呼吸道微生物群失衡在儿童肺炎支原体肺炎免疫机制中的研究进展OA
Research progress of respiratory microbiota imbalance in the immune mechanism of Mycoplasma pneumoniae pneumonia in children
肺炎支原体肺炎(MPP)是儿童社区获得性肺炎的常见类型.呼吸道微生物群在疾病中的动态变化与其免疫病理机制密切相关.本文综述了患儿呼吸道微生物群的变化,包括多样性下降、潜在致病菌富集及有益菌减少,探讨了菌群失衡通过影响固有免疫应答、调节适应性免疫细胞分化,以及"肠-肺轴"进行远端调控等机制参与该病免疫病理过程,从而影响儿童免疫发育.本文还总结了基于微生物群干预的新治疗,预防及微生物标志物预测模型等,以期为MPP的临床诊疗提供新思路.
Mycoplasma pneumoniae pneumonia(MPP)is a common type of community-acquired pneumonia in children.Dynamic changes in the respiratory microbiota are closely related to its immunopathological mechanisms.This review summarizes the alterations in the respiratory microbiota of affected children,including decreased diversity,enrichment of potential pathogens,and reduction of beneficial bacteria.It explores how microbiota dysbiosis participates in the immunopathological process of the disease by affecting innate immune responses,regulating adaptive immune cell differen-tiation,and mediating distal regulation via the gut-lung axis,thereby influencing childhood immune development.Further-more,this review outlines novel interventions based on microbiota modulation,including therapeutic and preventive strategies as well as predictive models using microbial markers,aiming to provide new insights for clinical diagnosis and treatment of MPP.
戚文君;姚欢迎
绍兴大学医学院,浙江绍兴 312000浙江省绍兴市人民医院小儿内科,浙江绍兴 312000
医药卫生
呼吸道微生物群肺炎支原体肺炎儿童肺炎免疫机制菌群失衡
Respiratory microbiotaMycoplasma pneumoniae pneumoniaPneumonia in childrenImmune mechanismImbalance of microbiota
《中国当代医药》 2026 (21)
191-195,5
浙江省医药卫生科技计划项目(2023KY363).
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