带状疱疹发病时细胞因子变化的研究进展
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Research Progress in Cytokines during Herpes Zoster
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    摘要:

    [摘要] 带状疱疹 (HZ) 是当人体免疫力低下时由于嗜神经性的水痘带状疱疹病毒(VZV)复制并沿神经分布的,以区域性皮疹和红斑、丘疹、丘疱疹、剧烈疼痛为主要表现的皮肤病,可累及全身任何周围神经分布部位体表部位。HZ最常见的并发症是带状疱疹后神经痛(PHN),是一种难治性的慢性疼痛疾病,它对患者的心理、生理和经济产生巨大负担 。虽然HZ的发病机制尚不清楚,但现有大量研究表明其发生和发展与机体免疫调控密切相关,涉及多种免疫细胞、组织细胞和细胞因子等的相互作用激活。近年来 ,许多研究发现了不同多种细胞因子与HZ之间有密切关系,在HZ发病后分别发挥着抗炎、促炎、抗病毒和促进细胞增殖分化等功能,共同调节机体免疫。但目前 尚没有学者对HZ发病时引起机体细胞因子表达水平的变化和潜在临床意义进行汇总。本综述主要对VZV感染后HZ发病时相关细胞因子的变化规律和可能机制潜在临床意义 进行阐述,以期从现有的研究中找出HZ特异性表达或能预测PHN的因子。此外,在这些差异性表达因子的生物学功能中挖掘出一些潜在的治疗靶点,同时为以后的机制研究提供新思路。

    Abstract:

    [Abstract] Herpes zoster (HZ) is a skin disease mainly manifested by regional rash and severe painerythema, papules, pimples and pain due to the replication and distribution of neurotropic varicella-zoster virus (VZV) along the nerves due to low immunity in the human body, which can affect any peripheral nerve distributionsurface parts of the body. The most common complication of HZ is postherpetic neuralgia (PHN), which is a refractory chronic pain disease, causing great burden on patients' psychology, physiology and economy. Although the pathogenesis of HZ is still unclear, a large number of studies have shown that itsIts occurrence and development are closely related to the immune regulation of the body, involving the interaction of various immune cells and cytokines. immune regulation and involve the activation of various immune cells, tissue cells and cytokines. A variety of Different cytokines play anti-inflammatory, pro-inflammatory, anti-viral and promote cell proliferation and differentiation functions, and jointly regulate body immunity. However, no scholars have summarized the specific changes and functions of cytokines caused by the onset of HZ. This review mainly elaborated the change rules and potential clinical significance of related cytokines during HZ onset after VZV infection, in order to find out the HZ-specific expression factors or factors that can predict PHN from existing studies. In addition, some potential therapeutic targets have been explored from the biological functions of these differentially expressed factors, and new ideas have been provided for future mechanism studies.

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  • 收稿日期:2022-06-27
  • 最后修改日期:2022-10-18
  • 录用日期:2022-11-01
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