towards aerobic glycolysis. The signalling pathways evoked in the recruited macrophages induce the release of pro-inflammatory cytokines, in signalling pathways which directly interfere with insulin signalling and thus induce a state of IR. As macrophages appear to play such a pivotal role in the generation of IR and are the largest leukocyte population in the adipose tissue, they provide a promising therapeutic target. Indeed, there are several strategies currently being studied to induce a ‘switch’ in macrophages associated with obese adipose tissue, towards the phenotype of those associated with lean adipose tissue, with arguably the most promising being those strategies designed to target the metabolic pathways within the macrophages. This chapter will discuss the polarisation and activation of macrophages within lean and obese adipose tissue and how these cells can be targeted therapeutically.
肥胖是一种普遍的疾病,有几种相关的合并症,包括代谢性疾病的发展。在肥胖中,免疫细胞浸润到白色脂肪组织中,这与炎症和胰岛素抵抗(IR)的产生有关。肥胖脂肪组织中绝大多数浸润的白细胞是促炎巨噬细胞,它们被激活后会诱导代谢从氧化磷酸化转变为有氧糖酵解,就像瘦脂肪组织中的巨噬细胞所利用的那样。在募集的巨噬细胞中引起的信号通路诱导促炎细胞因子的释放,在信号通路中直接干扰胰岛素信号传导,从而诱导IR状态。巨噬细胞似乎在IR的产生中起着关键作用,并且是脂肪组织中最大的白细胞群,因此它们提供了一个有希望的治疗靶点。事实上,目前正在研究几种策略,以诱导与肥胖脂肪组织相关的巨噬细胞向与瘦脂肪组织相关的巨噬细胞的表型“转换”,其中最有前途的是那些旨在靶向巨噬细胞内代谢途径的策略。本章将讨论巨噬细胞在瘦肉和肥胖脂肪组织中的极化和激活,以及这些细胞如何靶向治疗。
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引用次数: 5
Wnt Signaling Regulates Macrophage Mediated Immune Response to Pathogens Wnt信号调节巨噬细胞介导的病原体免疫反应
Pub Date : 2019-07-04 DOI: 10.5772/INTECHOPEN.86433
Suborno Jati, M. Sen
Infection with pathogenic microbes is a global threat. Macrophages play a fundamental role in promoting host resistance to deadly infections from pathogenic microbes by virtue of a well-orchestrated immune defense system. Phagocytosis and obliteration of invading pathogens by macrophages are an innate immune function that not only sustains immune homeostasis but also bolsters adaptive immune response through antigen processing and presentation. Wnt signaling, where Wnt, a secreted glycoprotein which interacts with Frizzled and ROR cell surface receptors to initiate cellular interactions, could be vital for the immune response executed and propagated by macrophages in both innate and adaptive immune responses. The goal of this chapter is to describe how Wnt signaling influences phagocytosis, autophagy, and transcriptional activation to enable the macrophage to exercise its immune response program to resist infection.
病原微生物感染是一个全球性威胁。巨噬细胞通过良好的免疫防御系统,在促进宿主抵抗病原微生物致命感染方面发挥着重要作用。巨噬细胞吞噬和消灭入侵病原体是一种先天免疫功能,它不仅维持免疫稳态,而且通过抗原加工和递呈增强适应性免疫反应。Wnt信号,其中Wnt是一种分泌的糖蛋白,与Frizzled和ROR细胞表面受体相互作用,启动细胞相互作用,对于巨噬细胞在先天和适应性免疫反应中执行和传播的免疫反应至关重要。本章的目的是描述Wnt信号如何影响吞噬、自噬和转录激活,从而使巨噬细胞行使其免疫反应程序来抵抗感染。
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引用次数: 4
Polarization of Tumor-Associated Macrophages by Chinese Medicine Intervention: Mechanisms and Applications 中医药干预肿瘤相关巨噬细胞极化:机制及应用
Pub Date : 2019-05-29 DOI: 10.5772/INTECHOPEN.86484
Yuanjun Lu, H. Tan, Ning Wang, Yibin Feng
Macrophage polarization is a spectrum of phenotypes and generally can be classified into two states: (1) classically activated or M1 macrophages, which can be driven by lipopolysaccharide (LPS) alone or in association with Th1 cytokines and produce pro-inflammatory cytokines such as TNF- α , IL-6 and, IL-12, and (2) alternatively activated M2 macrophages, which can be promoted by Th2 mediators IL-4 and IL-13 and produce anti-inflammatory cytokines such as TGF- β and IL-10. Current studies have found that the phenotypic switch between M1 and M2 macrophages governs the fate of an organ in inflammation or injury. The imbalance of M1/M2 polarization is closely involved in various pathological processes and is becoming a potential target for therapeutic strategies. Traditional Chinese medicine is an integrated healthcare system composed of many practices and is characterized by multi-target, multi-level, and coordinated intervention effects. Chinese medicines nowadays are applied to regulate phenotype polarization of macrophages to improve the microenvironment, thus ameliorating or even eliminating the symp-toms. In this chapter, we will discuss the molecular mechanisms of macrophage polarization, their roles in health and disease, and the intervention with Chinese medicines to modulate the polarization of macrophages in tumor microenvironment (TME) for therapeutic purpose.
巨噬细胞极化是一个表型谱,一般可分为两种状态:(1)经典活化或M1型巨噬细胞,可由脂多糖(LPS)单独或联合Th1细胞因子驱动,产生TNF- α、IL-6、IL-12等促炎细胞因子;(2)交替活化的M2型巨噬细胞,可由Th2介质IL-4、IL-13促进,产生TGF- β、IL-10等抗炎细胞因子。目前的研究发现,M1和M2巨噬细胞之间的表型转换控制着炎症或损伤中器官的命运。M1/M2极化失衡与多种病理过程密切相关,正成为治疗策略的潜在靶点。中医是由多种实践组成的综合医疗保健体系,具有多靶点、多层次、协同干预效果的特点。目前利用中药调节巨噬细胞的表型极化,改善微环境,从而改善甚至消除症状。在这一章中,我们将讨论巨噬细胞极化的分子机制,它们在健康和疾病中的作用,以及中药干预肿瘤微环境中巨噬细胞极化的治疗目的。
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引用次数: 0
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Macrophage Activation - Biology and Disease
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