国际麻醉学与复苏杂志   2013, Issue (6): 14-14
    
脓毒症中树突状细胞作用及其变化的研究进展
邹云, 李金宝1()
1.上海市第二军医大学附属长海医院
Review: the function and phenotype change of the dendritic cells during sepsis
 全文:
摘要:

树突状细胞功能障碍是脓毒症免疫抑制的主要原因之一,脓毒症中树突状细胞数量减少,并且以未成熟树突状细胞为主,导致其吞噬抗原的能力减弱;脓毒症小鼠中大多脾脏树突状细胞以成熟形态存但是其分泌细胞因子IL-10和IL-12失衡;脓毒症中树突状细胞刺激T细胞增殖的能力减弱。以上所有变化导致机体不能对外来病原体发生免疫应答,导致脓毒症机体处于免疫抑制状态。

关键词: 脓毒症,树突状细胞,凋亡,免疫抑制
Abstract:

Dysfunction of dendritic cells is one of main reason in sepsis which induced immunosuppression.The number of dendritic cells ,especially immature dendritic cells,decreased significantly.Which lead to its devouring antigen ability weakened. Much of dendritic cells,which were from the spleen of septic mice,stayed as mature phenotype,with the imbalance between the secretion of cytokines(IL-10,and IL-12).Compared with normal mice,the dendritic cells ,which isolated from septic mice, could not stimulate T cells proliferation efficiently.The characteristic mentioned above caused the body have no responses to foreign pathogen.as a result lead to the body in immunosuppression states.

Key words: sepsis,dendritic cell,apoptosis,immunosuppression