Mechanisms of viral inflammation and disease in humans

被引:110
作者
Casanova, Jean-Laurent [1 ,2 ,3 ,4 ]
Abel, Laurent [1 ,2 ,3 ]
机构
[1] Rockefeller Univ, St Giles Lab Human Genet Infect Dis, Rockefeller Branch, 1230 York Ave, New York, NY 10021 USA
[2] Necker Hosp Sick Children, Necker Branch, Lab Human Genet Infect Dis, INSERM U1163, Paris, France
[3] Univ Paris, Imagine Inst, Paris, France
[4] Rockefeller Univ, Howard Hughes Med Inst, New York, NY 10021 USA
基金
美国国家卫生研究院;
关键词
SIMPLEX-VIRUS ENCEPHALITIS; GENETIC DISSECTION; INTRINSIC IMMUNITY; TLR3; DEFICIENCY; INBORN-ERRORS; INTERFERON; INFECTION; PATIENT; IMMUNOLOGY; INFLUENZA;
D O I
10.1126/science.abj7965
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Disease and accompanying inflammation are uncommon outcomes of viral infection in humans. Clinical inflammation occurs if steady-state cell-intrinsic and leukocytic immunity to viruses fails. Inflammation attests to the attempts of newly recruited and activated leukocytes to resolve infection in the blood or tissues. In the confusing battle between a myriad of viruses and cells, studies of human genetics can separate the root cause of inflammation and disease from its consequences. Single-gene inborn errors of cell-intrinsic or leukocytic immunity underlying diverse infections in the skin, brain, or lungs can help to clarify the human determinants of viral disease. The genetic elucidation of immunological deficits in a single patient with a specific vulnerability profile can reveal mechanisms of inflammation and disease that may be triggered by other causes, inherited or otherwise, in other patients. This human genetic dissection of viral infections is giving rise to a new biology and a new medicine.
引用
收藏
页码:1080 / 1086
页数:7
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