细胞因在新型冠状病毒引发的细胞因子风暴中的研究进展 —— IL-2、IL-6、肿瘤坏死因子(TNF)

蒋 文琴
青海大学附属医院呼吸与危重症医学科

摘要


新型冠状病毒肺炎(COVID-19)是由新型冠状病毒(SARS-Co V-2)感染引起的急性呼吸道传染病。在
新冠肺炎中,机体为应对病毒感染而过度释放的细胞因子,称为“细胞因子风暴”,它正逐渐成为导致急性呼吸窘迫
综合征以及急性全身性器官功能损害的机制之一。免疫系统在防御和清除病毒方面起重要作用,且免疫功能的失调
可能导致新型冠状病毒肺炎(COVID-19)的快速进展。目前研究发现,患者疾病的发生、发展、恶化与体内细胞
因子风暴产生以及淋巴细胞亚群紊乱等免疫失衡机制密切相关。其中细胞免疫发挥了至关重要的作用。重症患者血液
中诸多炎症因子表达显著升高,主要是促炎细胞因子水平升高(称为细胞因子风暴)引发,如IL-2、IL-6、IL-8、肿
瘤坏死因子(TNF)等在COVID-19发病、病情演变以及预后方面的临床意义,有望早期通过预警细胞因子风暴及免
疫水平,早期及时治疗,预防危重症的形成,提高重症患者生存率,对改善预后和指导临床诊断工作提供理论依据。

关键词


新型冠状病毒肺炎;细胞因子风暴;细胞免疫

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