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Immunological Basis for the Development of Allergic Diseases-Prevalence, Diagnosis and Treatment Strategies 过敏性疾病发展的免疫学基础——患病率、诊断和治疗策略
Pub Date : 2021-01-25 DOI: 10.5772/INTECHOPEN.95804
S. N. Pramod
Allergy is an immune disorder due to over responsiveness of immune system to a relatively normal and harmless antigen; derived from environmental and dietary substances commonly referred as allergens. Allergy is an IgE mediated type I hypersensitivity which is characterized by the degranulation of specialized white blood cells known as mast cells and basophils. Majority of characterized allergens are proteinaceous in nature and induce Th2 response. Specific Th2 cytokines elicit the induction of allergen specific IgE antibodies in sensitive individuals. The IgE binds to Fc epsilon receptor on basophil/mast cells and on exposure, allergens cross links the IgE and induce release of hypersensitivity mediators that result in allergic symptoms. The symptoms varies from mild allergies like hay fever, itchiness, rashes, rhinatisis, conjunctivitis to a severe condition such as Asthma and some time life threatening anaphylaxis. At present a various blood based test exist to diagnose allergies which include skin prick, patch test and Specific IgE tests. The best treatment available is to avoid exposure to allergens alternatively use of anti-histamines, steroids or other symptom reducing medications are in practice. Immunotherapy to desensitize the response to allergen and targeted therapy are promising for allergy in future.
过敏是由于免疫系统对相对正常和无害的抗原反应过度而引起的一种免疫紊乱;来源于环境和饮食物质,通常被称为过敏原。过敏是一种IgE介导的I型超敏反应,其特征是肥大细胞和嗜碱性粒细胞等特化白细胞的脱颗粒。大多数特征过敏原本质上是蛋白性的,并诱导Th2反应。特异性Th2细胞因子可诱导敏感个体产生过敏原特异性IgE抗体。IgE与嗜碱性粒细胞/肥大细胞上的Fc epsilon受体结合,暴露时,过敏原与IgE交联并诱导超敏介质的释放,从而导致过敏症状。症状从轻微的过敏如花粉热、瘙痒、皮疹、鼻炎、结膜炎到严重的过敏如哮喘和有时危及生命的过敏反应不等。目前诊断过敏症的血检方法有皮肤点刺试验、斑贴试验和特异性IgE试验。最好的治疗方法是避免接触过敏原,或者使用抗组胺药、类固醇或其他减轻症状的药物。免疫脱敏治疗和靶向治疗是治疗过敏原的重要手段。
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引用次数: 2
Innovative In Vitro Models for the Study of Lung Diseases 肺部疾病研究的创新体外模型
Pub Date : 2020-12-17 DOI: 10.5772/intechopen.95300
Vittorio Picchio, V. Cammisotto, Francesca Pagano, R. Carnevale, I. Chimenti
Basic and translational research on lung biology and pathology can greatly benefit from the development of 3D in vitro models with physiological relevance. Lung organoids and lungs-on-chip allow the creation of different kinds of in vitro microenvironments, that can be useful for the elucidation of novel pathogenetic pathways, for example concerning tissue fibrosis in chronic diseases. Moreover, they represent important translational models for the identification of novel therapeutic targets, and for preliminary testing of new drugs. In this chapter, we provide a selected overview of recent studies on innovative 3D in vitro models that have enhanced our knowledge on chronic obstructive pulmonary disease (COPD) and idiopathic pulmonary fibrosis (IPF), particularly concerning oxidative stress and pro-fibrotic pathogenetic mechanisms. Despite several limitations, these complex models must be considered as complementary in all respects to in vivo studies on animal models and clinical research.
肺生物学和病理学的基础和转化研究可以极大地受益于具有生理学相关性的3D体外模型的发展。肺类器官和肺芯片允许创建不同类型的体外微环境,这对于阐明新的发病途径非常有用,例如关于慢性疾病的组织纤维化。此外,它们代表了识别新的治疗靶点和新药初步测试的重要翻译模型。在这一章中,我们提供了最近关于创新3D体外模型的研究综述,这些研究增强了我们对慢性阻塞性肺疾病(COPD)和特发性肺纤维化(IPF)的认识,特别是关于氧化应激和促纤维化的发病机制。尽管存在一些局限性,但这些复杂的模型必须被视为在动物模型和临床研究的体内研究的所有方面的补充。
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引用次数: 0
Immune System Modulations in Cancer Treatment: Nanoparticles in Immunotherapy 癌症治疗中的免疫系统调节:免疫治疗中的纳米颗粒
Pub Date : 2020-11-18 DOI: 10.5772/intechopen.94560
K. Kızılbey, N. Türkoğlu, F. Kırmızıtaş
Cancer immunotherapy is based on the idea of overcoming the main problems in the traditional cancer treatments and enhancing the patient’s long-term survival and quality of life. Immunotherapy methods aimed to influence the immune system, to detect and eradicate the tumors site and predict the potential results. Nowadays, nanomaterials-based immunotherapy approaches are gaining interest due to numerous advantages like their ability to target cells and tissues directly and reduce the off-target toxicity. Therefore, topics about immune system components, nanomaterials, their usage in immunotherapy and the benefits they provide will be discussed in this presented book chapter. Immunotherapy can be divided into two groups mainly; active and passive immunotherapy including their subtitles such as immune checkpoint inhibitors, adoptive immunotherapy, CAR-T therapies, vaccines, and monoclonal antibodies. Main classification and the methods will be evaluated. Furthermore, state-of-art nanocarriers based immunotherapy methods will be mentioned in detail. The terms of size, charge, material type and surface modifications of the nanoparticles will be reviewed to understand the interference of immune system and nanoparticles and their advantages/disadvantages in immunotherapy systems.
癌症免疫治疗的理念是克服传统癌症治疗的主要问题,提高患者的长期生存和生活质量。免疫治疗方法旨在影响免疫系统,检测和根除肿瘤部位,并预测潜在的结果。目前,基于纳米材料的免疫治疗方法因其能够直接靶向细胞和组织并减少脱靶毒性等诸多优点而受到人们的关注。因此,关于免疫系统成分、纳米材料及其在免疫治疗中的应用及其提供的益处的主题将在本章中讨论。免疫疗法主要分为两组;主动和被动免疫疗法,包括免疫检查点抑制剂、过继免疫疗法、CAR-T疗法、疫苗和单克隆抗体。对主要分类和方法进行评价。此外,还将详细介绍基于纳米载体的免疫治疗方法。本文将对纳米颗粒的大小、电荷、材料类型和表面修饰等方面进行综述,以了解纳米颗粒对免疫系统的干扰及其在免疫治疗系统中的优缺点。
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引用次数: 0
Organoids Models for the Study of Cell-Cell Interactions 细胞-细胞相互作用研究的类器官模型
Pub Date : 2020-11-16 DOI: 10.5772/INTECHOPEN.94562
Margarita Jiménez-Palomares, Alba Cristobal, Maxime Ruiz
Organoids have arisen as promising model systems in biomedical research and regenerative medicine due to their potential to reproduce the original tissue architecture and function. In the research field of cell–cell interactions, organoids mimic interactions taking place during organogenesis, including the processes that conduct to multi-lineage differentiation and morphogenetic processes, during immunology response and disease development and expansion. This chapter will address the basis of organoids origin, their importance on immune system cell–cell interactions and the benefits of using them in biomedicine, specifically their potential applications in regenerative medicine and personalized therapy. Organoids might represent a personalized tool for patients to receive earlier diagnoses, risk assessments, and more efficient treatments.
类器官由于具有复制原始组织结构和功能的潜力,已成为生物医学研究和再生医学中有前途的模型系统。在细胞-细胞相互作用的研究领域,类器官模拟了发生在器官发生过程中的相互作用,包括多谱系分化和形态发生过程,免疫反应和疾病发展和扩展过程。本章将讨论类器官起源的基础,它们在免疫系统细胞-细胞相互作用中的重要性,以及在生物医学中使用它们的好处,特别是它们在再生医学和个性化治疗中的潜在应用。类器官可能代表了一种个性化的工具,可以让患者接受早期诊断、风险评估和更有效的治疗。
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引用次数: 0
Role of Toll-Like Receptor (TLR)-Signaling in Cancer Progression and Treatment toll样受体(TLR)信号在癌症进展和治疗中的作用
Pub Date : 2020-11-03 DOI: 10.5772/intechopen.94423
S. Prasad, Rahul Kumar
Toll-like receptors (TLRs) are the most essential pattern recognition receptors in mediating the effects of innate immunity. It plays a pivotal role in inducing immune response against a number of pathogens, various diseases conditions including pathogenesis of cancer. Inflammation is often associated with the development and progression of most of cancer, where TLRs interplay very crucial roles. Moreover, TLRs activation can impact the initiation, progression and treatment of cancer by modulating the inflammatory microenvironment. Rapidly growing number of evidences related to TLRs function and expression in cancer cells, suggests its critical association with chemoresistance and tumourigenesis. The current chapter describes the development of various agonist and antagosist for TLRs and their application in cancer therapeutics. The aim of this book chapter is to highlights basic features of TLRs, and its role in cancer progression. It also addresses, how a defect in the TLRs signaling pathway can contributes towards carcinogenesis and recent development of cancer therapeutics that target TLR signaling pathways.
toll样受体(TLRs)是介导先天免疫的最重要的模式识别受体。它在诱导针对许多病原体的免疫反应中起着关键作用,包括癌症的发病机制。炎症通常与大多数癌症的发生和发展有关,tlr在其中起着非常关键的作用。此外,TLRs的激活可以通过调节炎症微环境影响癌症的发生、进展和治疗。越来越多的证据表明,TLRs在癌细胞中的功能和表达与化疗耐药和肿瘤发生密切相关。本章介绍了各种tlr激动剂和拮抗剂的发展及其在癌症治疗中的应用。本章的目的是强调tlr的基本特征,以及它在癌症进展中的作用。它还讨论了TLR信号通路中的缺陷如何有助于致癌,以及最近针对TLR信号通路的癌症治疗方法的发展。
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引用次数: 3
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