Phagocytes (from other Greek. ΦαγΡαΏΞ½ βdevourβ + ΞΊΟΟΞΏΟ βcellβ [1] ) are cells of the immune system that protect the body by absorbing ( phagocytosis ) harmful foreign particles ( bacteria , viruses ), as well as dead or dying cells [ 2] . They are important for the fight against infection and post-infectious immunity [3] . Phagocytosis is important for the entire animal world [4] and is highly developed in vertebrates [5] . The role of phagocytes in protecting against bacteria was first discovered by I. I. Mechnikov in 1882, when he studied starfish larvae [6] . Mechnikov was awarded in 1908 the Nobel Prize in Physiology for the creation of the cellular theory of immunity [7] . Phagocytes are present in many organisms; some amoeba are similar to macrophages in many details of their behavior, which indicates that phagocytes appeared in the early stages of evolution [8] .
The phagocytes of humans and other animals are called βprofessionalβ or βunprofessionalβ depending on how efficiently they phagocytize [9] . Professional phagocytes include neutrophils , monocytes , macrophages , dendritic cells and mast cells [10] [11] . The main difference between professional and non-professional phagocytes is that professional ones have molecules on their surface called receptors that detect foreign objects - for example, bacteria [12] . One liter of adult blood normally contains about 2.5-7.5 billion neutrophils, 200-900 million monocytes [13] .
In an infection, chemical signals attract phagocytes to the place where the pathogen has entered the body. These signals may come from bacteria or from other phagocytes already present there. Phagocytes move by chemotaxis . Upon contact of the phagocyte with the bacterium, the receptors on its surface bind to it, which leads to the absorption of the bacterium by the phagocyte [14] . Some phagocytes kill infiltrated pathogens with the help of reactive oxygen species and nitric oxide [15] . After phagocytosis, macrophages and dendritic cells can also participate in antigen presentation , a process in which phagocytes move pathogenic material back to their surface. This material is then presented to other cells of the immune system. Some phagocytes enter the lymph nodes and present the material to lymphocytes . This process plays an important role in the formation of immunity [16] . However, many pathogens are resistant to phagocyte attacks [3] .
Content
- 1 Discovery History
- 2 Phagocytosis
- 3 Mechanisms for the destruction of foreign agents
- 3.1 Intracellular oxygen-dependent pathway
- 3.2 Intracellular oxygen-independent pathway
- 3.3 Extracellular pathways
- 3.4 viruses
- 4 Role in apoptosis
- 5 Interaction with other cells
- 5.1 Presentation of antigen
- 5.2 Immunological tolerance
- 6 Professional phagocytes
- 6.1 Activation
- 6.2 Migration
- 6.3 Monocytes
- 6.4 Macrophages
- 6.5 Neutrophils
- 6.6 Dendritic cells
- 6.7 Mast cells
- 7 Non-professional phagocytes
- 8 Pathogen resistance
- 8.1 Avoidance of contact
- 8.2 Avoidance of absorption
- 8.3 Survival inside the phagocyte
- 8.4 Destruction
- 8.5 Disruption of signal transmission in the cell
- 9 Damage to a macroorganism by phagocytes
- 10 evolutionary origin
- 11 See also
- 12 Notes
- 13 Literature
Discovery History
Although the phenomenon, later called phagocytosis, was first observed by the American physician Joseph Richardson in 1869 and the Canadian physician William Osler in 1875, their work did not cause noticeable interest among contemporaries [17] [18] . It was the Russian biologist Ilya Ilyich Mechnikov who convincingly showed for the first time that specialized cells are involved in protection against microbial infection. In his first studies, he observed the absorption of alien material by such cells during experiments with ciliary worms (1878) and cricking (1880) [19] . In 1882, he studied motile cells in starfish larvae and suggested that they are important for the immune defense of animals. To test this idea, he stuck small needles from a tangerine tree into a larva and after a few hours found that motile cells surrounded the needles [20] . Mechnikov went to Vienna and shared his idea with Karl Klaus ; he proposed for the cells that Mechnikov observed the name βphagocytesβ [21] .
A year later, Mechnikov studied a freshwater crustacean - daphnia , a small transparent animal that can be studied directly under a microscope. He discovered that fungal spores that fell on Daphnia were destroyed by phagocytes. Mechnikov continued his observations on the white blood cells of mammals and found that Bacillus anthracis could also be destroyed by phagocytes. The process of capture and digestion of bacteria and other objects by phagocytes, he called phagocytosis [22] . Mechnikov suggested that phagocytes are the primary defense against penetrating microorganisms. Mechnikov was awarded (along with Paul Erlich ) in 1908 the Nobel Prize in physiology or medicine for his work on phagocytes and phagocytosis [7] . In 1903, Almroth Wright discovered that phagocytosis is supported by specific antibodies , which he called opsonins [23] .
Although the significance of these discoveries gradually gained recognition at the beginning of the twentieth century, the complex nature of the relationship between phagocytes and other components of the immune system was not known until the 1980s [24] .
Phagocytosis
1. Unbound receptors on the surface of the phagocyte do not trigger phagocytosis.
2. The binding of receptors causes their grouping.
3. Phagocytosis starts and the particle is absorbed by phagocyte
Phagocytosis is the process of absorption of foreign particles by cells [25] . It includes a sequence of molecular processes [26] . Phagocytosis occurs after receptor binding to a foreign agent (e.g., bacteria). Then the phagocyte surrounds the bacterium and absorbs it. Phagocytosis of a bacterium by a human neutrophil occurs in approximately 9 minutes [27] . Inside the phagocyte, the bacterium is part of the phagosome . Within a minute, the phagosome merges with a lysosome or granule containing enzymes to form a . A prisoner bacterium is subjected to aggressive action [28] and dies after a few minutes [27] . Dendritic cells and macrophages are not so fast, and phagocytosis in these cells can occur for many hours. Macrophages absorb large amounts of foreign material and often release some undigested particles back. This material is a signal for the migration of macrophages from the blood [29] . Phagocytes are able to absorb almost any substance.
Phagocytes have many different receptors on their surface, due to which they bind foreign material [3] . These include opsonin receptors, receptors, and Toll-like receptors . Opsonin receptors enhance phagocytosis of bacteria that are coated with (IgG) or complement . Complement is a complex of protein molecules in the blood that destroy cells or mark them for destruction [30] . Scavenger receptors bind to a variety of molecules on the surface of a bacterial cell, and Toll-like receptors bind to more specific molecules. The binding of Toll-like receptors enhances phagocytosis and causes phagocytes to release a group of factors that cause inflammation [3] .
Alien Agent Destruction Mechanisms
The destruction of microorganisms is an important function of phagocytosis [31] , which occurs either during phagocytosis (intracellular destruction) or outside the phagocyte (extracellular destruction).
Intracellular Oxygen Dependent Pathway
When a phagocyte absorbs a bacterium (or any other foreign material), oxygen consumption increases, which is called a . In this case, active forms of oxygen are formed that have an antimicrobial effect [32] . Oxygen compounds are toxic for both the pathogen and the cell itself, so they are stored in cells within the cell itself. This method of killing penetrating microorganisms is called oxygen-dependent intracellular killing, which is divided into two types [15] .
The first type is the oxygen-dependent formation of a superoxide radical [3] that destroys bacteria [33] . Superoxide is converted to hydrogen peroxide and singlet oxygen by the action of the superoxide dismutase enzyme . Superoxides also interact with hydrogen peroxide to form a hydroxyl group , which helps in the destruction of pathogenic microbes [3] .
The second type includes the use of the enzyme myeloperoxidase from neutrophilic granules [34] . When the granules merge with the phagosome, myeloperoxidase is released into the phagolysosome, and this enzyme uses hydrogen peroxide and chlorine to create hypochlorite . Hypochlorite is extremely toxic to bacteria [3] . Myeloperoxidase contains heme pigment, due to which the green color of secrets rich in neutrophils is formed (for example, pus , infected sputum ) [35] .
Intracellular oxygen-independent path
Phagocytes can also destroy microorganisms with an oxygen-independent method, but it is less effective than an oxygen-dependent one. There are four main types. The first type uses charged proteins that damage the cell membrane of bacteria. The second type uses lysosomal enzymes that destroy the cell wall of bacteria. In the third type, lactoferrins are used, which are present in neutrophil granules and remove the necessary iron from bacteria [36] . In the fourth type, proteases and hydrolases are used to digest proteins of destroyed bacteria [37] .
Extracellular paths
Interferon-gamma (also called macrophage activating factor) activates macrophage synthesis of nitric oxide . The source of interferon-gamma can be CD4 + T-lymphocytes , CD8 + T-lymphocytes , natural killers , B-lymphocytes , T-killers , monocytes , macrophages or dendritic cells [38] . Nitric oxide is then released from macrophages and, due to its toxicity, destroys microbes near the macrophage [3] . Activated macrophages form and secrete tumor necrosis factor . This cytokine (a class of signaling molecules) [39] destroys cancer cells and cells infected with the virus , help activate other cells of the immune system [40] .
In some diseases, for example, in rare chronic granulomatous diseases, the effectiveness of phagocytosis is impaired, which can lead to bacterial infections [41] . With such diseases, there is an anomaly in the work of various elements of oxygen-dependent destruction of microbes. Other rare congenital abnormalities, such , are also associated with defective destruction of microbes that enter the body [42] .
Viruses
Viruses can reproduce only inside the cell, and they penetrate into it, using many receptors involved in immune defense. Once inside the cell, viruses use its biological processes to their advantage, forcing the cell to create thousands of viral particles, similar to the mother. Although phagocytes and other components of the immune system can control viruses to a limited extent when the virus is inside the cell, acquired immunity (in particular, lymphocytes) is more important for protection [43] . In the area of ββviral infection, lymphocytes accumulate much more than other cells of the immune system, which is most typical for viral meningitis [44] . Virus-infected cells are destroyed by lymphocytes and excreted by phagocytes [45] .
Role in Apoptosis
In animals, plants, and fungi, cells constantly die. The balance between cell division and their death maintains a relatively constant number of cells in adults [2] . There are two mechanisms of cell death: necrosis and apoptosis . Unlike necrosis, which more often occurs as a result of a disease or injury, apoptosis (or programmed cell death) is a normal process that constantly occurs in the body. The body rid itself of millions of dead or dying cells every day and phagocytes play an important role in this process [46] .
A dying cell, which undergoes the final stage of apoptosis [47] , exhibits some specific molecules (for example, phosphatidylserine ) on its surface for connection with a phagocyte [48] . Phosphatidylserine is usually located on the cytosolic surface of the plasma membrane, but is transported during apoptosis to the outer surface, presumably with the help of a protein called [49] . These molecules label a cell for phagocytosis with cells that possess appropriate receptors, such as macrophages [50] . The removal of dead cells by phagocytes occurs in an orderly manner, without causing inflammation [51] .
Interaction with other cells
Phagocytes move in the body, interacting with phagocytic and non-phagocytic cells of the immune system. They exchange information with other cells through the formation of chemicals called cytokines , which cause other phagocytes to the infection area or activate βsleepingβ lymphocytes [52] . Phagocytes form part of the innate immunity that is present in animals, including humans, from birth. Congenital immunity is very effective, but not specific in determining the difference between types of pathogens. On the other hand, acquired immunity is more specialized and can protect against almost any type of pathogen [53] . Acquired immunity depends on lymphocytes that do not phagocytose, but form protective proteins ( antibodies ) that mark pathogens for destruction and prevent virus infection of cells [54] . Phagocytes, in particular dendritic cells and macrophages, stimulate lymphocytes to form antibodies in an important process called antigen presentation [55] .
Antigen Presentation
Antigen presentation is a process in which some phagocytes move parts of the absorbed material back to their surface and βprovideβ them to other cells of the immune system [56] . There are 2 types of βprofessionalβ antigen-presenting cells: macrophages and dendritic cells [57] . After absorption, foreign proteins (antigens) are degraded to peptides inside the dendritic cell or macrophage.These peptides then bind to glycoproteins of the main histocompatibility complex (MHC) of the cell, which return to the surface of the phagocyte, where they can be βpresentedβ to lymphocytes [16] . Older macrophages are not able to quickly move from the area of ββinfection, but dendritic cells can reach the lymph nodes of the body, where millions of lymphocytes are located [58] . This promotes the development of an immune response because lymphocytes respond to antigens presented by dendritic cells, just as if they were in the primary region of infection [59] . ΠΠΎ Π΄Π΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΡΠ°ΠΊΠΆΠ΅ ΡΠΏΠΎΡΠΎΠ±Π½Ρ ΡΠ°Π·ΡΡΡΠ°ΡΡ ΠΈΠ»ΠΈ ΠΏΠΎΠ΄Π°Π²Π»ΡΡΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π»ΠΈΠΌΡΠΎΡΠΈΡΠΎΠ², Π΅ΡΠ»ΠΈ ΠΎΠ½ΠΈ ΡΠ°ΡΠΏΠΎΠ·Π½Π°ΡΡ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½ΡΡ ΡΠ΅Π»Π° Ρ ΠΎΠ·ΡΠΈΠ½Π°; ΡΡΠΎ Π²Π°ΠΆΠ½ΠΎ Π΄Π»Ρ ΠΏΡΠ΅Π΄ΡΠΏΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΡ Π°ΡΡΠΎΠΈΠΌΠΌΡΠ½Π½ΡΡ ΡΠ΅Π°ΠΊΡΠΈΠΉ. ΠΡΠΎΡ ΠΏΡΠΎΡΠ΅ΡΡ Π½Π°Π·ΡΠ²Π°ΡΡ ΡΠΎΠ»Π΅ΡΠ°Π½ΡΠ½ΠΎΡΡΡΡ [60] .
ΠΠΌΠΌΡΠ½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠΎΠ»Π΅ΡΠ°Π½ΡΠ½ΠΎΡΡΡ
ΠΠ΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΡΠ°ΠΊΠΆΠ΅ ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΡΡΡ ΠΈΠΌΠΌΡΠ½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠΎΠ»Π΅ΡΠ°Π½ΡΠ½ΠΎΡΡΠΈ [61] , ΠΏΡΠΈ ΠΊΠΎΡΠΎΡΠΎΠΉ ΠΏΡΠ΅Π΄ΡΠΏΡΠ΅ΠΆΠ΄Π°Π΅ΡΡΡ ΠΈΠΌΠΌΡΠ½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ Π°ΡΠ°ΠΊΠ° ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠΎΠΌ ΡΠ°ΠΌΠΎΠ³ΠΎ ΡΠ΅Π±Ρ. ΠΠ΅ΡΠ²ΡΠΉ ΡΠΈΠΏ ΡΠΎΠ»Π΅ΡΠ°Π½ΡΠ½ΠΎΡΡΠΈ β . ΠΠ½Π° Π·Π°ΠΊΠ»ΡΡΠ°Π΅ΡΡΡ Π² ΡΠΎΠΌ, ΡΡΠΎ ΠΊΠΎΠ³Π΄Π° ΡΠΎΠ·ΡΠ΅Π²ΡΠΈΠ΅ T-Π»ΠΈΠΌΡΠΎΡΠΈΡΡ (Π’-ΠΊΠ»Π΅ΡΠΊΠΈ) Π²ΠΏΠ΅ΡΠ²ΡΠ΅ Π²ΡΡ ΠΎΠ΄ΡΡ ΠΈΠ· ΡΠΈΠΌΡΡΠ° , Π΄Π΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΡΠ°Π·ΡΡΡΠ°ΡΡ Π΄Π΅ΡΠ΅ΠΊΡΠ½ΡΠ΅ Π’-Π»ΠΈΠΌΡΠΎΡΠΈΡΡ, ΠΊΠΎΡΠΎΡΡΠ΅ Π½Π΅ΡΡΡ Π°Π½ΡΠΈΠ³Π΅Π½Ρ, ΡΠΏΠΎΡΠΎΠ±Π½ΡΠ΅ Π²ΡΠ·Π²Π°ΡΡ Π°ΡΡΠΎΠΈΠΌΠΌΡΠ½Π½ΡΡ ΡΠ΅Π°ΠΊΡΠΈΡ. ΠΡΠΎΡΠΎΠΉ ΡΠΈΠΏ ΠΈΠΌΠΌΡΠ½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠΎΠ»Π΅ΡΠ°Π½ΡΠ½ΠΎΡΡΠΈ β . ΠΠ΅ΠΊΠΎΡΠΎΡΡΠΌ Π°ΡΡΠΎΡΠ΅Π°ΠΊΡΠΈΠ²Π½ΡΠΌ Π’-ΠΊΠ»Π΅ΡΠΊΠ°ΠΌ ΡΠ΄Π°ΡΡΡΡ ΠΏΠΎΠΊΠΈΠ½ΡΡΡ ΡΠΈΠΌΡΡ ΠΏΠΎ ΡΡΠ΄Ρ ΠΏΡΠΈΡΠΈΠ½ β Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, ΠΈΠ·-Π·Π° ΡΠΎΠ³ΠΎ, ΡΡΠΎ Π² ΡΠΈΠΌΡΡΠ΅ ΠΎΠ½ΠΈ Π½Π΅ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΡΠΎΠ²Π°Π»ΠΈ Π°ΡΡΠΎΠ°Π½ΡΠΈΠ³Π΅Π½Ρ. ΠΡΡΠ³ΠΈΠ΅ Π’-ΠΊΠ»Π΅ΡΠΊΠΈ, ΠΈΠ·Π²Π΅ΡΡΠ½ΡΠ΅ ΠΊΠ°ΠΊ ΡΠ΅Π³ΡΠ»ΡΡΠΎΡΠ½ΡΠ΅ Π’-ΠΊΠ»Π΅ΡΠΊΠΈ, ΠΏΠΎΠ΄Π°Π²Π»ΡΡΡ Π°ΡΡΠΎΠ°ΠΊΡΠΈΠ²Π½ΡΠ΅ Π’-ΠΊΠ»Π΅ΡΠΊΠΈ Π½Π° ΠΏΠ΅ΡΠΈΡΠ΅ΡΠΈΠΈ [62] . ΠΠΎΠ³Π΄Π° ΠΈΠΌΠΌΡΠ½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠΎΠ»Π΅ΡΠ°Π½ΡΠ½ΠΎΡΡΡ Π½Π΅ ΡΡΠ°Π±Π°ΡΡΠ²Π°Π΅Ρ, ΠΌΠΎΠ³ΡΡ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΡΡΡ Π°ΡΡΠΎΠΈΠΌΠΌΡΠ½Π½ΡΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ [63] . Π‘ Π΄ΡΡΠ³ΠΎΠΉ ΡΡΠΎΡΠΎΠ½Ρ, ΠΏΠΎΠ²ΡΡΠ΅Π½Π½Π°Ρ ΡΠΎΠ»Π΅ΡΠ°Π½ΡΠ½ΠΎΡΡΡ ΠΌΠΎΠΆΠ΅Ρ ΠΏΡΠΈΠ²Π΅ΡΡΠΈ ΠΊ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΡ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΉ (Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, ΠΠΠ§-ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ ) [62] .
ΠΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠ΅ ΡΠ°Π³ΠΎΡΠΈΡΡ
Π€Π°Π³ΠΎΡΠΈΡΡ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ° ΠΈ Π΄ΡΡΠ³ΠΈΡ ΠΏΠΎΠ·Π²ΠΎΠ½ΠΎΡΠ½ΡΡ ΡΠ°Π·Π΄Π΅Π»ΡΡΡ Π½Π° Β«ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠ΅Β» ΠΈ Β«Π½Π΅ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠ΅Β» Π³ΡΡΠΏΠΏΡ Π½Π° ΠΎΡΠ½ΠΎΠ²Π΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ, ΠΏΡΠΈ ΠΊΠΎΡΠΎΡΠΎΠΉ ΠΎΠ½ΠΈ ΡΡΠ°ΡΡΠ²ΡΡΡ Π² ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ·Π΅ [9] . Π ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠΌ ΡΠ°Π³ΠΎΡΠΈΡΠ°ΠΌ ΠΎΡΠ½ΠΎΡΡΡ ΠΌΠΎΠ½ΠΎΡΠΈΡΡ , ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ , Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Ρ , ΡΠΊΠ°Π½Π΅Π²ΡΠ΅ Π΄Π΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΠΈ ΡΡΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ [10] .
| ΠΡΠ½ΠΎΠ²Π½ΠΎΠ΅ ΡΠ°ΡΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅ | ΠΠ°ΡΠΈΠ°Π½ΡΡ ΡΠ΅Π½ΠΎΡΠΈΠΏΠΎΠ² |
|---|---|
| ΠΡΠΎΠ²Ρ | Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Ρ, ΠΌΠΎΠ½ΠΎΡΠΈΡΡ |
| Bone marrow | ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ, ΠΌΠΎΠ½ΠΎΡΠΈΡΡ, , ΠΎΠ±ΠΊΠ»Π°Π΄ΠΎΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ |
| ΠΠΎΡΡΠ½Π°Ρ ΡΠΊΠ°Π½Ρ | ΠΡΡΠ΅ΠΎΠΊΠ»Π°ΡΡΡ |
| ΠΠΈΡΠ΅ΡΠ½ΠΈΠΊ ΠΈ ΠΊΠΈΡΠ΅ΡΠ½ΡΠ΅ | ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ |
| Π‘ΠΎΠ΅Π΄ΠΈΠ½ΠΈΡΠ΅Π»ΡΠ½Π°Ρ ΡΠΊΠ°Π½Ρ | , ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ, ΠΌΠΎΠ½ΠΎΡΠΈΡΡ, Π΄Π΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ |
| ΠΠ΅ΡΠ΅Π½Ρ | ΠΊΠ»Π΅ΡΠΊΠΈ ΠΡΠΏΡΠ΅ΡΠ° , ΠΌΠΎΠ½ΠΎΡΠΈΡΡ |
| Lungs | ΡΠ°ΠΌΠΎΠ²ΠΎΡΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄ΡΡΠΈΠ΅ΡΡ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ, ΠΌΠΎΠ½ΠΎΡΠΈΡΡ, ΡΡΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ, Π΄Π΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ |
| ΠΠΈΠΌΡΠ°ΡΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠΊΠ°Π½Ρ | ΡΠ²ΠΎΠ±ΠΎΠ΄Π½ΡΠ΅ ΠΈ ΡΠΈΠΊΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ ΠΈ ΠΌΠΎΠ½ΠΎΡΠΈΡΡ, Π΄Π΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ |
| ΠΠ΅ΡΠ²Π½Π°Ρ ΡΠΊΠ°Π½Ρ | ΠΠ»Π΅ΡΠΊΠΈ ΠΌΠΈΠΊΡΠΎΠ³Π»ΠΈΠΈ ( CD4 + ) |
| Π‘Π΅Π»Π΅Π·ΡΠ½ΠΊΠ° | ΡΠ²ΠΎΠ±ΠΎΠ΄Π½ΡΠ΅ ΠΈ ΡΠΈΠΊΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ, ΠΌΠΎΠ½ΠΎΡΠΈΡΡ, ΡΠΈΠ½ΡΡΠΎΠΈΠ΄Π½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ |
| Π’ΠΈΠΌΡΡ | ΡΠ²ΠΎΠ±ΠΎΠ΄Π½ΡΠ΅ ΠΈ ΡΠΈΠΊΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ ΠΈ ΠΌΠΎΠ½ΠΎΡΠΈΡΡ |
| Leather | ΠΏΠΎΡΡΠΎΡΠ½Π½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΠΠ°Π½Π³Π΅ΡΠ³Π°Π½ΡΠ° , Π΄ΡΡΠ³ΠΈΠ΅ Π΄Π΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ, ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ, ΡΡΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ |
ΠΠΊΡΠΈΠ²Π°ΡΠΈΡ
ΠΡΠ΅ ΡΠ°Π³ΠΎΡΠΈΡΡ, ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ, Π½Π°Ρ ΠΎΠ΄ΡΡΡΡ Π² ΡΠΎΡΡΠΎΡΠ½ΠΈΠΈ Π³ΠΎΡΠΎΠ²Π½ΠΎΡΡΠΈ. ΠΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ, ΠΊΠ°ΠΊ ΠΏΡΠ°Π²ΠΈΠ»ΠΎ, ΠΎΡΠ½ΠΎΡΠΈΡΠ΅Π»ΡΠ½ΠΎ ΠΏΠ°ΡΡΠΈΠ²Π½Ρ Π² ΡΠΊΠ°Π½ΡΡ ΠΈ ΡΠ°Π·ΠΌΠ½ΠΎΠΆΠ°ΡΡΡΡ ΠΌΠ΅Π΄Π»Π΅Π½Π½ΠΎ. Π ΡΠ°ΠΊΠΎΠΌ ΡΠΎΡΡΠΎΡΠ½ΠΈΠΈ ΠΏΠΎΠ»ΡΠΏΠΎΠΊΠΎΡ ΠΎΠ½ΠΈ ΠΎΡΠΈΡΠ°ΡΡ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌ ΠΎΡ ΠΌΡΡΡΠ²ΡΡ ΠΊΠ»Π΅ΡΠΎΠΊ ΠΈ Π΄ΡΡΠ³ΠΎΠ³ΠΎ Π½Π΅ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΌΡΡΠΎΡΠ° ΠΈ ΡΠ΅Π΄ΠΊΠΎ ΠΏΡΠΈΠ½ΠΈΠΌΠ°ΡΡ ΡΡΠ°ΡΡΠΈΠ΅ Π² ΠΏΡΠ΅Π·Π΅Π½ΡΠ°ΡΠΈΠΈ Π°Π½ΡΠΈΠ³Π΅Π½Π°. ΠΠΎ ΠΏΡΠΈ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΠΈ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ ΠΎΠ½ΠΈ ΠΏΠΎΠ»ΡΡΠ°ΡΡ Ρ ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠΈΠ³Π½Π°Π»Ρ (ΠΎΠ±ΡΡΠ½ΠΎ ), ΠΊΠΎΡΠΎΡΡΠ΅ ΡΠ²Π΅Π»ΠΈΡΠΈΠ²Π°ΡΡ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΡ ΠΈΠΌΠΈ ΠΌΠΎΠ»Π΅ΠΊΡΠ» MHC II ΠΈ ΠΏΠΎΠ΄Π³ΠΎΡΠ°Π²Π»ΠΈΠ²Π°ΡΡ ΠΈΡ ΠΊ ΠΏΡΠ΅Π·Π΅Π½ΡΠ°ΡΠΈΠΈ Π°Π½ΡΠΈΠ³Π΅Π½Π°. Π ΡΠ°ΠΊΠΎΠΌ ΡΠΎΡΡΠΎΡΠ½ΠΈΠΈ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ β Ρ ΠΎΡΠΎΡΠΈΠ΅ Π°Π½ΡΠΈΠ³Π΅Π½-ΠΏΡΠ΅Π·Π΅Π½ΡΠ°ΡΠΎΡΡ ΠΈ ΠΊΠΈΠ»Π»Π΅ΡΡ. ΠΠ΄Π½Π°ΠΊΠΎ Π΅ΡΠ»ΠΈ ΠΎΠ½ΠΈ ΠΏΠΎΠ»ΡΡΠ°ΡΡ ΡΠΈΠ³Π½Π°Π» ΠΏΡΡΠΌΠΎ ΠΎΡ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π° , ΠΎΠ½ΠΈ ΡΡΠ°Π½ΠΎΠ²ΡΡΡΡ Β«Π³ΠΈΠΏΠ΅ΡΠ°ΠΊΡΠΈΠ²Π½ΡΠΌΠΈΒ», ΠΏΡΠ΅ΠΊΡΠ°ΡΠ°ΡΡ ΡΠ°Π·ΠΌΠ½ΠΎΠΆΠ΅Π½ΠΈΠ΅ ΠΈ ΠΊΠΎΠ½ΡΠ΅Π½ΡΡΠΈΡΡΡΡΡΡ Π½Π° ΡΠ½ΠΈΡΡΠΎΠΆΠ΅Π½ΠΈΠΈ. ΠΡ ΡΠ°Π·ΠΌΠ΅Ρ ΠΈ ΡΠΊΠΎΡΠΎΡΡΡ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ·Π° ΡΠ²Π΅Π»ΠΈΡΠΈΠ²Π°Π΅ΡΡΡ; Π½Π΅ΠΊΠΎΡΠΎΡΡΠ΅ ΡΡΠ°Π½ΠΎΠ²ΡΡΡΡ Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎ ΠΊΡΡΠΏΠ½ΡΠΌΠΈ, ΡΡΠΎΠ±Ρ ΠΏΠΎΠ³Π»ΠΎΡΠΈΡΡ ΠΏΡΠΎΠ½ΠΈΠΊΠ°ΡΡΠΈΡ Π² ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌ ΠΏΡΠΎΡΡΠ΅ΠΉΡΠΈΡ [65] .
Π ΠΊΡΠΎΠ²ΠΈ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Ρ Π½Π΅Π°ΠΊΡΠΈΠ²Π½Ρ, Π½ΠΎ Π΄Π²ΠΈΠΆΡΡΡΡ ΠΏΠΎ Π½Π΅ΠΉ Ρ Π±ΠΎΠ»ΡΡΠΎΠΉ ΡΠΊΠΎΡΠΎΡΡΡΡ. ΠΠΎΠ³Π΄Π° ΠΎΠ½ΠΈ ΠΏΠΎΠ»ΡΡΠ°ΡΡ ΡΠΈΠ³Π½Π°Π»Ρ ΠΎΡ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΎΠ² ΠΈΠ· Π·ΠΎΠ½Ρ Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΡ , ΠΎΠ½ΠΈ Π·Π°ΠΌΠ΅Π΄Π»ΡΡΡΡΡ ΠΈ Π²ΡΡ ΠΎΠ΄ΡΡ ΠΈΠ· ΠΊΡΠΎΠ²ΠΈ. Π ΡΠΊΠ°Π½ΡΡ ΠΎΠ½ΠΈ Π°ΠΊΡΠΈΠ²ΠΈΡΡΡΡΡΡ ΡΠΈΡΠΎΠΊΠΈΠ½Π°ΠΌΠΈ ΠΈ ΠΏΠΎΡΡΡΠΏΠ°ΡΡ Π² Π·ΠΎΠ½Ρ Π΄Π΅ΠΉΡΡΠ²ΠΈΡ Π³ΠΎΡΠΎΠ²ΡΠΌΠΈ ΡΠ½ΠΈΡΡΠΎΠΆΠ°ΡΡ [66] .
ΠΠΈΠ³ΡΠ°ΡΠΈΡ
ΠΠΎΠ³Π΄Π° ΠΏΡΠΎΠΈΡΡ ΠΎΠ΄ΠΈΡ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΠΎΠ΅ Π·Π°ΡΠ°ΠΆΠ΅Π½ΠΈΠ΅, Π²ΡΠ΄Π΅Π»ΡΠ΅ΡΡΡ Ρ ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΠΉ Β«SOSΒ»-ΡΠΈΠ³Π½Π°Π» Π΄Π»Ρ ΠΏΡΠΈΠ²Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ² Π² Π·ΠΎΠ½Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ [67] . ΠΡΠΈ Ρ ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠΈΠ³Π½Π°Π»Ρ ΠΌΠΎΠ³ΡΡ Π²ΠΊΠ»ΡΡΠ°ΡΡ Π±Π΅Π»ΠΊΠΈ ΠΎΡ ΠΏΠΎΡΡΡΠΏΠ°ΡΡΠΈΡ Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ, ΡΠΈΡΡΠ΅ΠΌΡ ΡΠ²ΡΡΡΡΠ²Π°Π½ΠΈΡ ΠΏΠ΅ΠΏΡΠΈΠ΄ΠΎΠ² , ΠΏΡΠΎΠ΄ΡΠΊΡΡ ΡΠΈΡΡΠ΅ΠΌΡ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΌΠ΅Π½ΡΠ° , Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠΈΡΠΎΠΊΠΈΠ½Ρ, ΠΊΠΎΡΠΎΡΡΠ΅ Π²ΡΠ΄Π΅Π»ΡΡΡΡΡ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³Π°ΠΌΠΈ, ΡΠ°ΡΠΏΠΎΠ»ΠΎΠΆΠ΅Π½Π½ΡΠΌΠΈ Π² ΡΠΊΠ°Π½ΠΈ Π² ΠΎΠ±Π»Π°ΡΡΠΈ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ [3] . ΠΡΡΠ³Π°Ρ Π³ΡΡΠΏΠΏΠ° Ρ ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΡ Π°ΡΡΡΠ°ΠΊΡΠ°Π½ΡΠΎΠ² β ΡΠΈΡΠΎΠΊΠΈΠ½Ρ, ΠΊΠΎΡΠΎΡΡΠ΅ Π²ΡΠ·ΡΠ²Π°ΡΡ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Ρ ΠΈ ΠΌΠΎΠ½ΠΎΡΠΈΡΡ ΠΈΠ· ΠΊΡΠΎΠ²Π΅Π½ΠΎΡΠ½ΠΎΠ³ΠΎ ΡΡΡΠ»Π°. [14] .
ΠΠ»Ρ Π΄ΠΎΡΡΠΈΠΆΠ΅Π½ΠΈΡ Π·ΠΎΠ½Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ ΡΠ°Π³ΠΎΡΠΈΡΡ Π²ΡΡ ΠΎΠ΄ΡΡ ΠΈΠ· ΠΊΡΠΎΠ²Π΅Π½ΠΎΡΠ½ΠΎΠ³ΠΎ ΡΡΡΠ»Π° ΠΈ ΠΏΡΠΎΠ½ΠΈΠΊΠ°ΡΡ Π² ΠΏΠΎΡΠ°ΠΆΡΠ½Π½ΡΡ ΡΠΊΠ°Π½Ρ. Π‘ΠΈΠ³Π½Π°Π»Ρ ΠΎΡ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ Π²ΡΠ·ΡΠ²Π°ΡΡ ΡΠΈΠ½ΡΠ΅Π· ΡΠ½Π΄ΠΎΡΠ΅Π»ΠΈΠ°Π»ΡΠ½ΡΠΌΠΈ ΠΊΠ»Π΅ΡΠΊΠ°ΠΌΠΈ, Π²ΡΡΡΠΈΠ»Π°ΡΡΠΈΠ΅ ΠΊΡΠΎΠ²Π΅Π½ΠΎΡΠ½ΡΠΉ ΡΠΎΡΡΠ΄, Π±Π΅Π»ΠΊΠ°, Π½Π°Π·ΡΠ²Π°Π΅ΠΌΠΎΠ³ΠΎ ΡΠ΅Π»Π΅ΠΊΡΠΈΠ½ , ΠΊΠΎΡΠΎΡΡΠΉ ΡΡΠ΅ΠΏΠ»ΡΠ΅ΡΡΡ Ρ ΠΏΡΠΎΡ ΠΎΠ΄ΡΡΠΈΠΌΠΈ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Π°ΠΌΠΈ. ΠΠ°Π·ΠΎΠ΄ΠΈΠ»Π°ΡΠ°ΡΠΎΡΡ ΠΎΡΠ»Π°Π±Π»ΡΡΡ ΡΠΎΠ΅Π΄ΠΈΠ½ΠΈΡΠ΅Π»ΡΠ½ΡΠ΅ ΡΠ²ΡΠ·ΠΈ ΡΠ½Π΄ΠΎΡΠ΅Π»ΠΈΠ°Π»ΡΠ½ΡΡ ΠΊΠ»Π΅ΡΠΎΠΊ, ΡΡΠΎ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ ΡΠ°Π³ΠΎΡΠΈΡΠ°ΠΌΠΈ ΠΏΡΠΎΡ ΠΎΠ΄ΠΈΡΡ ΡΠ΅ΡΠ΅Π· ΡΡΠ΅Π½ΠΊΡ ΡΠΎΡΡΠ΄Π°. Π₯Π΅ΠΌΠΎΡΠ°ΠΊΡΠΈΡ β ΠΏΡΠΎΡΠ΅ΡΡ, ΠΏΡΠΈ ΠΊΠΎΡΠΎΡΠΎΠΌ ΡΠ°Π³ΠΎΡΠΈΡΡ ΡΠ»Π΅Π΄ΡΡΡ Π½Π° Β«Π·Π°ΠΏΠ°Ρ Β» ΡΠΈΡΠΎΠΊΠΈΠ½ΠΎΠ² ΠΊ ΠΎΠ±Π»Π°ΡΡΠΈ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ [3] . ΠΠ΅ΠΉΡΡΠΎΡΠΈΠ»Ρ ΠΏΡΠΎΠ½ΠΈΠΊΠ°ΡΡ ΡΠ΅ΡΠ΅Π· ΠΎΡΠ³Π°Π½Ρ, ΠΏΠΎΠΊΡΡΡΡΠ΅ ΡΠΏΠΈΡΠ΅Π»ΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΡΠΊΠ°Π½ΡΡ, Π² Π·ΠΎΠ½Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ, ΠΈ, Ρ ΠΎΡΡ ΡΡΠΎ Π²Π°ΠΆΠ½ΡΠΉ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½Ρ Π±ΠΎΡΡΠ±Ρ Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠ΅ΠΉ, ΠΌΠΈΠ³ΡΠ°ΡΠΈΡ ΡΠ°ΠΌΠ° ΠΏΠΎ ΡΠ΅Π±Π΅ ΠΌΠΎΠΆΠ΅Ρ ΠΏΡΠΈΠ²Π΅ΡΡΠΈ ΠΊ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΡ ΡΠΈΠΌΠΏΡΠΎΠΌΠΎΠ² Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ [68] . ΠΡΠΈ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ ΠΌΠΈΠ»Π»ΠΈΠΎΠ½Ρ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ² Π²ΡΠ·ΡΠ²Π°ΡΡΡΡ ΠΈΠ· ΠΊΡΠΎΠ²ΠΈ, Π½ΠΎ ΠΎΠ½ΠΈ ΠΏΠΎΠ³ΠΈΠ±Π°ΡΡ Π·Π°ΡΠ΅ΠΌ Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ Π½Π΅ΡΠΊΠΎΠ»ΡΠΊΠΈΡ Π΄Π½Π΅ΠΉ [69] .
ΠΠΎΠ½ΠΎΡΠΈΡΡ
ΠΠΎΠ½ΠΎΡΠΈΡΡ ΡΠ°Π·Π²ΠΈΠ²Π°ΡΡΡΡ Π² ΠΊΠΎΡΡΠ½ΠΎΠΌ ΠΌΠΎΠ·Π³Π΅ ΠΈ Π΄ΠΎΡΡΠΈΠ³Π°ΡΡ Π·ΡΠ΅Π»ΠΎΡΡΠΈ Π² ΠΊΡΠΎΠ²ΠΈ. ΠΡΠ΅Π»ΡΠ΅ ΠΌΠΎΠ½ΠΎΡΠΈΡΡ ΠΈΠΌΠ΅ΡΡ ΠΊΡΡΠΏΠ½ΠΎΠ΅, Π³Π»Π°Π΄ΠΊΠΎΠ΅, Π΄ΠΎΠ»ΡΡΠ°ΡΠΎΠ΅ ΡΠ΄ΡΠΎ ΠΈ ΡΠΈΡΠΎΠΏΠ»Π°Π·ΠΌΡ , ΠΊΠΎΡΠΎΡΠ°Ρ ΡΠΎΠ΄Π΅ΡΠΆΠΈΡ Π³ΡΠ°Π½ΡΠ»Ρ. ΠΠΎΠ½ΠΎΡΠΈΡΡ ΠΏΠΎΠ³Π»ΠΎΡΠ°ΡΡ ΡΡΠΆΠ΅ΡΠΎΠ΄Π½ΡΠ΅ ΠΈΠ»ΠΈ ΠΎΠΏΠ°ΡΠ½ΡΠ΅ Π²Π΅ΡΠ΅ΡΡΠ²Π° ΠΈ ΠΏΡΠ΅Π·Π΅Π½ΡΠΈΡΡΡΡ Π°Π½ΡΠΈΠ³Π΅Π½Ρ Π΄ΡΡΠ³ΠΈΠΌ ΠΊΠ»Π΅ΡΠΊΠ°ΠΌ ΠΈΠΌΠΌΡΠ½Π½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ. ΠΠΎΠ½ΠΎΡΠΈΡΡ ΠΎΠ±ΡΠ°Π·ΡΡΡ 2 Π³ΡΡΠΏΠΏΡ: ΡΠΈΡΠΊΡΠ»ΠΈΡΡΡΡΠ°Ρ ΠΈ ΠΊΡΠ°Π΅Π²Π°Ρ, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΎΡΡΠ°ΡΡΡΡ Π² Π΄ΡΡΠ³ΠΈΡ ΡΠΊΠ°Π½ΡΡ (ΠΎΠΊΠΎΠ»ΠΎ 70 % Π½Π°Ρ ΠΎΠ΄ΡΡΡΡ Π² ΠΊΡΠ°Π΅Π²ΠΎΠΉ Π³ΡΡΠΏΠΏΠ΅). ΠΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²ΠΎ ΠΌΠΎΠ½ΠΎΡΠΈΡΠΎΠ² ΠΏΠΎΠΊΠΈΠ΄Π°ΡΡ ΠΊΡΠΎΠ²Π΅Π½ΠΎΡΠ½ΠΎΠ΅ ΡΡΡΠ»ΠΎ ΡΠ΅ΡΠ΅Π· 20β40 ΡΠ°ΡΠΎΠ², ΠΏΠΎΠΏΠ°Π΄Π°Ρ Π² ΡΠΊΠ°Π½ΠΈ ΠΈ ΠΎΡΠ³Π°Π½Ρ, Π³Π΄Π΅ ΠΎΠ½ΠΈ ΠΏΡΠ΅Π²ΡΠ°ΡΠ°ΡΡΡΡ Π² ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ [70] ΠΈΠ»ΠΈ Π΄Π΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΠΏΠΎΠ»ΡΡΠ°Π΅ΠΌΠΎΠ³ΠΎ ΡΠΈΠ³Π½Π°Π»Π° [71] . Π 1 Π»ΠΈΡΡΠ΅ ΠΊΡΠΎΠ²ΠΈ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ° Π½Π°Ρ ΠΎΠ΄ΠΈΡΡΡ ΠΎΠΊΠΎΠ»ΠΎ 500 ΠΌΠΈΠ»Π»ΠΈΠΎΠ½ΠΎΠ² ΠΌΠΎΠ½ΠΎΡΠΈΡΠΎΠ² [13] .
ΠΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ
ΠΡΠ΅Π»ΡΠ΅ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ Π½Π΅ ΠΏΠ΅ΡΠ΅ΠΌΠ΅ΡΠ°ΡΡΡΡ Π΄Π°Π»Π΅ΠΊΠΎ, Π½ΠΎ ΡΡΠΎΡΡ Π½Π° ΡΡΡΠ°ΠΆΠ΅ Π² ΡΠ΅Ρ ΠΎΠ±Π»Π°ΡΡΡΡ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ°, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΏΠΎΠ΄Π²Π΅ΡΠΆΠ΅Π½Ρ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΡ Π²Π½Π΅ΡΠ½Π΅ΠΉ ΡΡΠ΅Π΄Ρ. Π’Π°ΠΌ ΠΎΠ½ΠΈ Π΄Π΅ΠΉΡΡΠ²ΡΡΡ ΠΊΠ°ΠΊ ΡΠ±ΠΎΡΡΠΈΠΊΠΈ ΠΌΡΡΠΎΡΠ°, Π°Π½ΡΠΈΠ³Π΅Π½-ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»ΡΡΡΠΈΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΠΈΠ»ΠΈ Π°Π³ΡΠ΅ΡΡΠΈΠ²Π½ΡΠ΅ ΠΊΠΈΠ»Π»Π΅ΡΡ, Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΠΏΠΎΠ»ΡΡΠ°Π΅ΠΌΠΎΠ³ΠΎ ΡΠΈΠ³Π½Π°Π»Π° [72] . ΠΠ½ΠΈ ΠΎΠ±ΡΠ°Π·ΡΡΡΡΡ ΠΈΠ· ΠΌΠΎΠ½ΠΎΡΠΈΡΠΎΠ², ΡΡΠ²ΠΎΠ»ΠΎΠ²ΡΡ ΠΊΠ»Π΅ΡΠΎΠΊ Π³ΡΠ°Π½ΡΠ»ΠΎΡΠΈΡΠΎΠ² ΠΈΠ»ΠΈ ΠΏΡΠΈ ΠΊΠ»Π΅ΡΠΎΡΠ½ΠΎΠΌ Π΄Π΅Π»Π΅Π½ΠΈΠΈ ΡΠΆΠ΅ ΡΡΡΠ΅ΡΡΠ²ΡΡΡΠΈΡ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΎΠ² [73] . ΠΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ° Π΄ΠΎΡΡΠΈΠ³Π°ΡΡ Π² Π΄ΠΈΠ°ΠΌΠ΅ΡΡΠ΅ ΠΎΠΊΠΎΠ»ΠΎ 21 ΠΌΠΈΠΊΡΠΎΠΌΠ΅ΡΡΠ° [74] .
ΠΡΠΎΡ Π²ΠΈΠ΄ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ² Π½Π΅ ΠΈΠΌΠ΅Π΅Ρ Π³ΡΠ°Π½ΡΠ», Π½ΠΎ ΡΠΎΠ΄Π΅ΡΠΆΠΈΡ ΠΌΠ½ΠΎΠ³ΠΎ Π»ΠΈΠ·ΠΎΡΠΎΠΌ . ΠΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ Π½Π°Ρ ΠΎΠ΄ΡΡΡΡ ΠΏΠΎ Π²ΡΠ΅ΠΌΡ ΡΠ΅Π»Ρ ΠΏΠΎΡΡΠΈ Π²ΠΎ Π²ΡΠ΅Ρ ΡΠΊΠ°Π½ΡΡ ΠΈ ΠΎΡΠ³Π°Π½Π°Ρ (Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, ΠΊΠ»Π΅ΡΠΊΠΈ ΠΌΠΈΠΊΡΠΎΠ³Π»ΠΈΠΈ Π² Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠΌ ΠΌΠΎΠ·Π³Π΅ ΠΈ Π°Π»ΡΠ²Π΅ΠΎΠ»ΡΡΠ½ΡΠ΅ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ Π² Π»ΡΠ³ΠΊΠΈΡ ). Π Π°ΡΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³Π° ΠΌΠΎΠΆΠ½ΠΎ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΠΈΡΡ ΠΏΠΎ Π΅Π³ΠΎ ΡΠ°Π·ΠΌΠ΅ΡΡ ΠΈ Π²Π½Π΅ΡΠ½Π΅ΠΌΡ Π²ΠΈΠ΄Ρ. ΠΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ Π²ΡΠ·ΡΠ²Π°ΡΡ Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΠ΅ ΠΏΡΡΡΠΌ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ ΠΈΠ½ΡΠ΅ΡΠ»Π΅ΠΉΠΊΠΈΠ½Π° 1 , ΠΈΠ½ΡΠ΅ΡΠ»Π΅ΠΉΠΊΠΈΠ½Π° 6 ΠΈ ΡΠ°ΠΊΡΠΎΡΠ° Π½Π΅ΠΊΡΠΎΠ·Π° ΠΎΠΏΡΡ ΠΎΠ»ΠΈ [75] . ΠΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ ΠΎΠ±ΡΡΠ½ΠΎ Π½Π°Ρ ΠΎΠ΄ΡΡΡΡ ΡΠΎΠ»ΡΠΊΠΎ Π² ΡΠΊΠ°Π½ΡΡ ΠΈ ΡΠ΅Π΄ΠΊΠΎ ΠΏΠΎΠΏΠ°Π΄Π°ΡΡ Π² ΠΊΡΠΎΠ²ΠΎΡΠΎΠΊ. ΠΡΠΎΠ΄ΠΎΠ»ΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ ΠΆΠΈΠ·Π½ΠΈ ΡΠΊΠ°Π½Π΅Π²ΡΡ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΎΠ², ΠΏΠΎ ΡΠ°Π·Π½ΡΠΌ ΠΎΡΠ΅Π½ΠΊΠ°ΠΌ, ΡΠΎΡΡΠ°Π²Π»ΡΠ΅Ρ ΠΎΡ 4 Π΄ΠΎ 5 Π΄Π½Π΅ΠΉ [76] .
ΠΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ ΠΌΠΎΠ³ΡΡ Π±ΡΡΡ Π°ΠΊΡΠΈΠ²ΠΈΡΠΎΠ²Π°Π½Ρ Π΄Π»Ρ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ ΡΡΠ½ΠΊΡΠΈΠΉ, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΏΠΎΠΊΠΎΡΡΠΈΠΉΡΡ ΠΌΠΎΠ½ΠΎΡΠΈΡ Π½Π΅ ΠΌΠΎΠΆΠ΅Ρ ΠΎΡΡΡΠ΅ΡΡΠ²Π»ΡΡΡ [75] . Π’-Ρ Π΅Π»ΠΏΠ΅ΡΡ β ΠΏΠΎΠ΄Π³ΡΡΠΏΠΏΠ° Π»ΠΈΠΌΡΠΎΡΠΈΡΠΎΠ², ΠΎΡΠ²Π΅ΡΠ°ΡΡΠΈΡ Π·Π° Π°ΠΊΡΠΈΠ²Π°ΡΠΈΡ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΎΠ². ΠΠ½ΠΈ Π°ΠΊΡΠΈΠ²ΠΈΡΡΡΡ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ, ΠΏΠΎΡΡΠ»Π°Ρ ΡΠΈΠ³Π½Π°Π» Π² Π²ΠΈΠ΄Π΅ ΠΈΠ½ΡΠ΅ΡΡΠ΅ΡΠΎΠ½Π° Π³Π°ΠΌΠΌΠ° ΠΈ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΡΡΡ Π±Π΅Π»ΠΎΠΊ CD154 [77] . ΠΡΡΠ³ΠΈΠ΅ ΡΠΈΠ³Π½Π°Π»Ρ ΠΏΠΎΡΡΡΠΏΠ°ΡΡ ΠΎΡ Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ Π² Π²ΠΈΠ΄Π΅ ΡΠ°ΠΊΡΠΎΡΠ° Π½Π΅ΠΊΡΠΎΠ·Π° ΠΎΠΏΡΡ ΠΎΠ»ΠΈ Π°Π»ΡΡΠ° ΠΈ Π»ΠΈΠΏΠΎΠΏΠΎΠ»ΠΈΡΠ°Ρ Π°ΡΠΈΠ΄ΠΎΠ² [75] . Π’-Ρ Π΅Π»ΠΏΠ΅ΡΡ ΡΠΏΠΎΡΠΎΠ±Π½Ρ ΠΏΡΠΈΠ²Π»Π΅ΠΊΠ°ΡΡ Π΄ΡΡΠ³ΠΈΠ΅ ΡΠ°Π³ΠΎΡΠΈΡΡ Π² Π·ΠΎΠ½Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ Π½Π΅ΡΠΊΠΎΠ»ΡΠΊΠΈΠΌΠΈ ΠΏΡΡΡΠΌΠΈ. ΠΠ½ΠΈ Π²ΡΠ΄Π΅Π»ΡΡΡ ΡΠΈΡΠΎΠΊΠΈΠ½Ρ, ΠΊΠΎΡΠΎΡΡΠ΅ Π΄Π΅ΠΉΡΡΠ²ΡΡΡ Π½Π° ΠΊΠΎΡΡΠ½ΡΠΉ ΠΌΠΎΠ·Π³ , ΡΡΠΈΠΌΡΠ»ΠΈΡΡΡ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΌΠΎΠ½ΠΎΡΠΈΡΠΎΠ² ΠΈ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ², Π° ΡΠ°ΠΊΠΆΠ΅ Π²ΡΠ΄Π΅Π»ΡΡΡ Π½Π΅ΠΊΠΎΡΠΎΡΡΠ΅ ΡΠΈΡΠΎΠΊΠΈΠ½Ρ , ΠΊΠΎΡΠΎΡΡΠ΅ ΠΎΡΠ²Π΅ΡΠ°ΡΡ Π·Π° ΠΌΠΈΠ³ΡΠ°ΡΠΈΡ ΠΌΠΎΠ½ΠΎΡΠΈΡΠΎΠ² ΠΈ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ² Π² ΠΊΡΠΎΠ²ΡΠ½ΠΎΠ΅ ΡΡΡΠ»ΠΎ [78] . Π’-Ρ Π΅Π»ΠΏΠ΅ΡΡ ΠΏΠΎΡΠ²Π»ΡΡΡΡΡ ΠΏΡΠΈ Π΄ΠΈΡΡΠ΅ΡΠ΅Π½ΡΠΈΡΠΎΠ²ΠΊΠ΅ CD4 + Π’ Π»ΠΈΠΌΡΠΎΡΠΈΡΠΎΠ², ΠΊΠΎΠ³Π΄Π° ΠΎΠ½ΠΈ ΡΠ΅Π°Π³ΠΈΡΡΡΡ Π½Π° Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅ Π°Π½ΡΠΈΠ³Π΅Π½Π° Π² ΠΏΠ΅ΡΠΈΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΈΡ Π»ΠΈΠΌΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΡ ΡΠΊΠ°Π½ΡΡ . ΠΠΊΡΠΈΠ²ΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ ΠΈΠ³ΡΠ°ΡΡ Π²Π°ΠΆΠ½ΡΡ ΡΠΎΠ»Ρ Π² ΡΠ°Π·ΡΡΡΠ΅Π½ΠΈΠΈ ΠΎΠΏΡΡ ΠΎΠ»Π΅ΠΉ ΠΏΡΡΡΠΌ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ ΡΠ°ΠΊΡΠΎΡΠ° Π½Π΅ΠΊΡΠΎΠ·Π° ΠΎΠΏΡΡ ΠΎΠ»ΠΈ Π°Π»ΡΡΠ°, Π³Π°ΠΌΠΌΠ°-ΠΈΠ½ΡΠ΅ΡΡΠ΅ΡΠΎΠ½Π°, ΠΎΠΊΡΠΈΠ΄Π° Π°Π·ΠΎΡΠ° , Π°ΠΊΡΠΈΠ²Π½ΡΡ ΡΠΎΡΠΌ ΠΊΠΈΡΠ»ΠΎΡΠΎΠ΄Π°, ΠΊΠ°ΡΠΈΠΎΠ½Π½ΡΡ Π±Π΅Π»ΠΊΠΎΠ² ΠΈ Π³ΠΈΠ΄ΡΠΎΠ»ΠΈΡΠΈΡΠ΅ΡΠΊΠΈΡ ΡΠ΅ΡΠΌΠ΅Π½ΡΠΎΠ² [75] .
ΠΠ΅ΠΉΡΡΠΎΡΠΈΠ»Ρ
ΠΠ΅ΠΉΡΡΠΎΡΠΈΠ»Ρ ΠΎΠ±ΡΡΠ½ΠΎ Π½Π°Ρ ΠΎΠ΄ΡΡΡΡ Π² ΠΊΡΠΎΠ²Π΅Π½ΠΎΡΠ½ΠΎΠΌ ΡΡΡΠ»Π΅ ΠΈ ΡΠ²Π»ΡΡΡΡΡ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½ΡΠ½Π½ΡΠΌ ΡΠΈΠΏΠΎΠΌ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ², ΡΠΎΡΡΠ°Π²Π»ΡΡ 50β60 % ΠΎΡ Π²ΡΠ΅Ρ ΡΠΈΡΠΊΡΠ»ΠΈΡΡΡΡΠΈΡ Π² ΠΊΡΠΎΠ²ΠΈ Π±Π΅Π»ΡΡ ΠΊΡΠΎΠ²ΡΠ½ΡΡ ΠΊΠ»Π΅ΡΠΎΠΊ [79] . ΠΠ΄ΠΈΠ½ Π»ΠΈΡΡ ΠΊΡΠΎΠ²ΠΈ Π²Π·ΡΠΎΡΠ»ΠΎΠ³ΠΎ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ° Π² Π½ΠΎΡΠΌΠ΅ ΡΠΎΠ΄Π΅ΡΠΆΠΈΡ ΠΎΠΊΠΎΠ»ΠΎ 2,5β7,5 ΠΌΠΈΠ»Π»ΠΈΠ°ΡΠ΄ΠΎΠ² Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ² [13] . ΠΡ Π΄ΠΈΠ°ΠΌΠ΅ΡΡ ΡΠΎΡΡΠ°Π²Π»ΡΠ΅Ρ ΠΎΠΊΠΎΠ»ΠΎ 10 ΠΌΠΊΠΌ [80] , ΠΈ ΠΆΠΈΠ²ΡΡ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Ρ ΡΠΎΠ»ΡΠΊΠΎ Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ 5 Π΄Π½Π΅ΠΉ [40] . ΠΠ°ΠΊ ΡΠΎΠ»ΡΠΊΠΎ ΠΏΠΎΡΡΡΠΏΠ°Π΅Ρ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΡΡΡΠΈΠΉ ΡΠΈΠ³Π½Π°Π», ΠΎΠ½ΠΈ Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΏΡΠΈΠΌΠ΅ΡΠ½ΠΎ 30 ΠΌΠΈΠ½ΡΡ Π²ΡΡ ΠΎΠ΄ΡΡ ΠΈΠ· ΠΊΡΠΎΠ²ΠΈ ΠΈ Π΄ΠΎΡΡΠΈΠ³Π°ΡΡ Π·ΠΎΠ½Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ [81] . ΠΠ½ΠΈ ΡΠΏΠΎΡΠΎΠ±Π½Ρ Π±ΡΡΡΡΠΎ ΠΏΠΎΠ³Π»ΠΎΡΠ°ΡΡ ΡΡΠΆΠ΅ΡΠΎΠ΄Π½ΡΠΉ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π». ΠΠ΅ΠΉΡΡΠΎΡΠΈΠ»Ρ Π½Π΅ Π²ΠΎΠ·Π²ΡΠ°ΡΠ°ΡΡΡΡ Π² ΠΊΡΠΎΠ²Ρ, Π° ΠΏΡΠ΅Π²ΡΠ°ΡΠ°ΡΡΡΡ Π² ΠΊΠ»Π΅ΡΠΊΠΈ Π³Π½ΠΎΡ ΠΈ ΠΏΠΎΠ³ΠΈΠ±Π°ΡΡ [81] . ΠΡΠ΅Π»ΡΠ΅ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Ρ ΠΌΠ΅Π½ΡΡΠ΅, ΡΠ΅ΠΌ ΠΌΠΎΠ½ΠΎΡΠΈΡΡ, ΠΈ ΠΈΠΌΠ΅ΡΡ ΡΠ΅Π³ΠΌΠ΅Π½ΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ ΡΠ΄ΡΠ° Ρ Π½Π΅ΡΠΊΠΎΠ»ΡΠΊΠΈΠΌΠΈ ΡΠ΅ΠΊΡΠΈΡΠΌΠΈ; ΠΊΠ°ΠΆΠ΄Π°Ρ ΡΠ΅ΠΊΡΠΈΡ ΡΠΎΠ΅Π΄ΠΈΠ½ΡΠ΅ΡΡΡ Ρ Ρ ΡΠΎΠΌΠ°ΡΠΈΠ½ΠΎΠ²ΡΠΌΠΈ Π½ΠΈΡΡΠΌΠΈ (Π½Π΅ΠΉΡΡΠΎΡΠΈΠ» ΠΌΠΎΠΆΠ΅Ρ ΠΈΠΌΠ΅ΡΡ 2β5 ΡΠ΅Π³ΠΌΠ΅Π½ΡΠΎΠ²). ΠΠ±ΡΡΠ½ΠΎ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Ρ Π½Π΅ Π²ΡΡ ΠΎΠ΄ΡΡ ΠΈΠ· ΠΊΠΎΡΡΠ½ΠΎΠ³ΠΎ ΠΌΠΎΠ·Π³Π° Π΄ΠΎ Π½Π°ΡΡΡΠΏΠ»Π΅Π½ΠΈΡ Π·ΡΠ΅Π»ΠΎΡΡΠΈ, Π½ΠΎ ΠΏΡΠΈ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ Π²ΡΡΠ²ΠΎΠ±ΠΎΠΆΠ΄Π°ΡΡΡΡ Π² ΠΊΡΠΎΠ²Ρ ΠΏΡΠ΅Π΄ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΈΠΊΠΈ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ² β ΠΌΠΈΠ΅Π»ΠΎΡΠΈΡΡ ΠΈ ΠΏΡΠΎΠΌΠΈΠ΅Π»ΠΎΡΠΈΡΡ [82] .
ΠΠ½ΡΡΡΠΈΠΊΠ»Π΅ΡΠΎΡΠ½ΡΠ΅ Π³ΡΠ°Π½ΡΠ»Ρ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ² ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ° ΡΠ°Π·ΡΡΡΠ°ΡΡ Π±Π΅Π»ΠΊΠΈ ΠΈ ΠΎΠ±Π»Π°Π΄Π°ΡΡ Π±Π°ΠΊΡΠ΅ΡΠΈΡΠΈΠ΄Π½ΡΠΌΠΈ ΡΠ²ΠΎΠΉΡΡΠ²Π°ΠΌΠΈ [83] . ΠΠ΅ΠΉΡΡΠΎΡΠΈΠ»Ρ ΡΠΏΠΎΡΠΎΠ±Π½Ρ Π²ΡΠ΄Π΅Π»ΡΡΡ Π²Π΅ΡΠ΅ΡΡΠ²Π°, ΠΊΠΎΡΠΎΡΡΠ΅ ΡΡΠΈΠΌΡΠ»ΠΈΡΡΡΡ ΠΌΠΎΠ½ΠΎΡΠΈΡΡ ΠΈ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ. ΠΠ΅ΠΉΡΡΠΎΡΠΈΠ»ΡΠ½ΡΠ΅ Π²ΡΠ΄Π΅Π»Π΅Π½ΠΈΡ ΡΡΠΈΠ»ΠΈΠ²Π°ΡΡ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ· ΠΈ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ Π°ΠΊΡΠΈΠ²Π½ΡΡ ΡΠΎΡΠΌ ΠΊΠΈΡΠ»ΠΎΡΠΎΠ΄Π°, ΡΡΠ°ΡΡΠ²ΡΡ ΡΠ°ΠΊΠΈΠΌ ΠΎΠ±ΡΠ°Π·ΠΎΠΌ Π²ΠΎ Π²Π½ΡΡΡΠΈΠΊΠ»Π΅ΡΠΎΡΠ½ΠΎΠΌ ΡΠ½ΠΈΡΡΠΎΠΆΠ΅Π½ΠΈΠΈ [84] . ΠΡΠ΄Π΅Π»Π΅Π½ΠΈΡ ΠΎΡ ΠΏΠ΅ΡΠ²ΠΈΡΠ½ΡΡ Π³ΡΠ°Π½ΡΠ» Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ² ΡΡΠΈΠΌΡΠ»ΠΈΡΡΡΡ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ· Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ, ΠΏΠΎΠΊΡΡΡΡΡ [85] .
ΠΠ΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ
ΠΠ΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ β ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ Π°Π½ΡΠΈΠ³Π΅Π½-ΠΏΡΠ΅Π·Π΅Π½ΡΠΈΡΡΡΡΠΈΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ, Ρ ΠΊΠΎΡΠΎΡΡΡ Π΅ΡΡΡ Π΄Π»ΠΈΠ½Π½ΡΠ΅ ΠΎΡΡΠΎΡΡΠΊΠΈ, Π½Π°Π·ΡΠ²Π°Π΅ΠΌΡΠ΅ Π΄Π΅Π½Π΄ΡΠΈΡΠ°ΠΌΠΈ [86] , ΠΊΠΎΡΠΎΡΡΠ΅ ΠΏΠΎΠΌΠΎΠ³Π°ΡΡ ΠΏΠΎΠ³Π»ΠΎΡΠ°ΡΡ ΠΌΠΈΠΊΡΠΎΠ±ΠΎΠ² ΠΈ Π΄ΡΡΠ³ΠΈΡ ΠΏΠ°ΡΠΎΠ³Π΅Π½ΠΎΠ² [87] [88] . ΠΠ΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ Π½Π°Ρ ΠΎΠ΄ΡΡΡΡ Π² ΡΠΊΠ°Π½ΡΡ , ΠΊΠΎΡΠΎΡΡΠ΅ ΠΊΠΎΠ½ΡΠ°ΠΊΡΠΈΡΡΡΡ Ρ ΠΎΠΊΡΡΠΆΠ°ΡΡΠ΅ΠΉ ΡΡΠ΅Π΄ΠΎΠΉ, Π² ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΌ Π² ΠΊΠΎΠΆΠ΅ , Π²Π½ΡΡΡΠ΅Π½Π½Π΅ΠΉ ΠΎΠ±ΠΎΠ»ΠΎΡΠΊΠ΅ Π½ΠΎΡΠ°, Π»ΡΠ³ΠΊΠΈΡ , ΠΆΠ΅Π»ΡΠ΄ΠΊΠ° ΠΈ ΠΊΠΈΡΠ΅ΡΠ½ΠΈΠΊΠ° [89] . ΠΠΎΡΠ»Π΅ Π°ΠΊΡΠΈΠ²Π°ΡΠΈΠΈ ΠΎΠ½ΠΈ ΡΠΎΠ·ΡΠ΅Π²Π°ΡΡ ΠΈ ΠΌΠΈΠ³ΡΠΈΡΡΡΡ Π² Π»ΠΈΠΌΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠΊΠ°Π½ΠΈ, Π³Π΄Π΅ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΡΡΡ Ρ Π’- ΠΈ B-Π»ΠΈΠΌΡΠΎΡΠΈΡΠ°ΠΌΠΈ Π΄Π»Ρ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΡ ΠΈ ΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΡΠΈΠΈ ΠΏΡΠΈΠΎΠ±ΡΠ΅ΡΡΠ½Π½ΠΎΠ³ΠΎ ΠΈΠΌΠΌΡΠ½Π½ΠΎΠ³ΠΎ ΠΎΡΠ²Π΅ΡΠ° [90] .
ΠΡΠ΅Π»ΡΠ΅ Π΄Π΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ Π°ΠΊΡΠΈΠ²ΠΈΡΡΡΡ Π’-Ρ Π΅Π»ΠΏΠ΅ΡΡ ΠΈ Π’-ΠΊΠΈΠ»Π»Π΅ΡΡ [91] . ΠΠΊΡΠΈΠ²ΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ Π’-Ρ Π΅Π»ΠΏΠ΅ΡΡ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΡΡΡ Ρ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³Π°ΠΌΠΈ ΠΈ B-Π»ΠΈΠΌΡΠΎΡΠΈΡΠ°ΠΌΠΈ ΡΡΠΎΠ±Ρ, Π² ΡΠ²ΠΎΡ ΠΎΡΠ΅ΡΠ΅Π΄Ρ, Π°ΠΊΡΠΈΠ²ΠΈΡΠΎΠ²Π°ΡΡ ΠΈΡ . ΠΡΠΎΠΌΠ΅ ΡΠΎΠ³ΠΎ, Π΄Π΅Π½Π΄ΡΠΈΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΡΠΏΠΎΡΠΎΠ±Π½Ρ Π²Π»ΠΈΡΡΡ Π½Π° Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΠ΅ ΡΠΎΠ³ΠΎ ΠΈΠ»ΠΈ ΠΈΠ½ΠΎΠ³ΠΎ ΡΠΈΠΏΠ° ΠΈΠΌΠΌΡΠ½Π½ΠΎΠ³ΠΎ ΠΎΡΠ²Π΅ΡΠ°; ΠΊΠΎΠ³Π΄Π° ΠΎΠ½ΠΈ ΠΏΠ΅ΡΠ΅ΠΌΠ΅ΡΠ°ΡΡΡΡ Π² Π»ΠΈΠΌΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π·ΠΎΠ½Ρ, ΠΎΠ½ΠΈ ΡΠΏΠΎΡΠΎΠ±Π½Ρ Π°ΠΊΡΠΈΠ²ΠΈΡΠΎΠ²Π°ΡΡ Π½Π°Ρ ΠΎΠ΄ΡΡΠΈΠ΅ΡΡ ΡΠ°ΠΌ Π’-Π»ΠΈΠΌΡΠΎΡΠΈΡΡ, ΠΊΠΎΡΠΎΡΡΠ΅ Π·Π°ΡΠ΅ΠΌ Π΄ΠΈΡΡΠ΅ΡΠ΅Π½ΡΠΈΡΡΡΡ Π² Π’-ΠΊΠΈΠ»Π»Π΅ΡΡ ΠΈ Π’-Ρ Π΅Π»ΠΏΠ΅ΡΡ [92]
Π’ΡΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ
Π’ΡΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΠΈΠΌΠ΅ΡΡ Toll-ΠΏΠΎΠ΄ΠΎΠ±Π½ΡΠ΅ ΡΠ΅ΡΠ΅ΠΏΡΠΎΡΡ ΠΈ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΡΡΡ Ρ Π΄Π΅Π½Π΄ΡΠΈΡΠ½ΡΠΌΠΈ ΠΊΠ»Π΅ΡΠΊΠ°ΠΌΠΈ, Π’- ΠΈ B-Π»ΠΈΠΌΡΠΎΡΠΈΡΠ°ΠΌΠΈ. Π’ΡΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΡΠΊΡΠΏΡΠ΅ΡΡΠΈΡΡΡΡ MHC ΠΊΠ»Π°ΡΡΠ° II ΠΈ ΠΌΠΎΠ³ΡΡ ΠΏΡΠΈΠ½ΠΈΠΌΠ°ΡΡ ΡΡΠ°ΡΡΠΈΠ΅ Π² ΠΏΡΠ΅Π·Π΅Π½ΡΠ°ΡΠΈΠΈ Π°Π½ΡΠΈΠ³Π΅Π½Π°; ΠΎΠ΄Π½Π°ΠΊΠΎ ΡΠΎΠ»Ρ ΡΡΡΠ½ΡΡ ΠΊΠ»Π΅ΡΠΎΠΊ Π² ΠΏΡΠ΅Π·Π΅Π½ΡΠ°ΡΠΈΠΈ Π°Π½ΡΠΈΠ³Π΅Π½Π° Π΅ΡΡ Π½Π΅ Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎ ΠΈΠ·ΡΡΠ΅Π½Π° [93] . Π’ΡΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΡΠΏΠΎΡΠΎΠ±Π½Ρ ΠΏΠΎΠ³Π»ΠΎΡΠ°ΡΡ, ΡΠ±ΠΈΠ²Π°ΡΡ Π³ΡΠ°ΠΌΠΎΡΡΠΈΡΠ°ΡΠ΅Π»ΡΠ½ΡΠ΅ Π±Π°ΠΊΡΠ΅ΡΠΈΠΈ (Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, ΡΠ°Π»ΡΠΌΠΎΠ½Π΅Π»Π»Ρ ) ΠΈ ΠΎΠ±ΡΠ°Π±Π°ΡΡΠ²Π°ΡΡ ΠΈΡ Π°Π½ΡΠΈΠ³Π΅Π½Ρ [94] ΠΠ½ΠΈ ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΠ·ΠΈΡΡΡΡΡΡ Π½Π° ΠΎΠ±ΡΠ°Π±ΠΎΡΠΊΠ΅ ΡΠΈΠΌΠ±ΡΠΈΠ°Π»ΡΠ½ΡΡ Π±Π΅Π»ΠΊΠΎΠ² Π½Π° ΠΏΠΎΠ²Π΅ΡΡ Π½ΠΎΡΡΠΈ Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ, ΠΊΠΎΡΠΎΡΡΠ΅ ΡΡΠ°ΡΡΠ²ΡΡΡ Π² ΠΏΡΠΈΠΊΡΠ΅ΠΏΠ»Π΅Π½ΠΈΠΈ ΠΊ ΡΠΊΠ°Π½ΡΠΌ [95] [96] . ΠΡΠΎΠΌΠ΅ ΡΡΠΈΡ ΡΡΠ½ΠΊΡΠΈΠΉ, ΡΡΡΠ½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΠΎΠ±ΡΠ°Π·ΡΡΡ ΡΠΈΡΠΎΠΊΠΈΠ½Ρ, ΠΊΠΎΡΠΎΡΡΠ΅ Π·Π°ΠΏΡΡΠΊΠ°ΡΡ ΡΠ΅Π°ΠΊΡΠΈΡ Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΡ [97] . ΠΡΠΎ Π²Π°ΠΆΠ½Π°Ρ ΡΠ°ΡΡΡ ΡΠ½ΠΈΡΡΠΎΠΆΠ΅Π½ΠΈΡ ΠΌΠΈΠΊΡΠΎΠ±ΠΎΠ², ΠΏΠΎΡΠΎΠΌΡ ΡΡΠΎ ΡΠΈΡΠΎΠΊΠΈΠ½Ρ ΠΏΡΠΈΠ²Π»Π΅ΠΊΠ°ΡΡ Π±ΠΎΠ»ΡΡΠ΅ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ² ΠΊ Π·ΠΎΠ½Π΅ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ [94] .
ΠΠ΅ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠ΅ ΡΠ°Π³ΠΎΡΠΈΡΡ
Π£ΠΌΠΈΡΠ°ΡΡΠΈΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΠΈ ΡΡΠΆΠ΅ΡΠΎΠ΄Π½ΡΠ΅ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΡ ΠΏΠΎΠ³Π»ΠΎΡΠ°ΡΡΡΡ ΠΊΠ»Π΅ΡΠΊΠ°ΠΌΠΈ, ΠΎΡΠ»ΠΈΡΠ½ΡΠΌΠΈ ΠΎΡ Β«ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΡ Β» ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ² [98] . Π ΡΠ°ΠΊΠΈΠΌ ΠΊΠ»Π΅ΡΠΊΠ°ΠΌ ΠΎΡΠ½ΠΎΡΡΡ ΡΠΏΠΈΡΠ΅Π»ΠΈΠ°Π»ΡΠ½ΡΠ΅ , ΡΠ½Π΄ΠΎΡΠ΅Π»ΠΈΠ°Π»ΡΠ½ΡΠ΅ , ΠΏΠ°ΡΠ΅Π½Ρ ΠΈΠΌΠ°ΡΠΎΠ·Π½ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΠΈ ΡΠΈΠ±ΡΠΎΠ±Π»Π°ΡΡΡ . ΠΡ Π½Π°Π·ΡΠ²Π°ΡΡ Π½Π΅ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠΌΠΈ ΡΠ°Π³ΠΎΡΠΈΡΠ°ΠΌΠΈ, ΡΡΠΎΠ±Ρ ΠΏΠΎΠ΄ΡΠ΅ΡΠΊΠ½ΡΡΡ, ΡΡΠΎ, Π² ΠΎΡΠ»ΠΈΡΠΈΠ΅ ΠΎΡ ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΡ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ², ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ· Π΄Π»Ρ Π½ΠΈΡ Π½Π΅ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ ΡΡΠ½ΠΊΡΠΈΠ΅ΠΉ [99] . Π€ΠΈΠ±ΡΠΎΠ±Π»Π°ΡΡΡ, Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΌΠΎΠ³ΡΡ ΡΠ°Π³ΠΎΡΠΈΡΠΈΡΠΎΠ²Π°ΡΡ ΠΊΠΎΠ»Π»Π°Π³Π΅Π½ Π² ΠΏΡΠΎΡΠ΅ΡΡΠ΅ ΡΠ°ΡΡΠ°ΡΡΠ²Π°Π½ΠΈΡ ΡΡΠ±ΡΠΎΠ², ΡΠ°ΠΊΠΆΠ΅ ΡΠΏΠΎΡΠΎΠ±Π½Ρ ΡΠ°ΡΡΠΈΡΠ½ΠΎ ΠΏΠΎΠ³Π»ΠΎΡΠ°ΡΡ ΡΡΠΆΠ΅ΡΠΎΠ΄Π½ΡΠ΅ ΡΠ°ΡΡΠΈΡΡ [100] .
ΠΠ΅ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠ΅ ΡΠ°Π³ΠΎΡΠΈΡΡ Π±ΠΎΠ»Π΅Π΅ ΠΎΠ³ΡΠ°Π½ΠΈΡΠ΅Π½Ρ, ΡΠ΅ΠΌ ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠ΅, Π² ΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΠΈ ΡΠ°ΡΡΠΈΡ, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΎΠ½ΠΈ ΠΌΠΎΠ³ΡΡ ΠΏΠΎΠ³Π»ΠΎΡΠΈΡΡ. ΠΡΠΎ ΡΠ²ΡΠ·Π°Π½ΠΎ Ρ ΠΎΡΡΡΡΡΡΠ²ΠΈΠ΅ΠΌ Ρ Π½ΠΈΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΡΡ ΡΠ°Π³ΠΎΡΠΈΡΠ°ΡΠ½ΡΡ ΡΠ΅ΡΠ΅ΠΏΡΠΎΡΠΎΠ², Π² ΡΠ°ΡΡΠ½ΠΎΡΡΠΈ, ΠΎΠΏΡΠΎΠ½ΠΈΠ½ΠΎΠ² [12] . ΠΡΠΎΠΌΠ΅ ΡΠΎΠ³ΠΎ, Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²ΠΎ Π½Π΅ΠΏΡΠΎΡΠ΅ΡΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΡ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ² Π½Π΅ ΠΎΠ±ΡΠ°Π·ΡΡΡ ΡΠ΅Π°ΠΊΡΠΈΠ²Π½ΡΠ΅ ΠΊΠΈΡΠ»ΠΎΡΠΎΠ΄-ΡΠΎΠ΄Π΅ΡΠΆΠ°ΡΠΈΠ΅ ΠΌΠΎΠ»Π΅ΠΊΡΠ»Ρ Π΄Π»Ρ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ·Π° [101] .
| ΠΡΠ½ΠΎΠ²Π½ΠΎΠ΅ ΡΠ°ΡΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅ | ΠΠ°ΡΠΈΠ°Π½ΡΡ ΡΠ΅Π½ΠΎΡΠΈΠΏΠΎΠ² |
|---|---|
| ΠΡΠΎΠ²Ρ, Π»ΠΈΠΌΡΠ° ΠΈ Π»ΠΈΠΌΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠ·Π»Ρ | Lymphocytes |
| ΠΡΠΎΠ²Ρ, Π»ΠΈΠΌΡΠ° ΠΈ Π»ΠΈΠΌΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠ·Π»Ρ | ΠΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΠ΅ ΠΊΠΈΠ»Π»Π΅ΡΡ ΠΈ ΠΊΡΡΠΏΠ½ΡΠ΅ Π³ΡΠ°Π½ΡΠ»ΡΡΠ½ΡΠ΅ Π»ΠΈΠΌΡΠΎΡΠΈΡΡ |
| Leather | ΠΠΏΠΈΡΠ΅Π»ΠΈΠΎΡΠΈΡΡ |
| Blood vessels | ΠΠ½Π΄ΠΎΡΠ΅Π»ΠΈΠΎΡΠΈΡΡ |
| Π‘ΠΎΠ΅Π΄ΠΈΠ½ΠΈΡΠ΅Π»ΡΠ½Π°Ρ ΡΠΊΠ°Π½Ρ | Π€ΠΈΠ±ΡΠΎΠ±Π»Π°ΡΡΡ |
| ΠΡΠΎΠ²Ρ | ΠΡΠΈΡΡΠΎΡΠΈΡΡ |
Π£ΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΡ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π°
ΠΠ°ΡΠΎΠ³Π΅Π½ Π²ΡΠ·ΡΠ²Π°Π΅Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΡ, Π΅ΡΠ»ΠΈ ΡΠΎΠ»ΡΠΊΠΎ ΠΎΠ½ ΠΏΡΠ΅ΠΎΠ΄ΠΎΠ»Π΅Π» Π·Π°ΡΠΈΡΠ½ΡΠ΅ ΡΡΠ±Π΅ΠΆΠΈ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ°. ΠΠ°ΡΠΎΠ³Π΅Π½Π½ΡΠ΅ Π±Π°ΠΊΡΠ΅ΡΠΈΠΈ ΠΈ ΠΏΡΠΎΡΡΠ΅ΠΉΡΠΈΠ΅ ΡΠ°Π·Π²ΠΈΠ²Π°ΡΡ ΡΠ°Π·Π»ΠΈΡΠ½ΡΠ΅ ΠΌΠ΅Ρ Π°Π½ΠΈΠ·ΠΌΡ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ ΠΊ Π°ΡΠ°ΠΊΠ°ΠΌ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ², ΠΈ ΠΌΠ½ΠΎΠ³ΠΈΠ΅ ΠΈΠ· Π½ΠΈΡ Π΄Π΅ΠΉΡΡΠ²ΠΈΡΠ΅Π»ΡΠ½ΠΎ Π²ΡΠΆΠΈΠ²Π°ΡΡ ΠΈ ΡΠ°Π·ΠΌΠ½ΠΎΠΆΠ°ΡΡΡΡ Π²Π½ΡΡΡΠΈ ΡΠ°Π³ΠΎΡΠΈΡΠΈΡΡΡΡΠΈΡ ΠΊΠ»Π΅ΡΠΎΠΊ [102] [103] .
ΠΠ·Π±Π΅ΠΆΠ°Π½ΠΈΠ΅ ΠΊΠΎΠ½ΡΠ°ΠΊΡΠ°
Π£ Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ Π΅ΡΡΡ Π½Π΅ΡΠΊΠΎΠ»ΡΠΊΠΎ ΡΠΏΠΎΡΠΎΠ±ΠΎΠ² ΠΈΠ·Π±Π΅ΠΆΠ°ΡΡ ΠΊΠΎΠ½ΡΠ°ΠΊΡΠ° Ρ ΡΠ°Π³ΠΎΡΠΈΡΠ°ΠΌΠΈ. ΠΠΎ-ΠΏΠ΅ΡΠ²ΡΡ , ΠΎΠ½ΠΈ ΠΌΠΎΠ³ΡΡ ΠΆΠΈΡΡ Π² ΠΌΠ΅ΡΡΠ°Ρ , ΠΊΡΠ΄Π° ΡΠ°Π³ΠΎΡΠΈΡΡ Π½Π΅ ΡΠΏΠΎΡΠΎΠ±Π½Ρ ΠΏΠΎΠΏΠ°ΡΡΡ (Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄ΡΠ½Π½ΡΠΉ ΠΊΠΎΠΆΠ½ΡΠΉ ΠΏΠΎΠΊΡΠΎΠ²). ΠΠΎ-Π²ΡΠΎΡΡΡ , Π±Π°ΠΊΡΠ΅ΡΠΈΡ ΠΌΠΎΠΆΠ΅Ρ ΠΏΠΎΠ΄Π°Π²Π»ΡΡΡ ΡΠ΅Π°ΠΊΡΠΈΡ Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΡ; Π±Π΅Π· Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΡ ΡΠ°Π³ΠΎΡΠΈΡΡ Π½Π΅ ΡΠΏΠΎΡΠΎΠ±Π½Ρ ΡΠ΅Π°Π³ΠΈΡΠΎΠ²Π°ΡΡ Π½Π° ΠΈΠ½ΡΠ΅ΠΊΡΠΈΡ Π°Π΄Π΅ΠΊΠ²Π°ΡΠ½ΠΎ. Π-ΡΡΠ΅ΡΡΠΈΡ , Π½Π΅ΠΊΠΎΡΠΎΡΡΠ΅ Π²ΠΈΠ΄Ρ Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ ΠΌΠΎΠ³ΡΡ Π·Π°ΠΌΠ΅Π΄Π»ΡΡΡ ΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡΡ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ² ΠΏΠ΅ΡΠ΅ΠΌΠ΅ΡΠ°ΡΡΡΡ Π² Π·ΠΎΠ½Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ, ΠΏΡΠ΅ΠΏΡΡΡΡΠ²ΡΡ Ρ Π΅ΠΌΠΎΡΠ°ΠΊΡΠΈΡΡ [102] . Π-ΡΠ΅ΡΠ²ΡΡΡΡΡ , Π½Π΅ΠΊΠΎΡΠΎΡΡΠ΅ Π±Π°ΠΊΡΠ΅ΡΠΈΠΈ ΡΠΏΠΎΡΠΎΠ±Π½Ρ ΠΈΠ·Π±Π΅Π³Π°ΡΡ ΠΊΠΎΠ½ΡΠ°ΠΊΡΠ° Ρ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠΌ ΠΏΡΡΡΠΌ ΠΎΠ±ΠΌΠ°Π½Π° ΠΈΠΌΠΌΡΠ½Π½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ, ΠΊΠΎΡΠΎΡΠ°Ρ Π½Π°ΡΠΈΠ½Π°Π΅Ρ Β«Π΄ΡΠΌΠ°ΡΡΒ», ΡΡΠΎ Π±Π°ΠΊΡΠ΅ΡΠΈΡ β ΠΊΠ»Π΅ΡΠΊΠ° ΡΠ°ΠΌΠΎΠ³ΠΎ ΠΌΠ°ΠΊΡΠΎΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ°. ΠΠ»Π΅Π΄Π½Π°Ρ ΡΡΠ΅ΠΏΠΎΠ½Π΅ΠΌΠ° (Π±Π°ΠΊΡΠ΅ΡΠΈΡ, Π²ΡΠ·ΡΠ²Π°ΡΡΠ°Ρ ΡΠΈΡΠΈΠ»ΠΈΡ ) ΡΠΊΡΡΠ²Π°Π΅ΡΡΡ ΠΎΡ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ², ΠΏΠΎΠΊΡΡΠ²Π°Ρ ΡΠ²ΠΎΡ ΠΏΠΎΠ²Π΅ΡΡ Π½ΠΎΡΡΡ ΡΠΈΠ±ΡΠΎΠ½Π΅ΠΊΡΠΈΠ½ΠΎΠΌ [104] , ΠΊΠΎΡΠΎΡΡΠΉ Π΅ΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ ΠΎΠ±ΡΠ°Π·ΡΠ΅ΡΡΡ Π² ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ΅ ΠΈ ΠΈΠ³ΡΠ°Π΅Ρ Π²Π°ΠΆΠ½ΡΡ ΡΠΎΠ»Ρ Π² Π·Π°ΠΆΠΈΠ²Π»Π΅Π½ΠΈΠΈ ΡΠ°Π½Ρ [105] .
ΠΠ·Π±Π΅ΠΆΠ°Π½ΠΈΠ΅ ΠΏΠΎΠ³Π»ΠΎΡΠ΅Π½ΠΈΡ
ΠΠ°ΠΊΡΠ΅ΡΠΈΠΈ ΡΠ°ΡΡΠΎ ΠΎΠ±ΡΠ°Π·ΡΡΡ Π±Π΅Π»ΠΊΠΈ ΠΈΠ»ΠΈ ΡΠ°Ρ Π°ΡΠ°, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΏΠΎΠΊΡΡΠ²Π°ΡΡ ΠΈΡ ΠΊΠ»Π΅ΡΠΊΠΈ ΠΈ ΠΏΡΠ΅ΠΏΡΡΡΡΠ²ΡΡΡ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ·Ρ; ΠΎΠ½ΠΈ Π²Ρ ΠΎΠ΄ΡΡ Π² ΡΠΎΡΡΠ°Π² Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΠΊΠ°ΠΏΡΡΠ»Ρ [102] . ΠΠ°ΠΏΡΠΈΠΌΠ΅Ρ, K5 ΠΊΠ°ΠΏΡΡΠ»ΡΠ½ΡΠΉ Π°Π½ΡΠΈΠ³Π΅Π½ ΠΈ O75 O-Π°Π½ΡΠΈΠ³Π΅Π½ ΠΏΡΠΈΡΡΡΡΡΠ²ΡΡΡ Π½Π° ΠΏΠΎΠ²Π΅ΡΡ Π½ΠΎΡΡΠΈ Escherichia coli [106] ΠΈ ΠΊΠ°ΠΏΡΡΠ» [107] . ΠΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊ ΠΎΠ±ΡΠ°Π·ΡΠ΅Ρ Π½Π΅ΡΠΊΠΎΠ»ΡΠΊΠΎ ΡΠΈΠΏΠΎΠ² ΠΊΠ°ΠΏΡΡΠ», ΠΊΠΎΡΠΎΡΡΠ΅ ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°ΡΡ ΡΠ°Π·Π»ΠΈΡΠ½ΡΠ΅ ΡΡΠΎΠ²Π½ΠΈ Π·Π°ΡΠΈΡΡ [108] , Π° ΡΡΡΠ΅ΠΏΡΠΎΠΊΠΎΠΊΠΊΠΈ Π³ΡΡΠΏΠΏΡ Π ΠΎΠ±ΡΠ°Π·ΡΡΡ Π±Π΅Π»ΠΊΠΈ, Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ M-Π±Π΅Π»ΠΎΠΊ ΠΈ ΡΠΈΠΌΠ±ΡΠΈΠ°Π»ΡΠ½ΡΠ΅ Π±Π΅Π»ΠΊΠΈ, ΠΊΠΎΡΠΎΡΡΠ΅ Π±Π»ΠΎΠΊΠΈΡΡΡΡ ΠΏΡΠΎΡΠ΅ΡΡ ΠΏΠΎΠ³Π»ΠΎΡΠ΅Π½ΠΈΡ. ΠΠ΅ΠΊΠΎΡΠΎΡΡΠ΅ Π±Π΅Π»ΠΊΠΈ ΠΏΡΠ΅ΠΏΡΡΡΡΠ²ΡΡΡ ΠΎΠΏΡΠΎΠ½ΠΈΠ½-ΡΠ²ΡΠ·Π°Π½Π½ΠΎΠΌΡ ΠΏΠΎΠ³Π»ΠΎΡΠ΅Π½ΠΈΡ; Staphylococcus aureus ΠΎΠ±ΡΠ°Π·ΡΠ΅Ρ Π±Π΅Π»ΠΎΠΊ Π Π΄Π»Ρ Π±Π»ΠΎΠΊΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΡΠ΅ΡΠ΅ΠΏΡΠΎΡΠΎΠ² Π°Π½ΡΠΈΡΠ΅Π», ΡΡΠΎ ΡΠ½ΠΈΠΆΠ°Π΅Ρ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΎΠΏΡΠΎΠ½ΠΈΠ½ΠΎΠ² [109] .
ΠΡΠΆΠΈΠ²Π°Π½ΠΈΠ΅ Π²Π½ΡΡΡΠΈ ΡΠ°Π³ΠΎΡΠΈΡΠ°
Π£ Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ ΡΠ°Π·Π²ΠΈΡΡ ΡΠΏΠΎΡΠΎΠ±Ρ Π²ΡΠΆΠΈΠ²Π°Π½ΠΈΡ Π²Π½ΡΡΡΠΈ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ², Π³Π΄Π΅ ΠΎΠ½ΠΈ ΠΏΡΠΎΠ΄ΠΎΠ»ΠΆΠ°ΡΡ ΡΠΊΠ»ΠΎΠ½ΡΡΡΡΡ ΠΎΡ ΠΈΠΌΠΌΡΠ½Π½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ [110] . ΠΠ»Ρ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΠ³ΠΎ ΠΏΡΠΎΠ½ΠΈΠΊΠ½ΠΎΠ²Π΅Π½ΠΈΡ Π²Π½ΡΡΡΡ ΡΠ°Π³ΠΎΡΠΈΡΠ° ΠΎΠ½ΠΈ Π²ΡΠ΄Π΅Π»ΡΡΡ Π±Π΅Π»ΠΊΠΈ, Π½Π°Π·ΡΠ²Π°Π΅ΠΌΡΠ΅ Β«ΠΈΠ½Π²Π°Π·ΠΈΠ½Π°ΠΌΠΈΒ». ΠΠΊΠ°Π·Π°Π²ΡΠΈΡΡ Π²Π½ΡΡΡΠΈ ΠΊΠ»Π΅ΡΠΊΠΈ, ΠΎΠ½ΠΈ ΠΎΡΡΠ°ΡΡΡΡ Π² ΡΠΈΡΠΎΠΏΠ»Π°Π·ΠΌΠ΅ ΠΈ ΠΈΠ·Π±Π΅Π³Π°ΡΡ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΡ ΡΠΎΠΊΡΠΈΡΠ΅ΡΠΊΠΈΡ Π²Π΅ΡΠ΅ΡΡΠ², ΡΠΎΠ΄Π΅ΡΠΆΠ°ΡΠΈΡ ΡΡ Π² ΡΠ°Π³ΠΎΠ»ΠΈΠ·ΠΎΡΠΎΠΌΠ°Ρ [111] . ΠΠ΅ΠΊΠΎΡΠΎΡΡΠ΅ Π±Π°ΠΊΡΠ΅ΡΠΈΠΈ ΠΏΡΠ΅ΠΏΡΡΡΡΠ²ΡΡΡ ΡΠ»ΠΈΡΠ½ΠΈΡ ΡΠ°Π³ΠΎΡΠΎΠΌΡ ΠΈ Π»ΠΈΠ·ΠΎΡΠΎΠΌΡ [102] . ΠΡΡΠ³ΠΈΠ΅ ΠΏΠ°ΡΠΎΠ³Π΅Π½Ρ, Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, Π»Π΅ΠΉΡΠΌΠ°Π½ΠΈΠΈ , ΠΎΠ±ΡΠ°Π·ΡΡΡ Π²ΡΡΠΎΠΊΠΎΠΌΠΎΠ΄ΠΈΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ Π²Π°ΠΊΡΠΎΠ»ΠΈ Π²Π½ΡΡΡΠΈ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ², ΡΡΠΎ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ ΠΈΠΌ ΡΠΎΡ ΡΠ°Π½ΡΡΡ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΡ ΠΈ ΡΠ°Π·ΠΌΠ½ΠΎΠΆΠ°ΡΡΡΡ [112] . Legionella pneumophila ΠΎΠ±ΡΠ°Π·ΡΠ΅Ρ ΡΠ΅ΠΊΡΠ΅Ρ, ΠΊΠΎΡΠΎΡΡΠΉ Π·Π°ΡΡΠ°Π²Π»ΡΠ΅Ρ ΡΠ°Π³ΠΎΡΠΈΡΡ ΡΠ»ΠΈΠ²Π°ΡΡΡΡ Ρ Π²Π΅Π·ΠΈΠΊΡΠ»Π°ΠΌΠΈ , ΠΎΡΠ»ΠΈΡΠ½ΡΠΌΠΈ ΠΎΡ ΡΠ΅Ρ , ΡΡΠΎ ΡΠΎΠ΄Π΅ΡΠΆΠ°Ρ ΡΠΎΠΊΡΠΈΡΠ½ΡΠ΅ Π²Π΅ΡΠ΅ΡΡΠ²Π° [113] . ΠΡΡΠ³ΠΈΠ΅ Π±Π°ΠΊΡΠ΅ΡΠΈΠΈ ΡΠΏΠΎΡΠΎΠ±Π½Ρ ΠΆΠΈΡΡ Π²Π½ΡΡΡΠΈ ΡΠ°Π³ΠΎΠ»ΠΈΠ·ΠΎΡΠΎΠΌ. Staphylococcus aureus , Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, ΠΎΠ±ΡΠ°Π·ΡΠ΅Ρ ΡΠ΅ΡΠΌΠ΅Π½ΡΡ ΠΊΠ°ΡΠ°Π»Π°Π·Π° ΠΈ ΡΡΠΏΠ΅ΡΠΎΠΊΡΠΈΠ΄Π΄ΠΈΡΠΌΡΡΠ°Π·Π° , ΠΊΠΎΡΠΎΡΡΠ΅ ΡΠ°Π·ΡΡΡΠ°ΡΡ Ρ ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π²Π΅ΡΠ΅ΡΡΠ²Π° (Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, ΠΏΠ΅ΡΠΎΠΊΡΠΈΠ΄ Π²ΠΎΠ΄ΠΎΡΠΎΠ΄Π° ), ΠΎΠ±ΡΠ°Π·ΡΠ΅ΠΌΡΠ΅ ΡΠ°Π³ΠΎΡΠΈΡΠ°ΠΌΠΈ Π΄Π»Ρ ΡΠ½ΠΈΡΡΠΎΠΆΠ΅Π½ΠΈΡ Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ [114] . ΠΠ°ΠΊΡΠ΅ΡΠΈΠΈ ΠΌΠΎΠ³ΡΡ Π²ΡΡ ΠΎΠ΄ΠΈΡΡ ΠΈΠ· ΡΠ°Π³ΠΎΡΠΎΠΌΡ ΠΏΠ΅ΡΠ΅Π΄ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΡΠ°Π³ΠΎΠ»ΠΈΠ·ΠΎΡΠΎΠΌΡ: ΡΠΏΠΎΡΠΎΠ±Π½Π° ΠΎΠ±ΡΠ°Π·ΠΎΠ²ΡΠ²Π°ΡΡ ΠΎΡΠ²Π΅ΡΡΡΠΈΠ΅ Π² ΡΡΠ΅Π½ΠΊΠ΅ ΡΠ°Π³ΠΎΡΠΎΠΌΡ, ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΡ ΡΠ΅ΡΠΌΠ΅Π½ΡΡ, Π½Π°Π·ΡΠ²Π°Π΅ΠΌΡΠ΅ ΠΈ ΡΠΎΡΡΠΎΠ»ΠΈΠΏΠ°Π·Π° C [115] .
Π£Π½ΠΈΡΡΠΎΠΆΠ΅Π½ΠΈΠ΅
Π£ Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ ΡΠ°Π·Π²ΠΈΡΡ Π½Π΅ΠΊΠΎΡΠΎΡΡΠ΅ ΡΠΏΠΎΡΠΎΠ±Ρ ΡΠ½ΠΈΡΡΠΎΠΆΠ΅Π½ΠΈΡ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ² [109] . Π Π½ΠΈΠΌ ΠΎΡΠ½ΠΎΡΡΡΡΡ , ΠΊΠΎΡΠΎΡΡΠ΅ ΠΎΠ±ΡΠ°Π·ΡΡΡ ΠΏΠΎΡΡ Π² ΠΊΠ»Π΅ΡΠΎΡΠ½ΠΎΠΉ ΠΌΠ΅ΠΌΠ±ΡΠ°Π½Π΅ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ², ΡΡΡΠ΅ΠΏΡΠΎΠ»ΠΈΠ·ΠΈΠ½Ρ ΠΈ Π»Π΅ΠΉΠΊΠΎΡΠΈΠ΄ΠΈΠ½Ρ , ΠΊΠΎΡΠΎΡΡΠ΅ Π²ΡΠ·ΡΠ²Π°ΡΡ ΡΠ°Π·ΡΡΠ² Π³ΡΠ°Π½ΡΠ» Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ² ΠΎΡΠ²ΠΎΠ±ΠΎΠΆΠ΄Π΅Π½ΠΈΠ΅ ΡΠΎΠΊΡΠΈΡΠ΅ΡΠΊΠΈΡ Π²Π΅ΡΠ΅ΡΡΠ² [116] [117] , ΠΈ ΡΠΊΠ·ΠΎΡΠΎΠΊΡΠΈΠ½Ρ , ΠΊΠΎΡΠΎΡΡΠ΅ ΡΠ½ΠΈΠΆΠ°ΡΡ ΠΏΠΎΡΡΡΠΏΠ»Π΅Π½ΠΈΡ ΠΠ’Π€ Π΄Π»Ρ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ², Π½Π΅ΠΎΠ±Ρ ΠΎΠ΄ΠΈΠΌΡΡ Π΄Π»Ρ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ·Π°. ΠΡΠ΄ΡΡΠΈ ΠΏΠΎΠ³Π»ΠΎΡΡΠ½Π½ΡΠΌΠΈ, Π±Π°ΠΊΡΠ΅ΡΠΈΠΈ ΠΌΠΎΠ³ΡΡ ΡΠ±ΠΈΠ²Π°ΡΡ ΡΠ°Π³ΠΎΡΠΈΡΡ, Π²ΡΡΠ²ΠΎΠ±ΠΎΠΆΠ΄Π°Ρ ΡΠΎΠΊΡΠΈΠ½Ρ, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΏΠ΅ΡΠ΅ΠΌΠ΅ΡΠ°ΡΡΡΡ ΠΈΠ· ΠΌΠ΅ΠΌΠ±ΡΠ°Π½ ΡΠ°Π³ΠΎΡΠΎΠΌ ΠΈΠ»ΠΈ ΡΠ°Π³ΠΎΠ»ΠΈΠ·ΠΎΡΠΎΠΌ ΠΊ Π΄ΡΡΠ³ΠΈΠΌ ΡΠ°ΡΡΡΠΌ ΠΊΠ»Π΅ΡΠΊΠΈ [102] .
ΠΠ°ΡΡΡΠ΅Π½ΠΈΠ΅ ΠΏΠ΅ΡΠ΅Π΄Π°ΡΠΈ ΡΠΈΠ³Π½Π°Π»Π° Π² ΠΊΠ»Π΅ΡΠΊΠ΅
ΠΠ΅ΠΊΠΎΡΠΎΡΡΠ΅ ΡΡΡΠ°ΡΠ΅Π³ΠΈΠΈ Π²ΡΠΆΠΈΠ²Π°Π½ΠΈΡ ΡΠ°ΡΡΠΎ ΡΠ²ΡΠ·Π°Π½Ρ Ρ Π½Π°ΡΡΡΠ΅Π½ΠΈΠ΅ΠΌ ΡΠΈΡΠΎΠΊΠΈΠ½ΠΎΠ²ΠΎΠΉ ΠΏΠ΅ΡΠ΅Π΄Π°ΡΠΈ ΠΈ Π΄ΡΡΠ³ΠΈΡ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² ΠΏΠ΅ΡΠ΅Π΄Π°ΡΠΈ ΡΠΈΠ³Π½Π°Π»Π° Π² ΠΊΠ»Π΅ΡΠΊΠ΅ Π΄Π»Ρ ΠΏΡΠ΅Π΄ΠΎΡΠ²ΡΠ°ΡΠ΅Π½ΠΈΡ ΡΠ΅Π°ΠΊΡΠΈΠΈ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ² Π½Π° ΠΈΠ½Π²Π°Π·ΠΈΡ [118] . Π’Π°ΠΊΠΈΠ΅ ΠΏΠ°ΡΠ°Π·ΠΈΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΡΠΎΡΡΠ΅ΠΉΡΠΈΠ΅, ΠΊΠ°ΠΊ Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ Toxoplasma gondii , Trypanosoma cruzi ΠΈ Leishmania , ΠΈΠ½ΡΠΈΡΠΈΡΡΡΡ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ; ΠΊΠ°ΠΆΠ΄ΡΠΉ ΠΈΠ· Π½ΠΈΡ ΠΈΠΌΠ΅Π΅Ρ ΡΠ½ΠΈΠΊΠ°Π»ΡΠ½ΡΠΉ ΡΠΏΠΎΡΠΎΠ± ΠΏΠΎΠ΄Π°Π²Π»Π΅Π½ΠΈΡ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΎΠ². ΠΠ΅ΠΊΠΎΡΠΎΡΡΠ΅ Π²ΠΈΠ΄Ρ Π»Π΅ΠΉΡΠΌΠ°Π½ΠΈΠΉ ΠΈΠ·ΠΌΠ΅Π½ΡΡΡ ΡΠΈΡΡΠ΅ΠΌΡ ΡΠΈΠ³Π½Π°Π»ΠΎΠ² ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³ΠΎΠ², ΠΏΠΎΠ΄Π°Π²Π»ΡΡΡ ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΡ ΡΠΈΡΠΎΠΊΠΈΠ½ΠΎΠ² ΠΈ ΠΌΠΈΠΊΡΠΎΠ±ΠΎΡΠΈΠ΄Π½ΡΡ ΠΌΠΎΠ»Π΅ΠΊΡΠ» (ΠΎΠΊΡΠΈΠ΄Π° Π°Π·ΠΎΡΠ°, Π°ΠΊΡΠΈΠ²Π½ΡΡ ΡΠΎΡΠΌ ΠΊΠΈΡΠ»ΠΎΡΠΎΠ΄Π°) ΠΈ Π½Π°ΡΡΡΠ°ΡΡ ΠΏΡΠ΅Π·Π΅Π½ΡΠ°ΡΠΈΡ Π°Π½ΡΠΈΠ³Π΅Π½Π° [119] .
ΠΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΠ΅ ΠΌΠ°ΠΊΡΠΎΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ° ΡΠ°Π³ΠΎΡΠΈΡΠ°ΠΌΠΈ
ΠΠ°ΠΊΡΠΎΡΠ°Π³ΠΈ ΠΈ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Ρ, Π² ΡΠ°ΡΡΠ½ΠΎΡΡΠΈ, ΠΈΠ³ΡΠ°ΡΡ ΡΠ΅Π½ΡΡΠ°Π»ΡΠ½ΡΡ ΡΠΎΠ»Ρ Π² Π²ΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΠΌ ΠΏΡΠΎΡΠ΅ΡΡΠ΅ ΠΏΡΡΡΠΌ Π²ΡΡΠ²ΠΎΠ±ΠΎΠΆΠ΄Π΅Π½ΠΈΡ Π±Π΅Π»ΠΊΠΎΠ² ΠΈ Π½ΠΈΠ·ΠΊΠΎΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΡΡ Π²ΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΡΡ ΠΌΠ΅Π΄ΠΈΠ°ΡΠΎΡΠΎΠ², ΠΊΠΎΡΠΎΡΡΠ΅ ΠΊΠΎΠ½ΡΡΠΎΠ»ΠΈΡΡΡΡ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΡ, Π½ΠΎ ΠΌΠΎΠ³ΡΡ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π°ΡΡ ΡΠΊΠ°Π½ΠΈ ΠΌΠ°ΠΊΡΠΎΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ°. Π ΠΎΠ±ΡΠ΅ΠΌ, ΡΠ΅Π»Ρ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ² β ΡΠ°Π·ΡΡΡΠ΅Π½ΠΈΠ΅ ΠΏΠ°ΡΠΎΠ³Π΅Π½ΠΎΠ² ΠΏΡΡΡΠΌ ΠΏΠΎΠ³Π»ΠΎΡΠ΅Π½ΠΈΡ ΠΈΡ ΠΈ ΠΏΠΎΡΠ»Π΅Π΄ΡΡΡΠ΅Π³ΠΎ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΡ Π½Π° Π½ΠΈΡ ΡΠΎΠΊΡΠΈΡΠ½ΡΠΌΠΈ Π²Π΅ΡΠ΅ΡΡΠ²Π°ΠΌΠΈ Π²Π½ΡΡΡΠΈ ΡΠ°Π³ΠΎΠ»ΠΈΠ·ΠΎΡΠΎΠΌ. ΠΡΠ»ΠΈ ΡΠ°Π³ΠΎΡΠΈΡ Π½Π΅ Π² ΡΠΎΡΡΠΎΡΠ½ΠΈΠΈ ΠΏΠΎΠ³Π»ΠΎΡΠΈΡΡ ΡΠ²ΠΎΡ ΡΠ΅Π»Ρ, ΡΡΠΈ ΡΠΎΠΊΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π°Π³Π΅Π½ΡΡ ΠΌΠΎΠ³ΡΡ Π±ΡΡΡ Π²ΡΠ΄Π΅Π»Π΅Π½Ρ Π² ΠΎΠΊΡΡΠΆΠ°ΡΡΡΡ ΡΡΠ΅Π΄Ρ (Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅ Π½Π°Π·ΡΠ²Π°Π΅ΡΡΡ Β«ΡΡΡΡΡΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΉ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ·Β»). Π’Π°ΠΊ ΠΊΠ°ΠΊ ΡΡΠΈ Π°Π³Π΅Π½ΡΡ ΡΠΎΠΊΡΠΈΡΠ½Ρ ΠΈ Π΄Π»Ρ ΠΊΠ»Π΅ΡΠΎΠΊ ΠΌΠ°ΠΊΡΠΎΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ°, ΠΎΠ½ΠΈ ΠΌΠΎΠ³ΡΡ Π²ΡΠ·Π²Π°ΡΡ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΠ΅ Π·Π΄ΠΎΡΠΎΠ²ΡΡ ΠΊΠ»Π΅ΡΠΎΠΊ ΠΈ ΡΠΊΠ°Π½Π΅ΠΉ [120] .
ΠΡΠ»ΠΈ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Ρ ΠΎΡΠ²ΠΎΠ±ΠΎΠΆΠ΄Π°ΡΡ ΡΠΎΠ΄Π΅ΡΠΆΠΈΠΌΠΎΠ΅ Π³ΡΠ°Π½ΡΠ» (Π°ΠΊΡΠΈΠ²Π½ΡΠ΅ ΡΠΎΡΠΌΡ ΠΊΠΈΡΠ»ΠΎΡΠΎΠ΄Π° ΠΈ ΠΏΡΠΎΡΠ΅Π°Π·Ρ ) Π² ΠΏΠΎΡΠΊΠ°Ρ , ΡΠΎ ΠΏΡΠΎΠΈΡΡ ΠΎΠ΄ΠΈΡ Π΄Π΅Π³ΡΠ°Π΄Π°ΡΠΈΡ Π²Π½Π΅ΠΊΠ»Π΅ΡΠΎΡΠ½ΠΎΠ³ΠΎ ΠΌΠ°ΡΡΠΈΠΊΡΠ° ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ°, ΡΡΠΎ ΠΌΠΎΠΆΠ΅Ρ ΠΏΡΠΈΠ²Π΅ΡΡΠΈ ΠΊ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΡ ΠΊΠ»ΡΠ±ΠΎΡΠΊΠΎΠ²ΡΡ ΠΊΠ»Π΅ΡΠΎΠΊ, Π²Π»ΠΈΡΡ Π½Π° ΠΈΡ ΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡΡ ΡΠΈΠ»ΡΡΡΠΎΠ²Π°ΡΡ ΠΊΡΠΎΠ²Ρ ΠΈ Π²ΡΠ·ΡΠ²Π°Ρ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ Π² ΠΈΡ ΡΠΎΡΠΌΠ΅. ΠΡΠΎΠΌΠ΅ ΡΠΎΠ³ΠΎ, ΠΏΡΠΎΠ΄ΡΠΊΡΡ ΡΠΎΡΡΠΎΠ»ΠΈΠΏΠ°Π·Ρ (Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, Π»Π΅ΠΉΠΊΠΎΡΡΠΈΠ΅Π½Ρ ) ΡΡΠΈΠ»ΠΈΠ²Π°ΡΡ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΠ΅. ΠΡΠΎ ΠΎΡΠ²ΠΎΠ±ΠΎΠΆΠ΄Π΅Π½ΠΈΠ΅ Π²Π΅ΡΠ΅ΡΡΠ² ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΡΠ΅Ρ Ρ Π΅ΠΌΠΎΡΠ°ΠΊΡΠΈΡΡ Π±ΠΎΠ»ΡΡΠ΅Π³ΠΎ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π° Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ² Π² Π·ΠΎΠ½Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ, ΠΈ ΠΊΠ»ΡΠ±ΠΎΡΠΊΠΎΠ²ΡΠ΅ ΠΊΠ»Π΅ΡΠΊΠΈ ΠΌΠΎΠ³ΡΡ Π±ΡΡΡ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½Ρ Π΅ΡΡ ΡΠΈΠ»ΡΠ½Π΅Π΅ ΠΏΡΡΡΠΌ ΠΏΡΠΈΠΊΡΠ΅ΠΏΠ»Π΅Π½ΠΈΡ ΠΌΠΎΠ»Π΅ΠΊΡΠ» ΠΏΡΠΈ ΠΌΠΈΠ³ΡΠ°ΡΠΈΠΈ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ². ΠΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΡ ΠΊΠ»ΡΠ±ΠΎΡΠΊΠΎΠ²ΡΡ ΠΊΠ»Π΅ΡΠΎΠΊ ΠΌΠΎΠΆΠ΅Ρ ΠΏΡΠΈΠ²Π΅ΡΡΠΈ ΠΊ ΠΏΠΎΡΠ΅ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ [121] .
ΠΠ΅ΠΉΡΡΠΎΡΠΈΠ»Ρ ΡΠ°ΠΊΠΆΠ΅ ΠΈΠ³ΡΠ°ΡΡ ΠΊΠ»ΡΡΠ΅Π²ΡΡ ΡΠΎΠ»Ρ Π² ΡΠ°Π·Π²ΠΈΡΠΈΠΈ Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²Π° ΡΠΎΡΠΌ ΠΎΡΡΡΠΎΠ³ΠΎ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΡ Π»ΡΠ³ΠΊΠΈΡ [122] . ΠΡΠΈ ΡΡΠΎΠΌ Π°ΠΊΡΠΈΠ²ΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Ρ Π²ΡΡΠ²ΠΎΠ±ΠΎΠΆΠ΄Π°ΡΡ ΡΠΎΠ΄Π΅ΡΠΆΠΈΠΌΠΎΠ΅ ΡΠ²ΠΎΠΈΡ ΡΠΎΠΊΡΠΈΡΠ½ΡΡ Π³ΡΠ°Π½ΡΠ» Π² Π»ΡΠ³ΠΊΠΈΡ [123] . ΠΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΡ ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΈ, ΡΡΠΎ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΠ΅ ΡΠΈΡΠ»Π° Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ² ΡΠ½ΠΈΠΆΠ°ΡΡ ΡΡΡΠ΅ΠΊΡΡ ΠΎΡΡΡΠΎΠ³ΠΎ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΡ Π»ΡΠ³ΠΊΠΈΡ [124] , Π½ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ ΠΏΠΎΠ΄Π°Π²Π»Π΅Π½ΠΈΠ΅ΠΌ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»ΠΎΠ² ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈ Π½Π΅ ΡΠ΅Π°Π»ΠΈΡΡΠΈΡΠ½ΠΎ, ΡΠ°ΠΊ ΠΊΠ°ΠΊ ΠΏΡΠΈ ΡΡΠΎΠΌ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌ ΡΡΠ°Π½ΠΎΠ²ΠΈΡΡΡ ΡΡΠ·Π²ΠΈΠΌ Π΄Π»Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΉ [123] . Π ΠΏΠ΅ΡΠ΅Π½ΠΈ , ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΠ΅ Π½Π΅ΠΉΡΡΠΎΡΠΈΠ»Π°ΠΌΠΈ ΠΌΠΎΠΆΠ΅Ρ ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΠΎΠ²Π°ΡΡ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΠΈ ΠΈ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΡ Π² ΠΎΡΠ²Π΅Ρ Π½Π° ΠΎΡΠ²ΠΎΠ±ΠΎΠΆΠ΄Π΅Π½ΠΈΠ΅ ΡΠ½Π΄ΠΎΡΠΎΠΊΡΠΈΠ½Π° , Π²ΡΠ΄Π΅Π»ΡΠ΅ΠΌΠΎΠ³ΠΎ Π±Π°ΠΊΡΠ΅ΡΠΈΠ΅ΠΉ, ΡΠ΅ΠΏΡΠΈΡ , ΡΡΠ°Π²ΠΌΡ, , ΠΈΡΠ΅ΠΌΠΈΡ ΠΈ Π³ΠΈΠΏΠΎΠ²ΠΎΠ»Π΅ΠΌΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠΎΠΊ Π² ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ΅ ΠΎΡΡΡΠΎΠΉ ΠΊΡΠΎΠ²ΠΎΠΏΠΎΡΠ΅ΡΠΈ [125] .
Π₯ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π²Π΅ΡΠ΅ΡΡΠ²Π°, Π²ΡΡΠ²ΠΎΠ±ΠΎΠΆΠ΄Π°Π΅ΠΌΡΠ΅ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³Π°ΠΌΠΈ, ΠΌΠΎΠ³ΡΡ ΡΠ°ΠΊΠΆΠ΅ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π°ΡΡ ΡΠΊΠ°Π½ΠΈ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌΠ°. Π€Π°ΠΊΡΠΎΡ Π½Π΅ΠΊΡΠΎΠ·Π° ΠΎΠΏΡΡ ΠΎΠ»ΠΈ -Ξ± (Π€ΠΠ-Ξ±) β Π²Π°ΠΆΠ½ΠΎΠ΅ Ρ ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π²Π΅ΡΠ΅ΡΡΠ²ΠΎ, Π²ΡΠ΄Π΅Π»ΡΠ΅ΠΌΠΎΠ΅ ΠΌΠ°ΠΊΡΠΎΡΠ°Π³Π°ΠΌΠΈ, ΠΊΠΎΡΠΎΡΠΎΠ΅ ΠΏΡΠΈΠ²ΠΎΠ΄ΠΈΡ ΠΊ ΡΠ²ΡΡΡΡΠ²Π°Π½ΠΈΡ ΠΊΡΠΎΠ²ΠΈ Π² ΠΌΠ΅Π»ΠΊΠΈΡ ΡΠΎΡΡΠ΄Π°Ρ , ΡΡΠΎ ΠΏΡΠ΅Π΄ΠΎΡΠ²ΡΠ°ΡΠ°Π΅Ρ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½ΠΈΠ΅ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ [126] . ΠΠ΄Π½Π°ΠΊΠΎ, Π΅ΡΠ»ΠΈ Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½Π°Ρ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΡ ΠΏΡΠΎΠ½ΠΈΠΊΠ°Π΅Ρ Π² ΠΊΡΠΎΠ²Ρ, Π€ΠΠ-Ξ± Π²ΡΠ΄Π΅Π»ΡΠ΅ΡΡΡ Π² ΠΆΠΈΠ·Π½Π΅Π½Π½ΠΎ Π²Π°ΠΆΠ½ΡΡ ΠΎΡΠ³Π°Π½Π°Ρ , Π³Π΄Π΅ ΠΌΠΎΠΆΠ΅Ρ Π²ΡΠ·Π²Π°ΡΡ Π²Π°Π·ΠΎΠ΄ΠΈΠ»Π°ΡΠ°ΡΠΈΡ ΠΈ ΡΠΌΠ΅Π½ΡΡΠΈΡΡ ΠΎΠ±ΡΡΠΌ ΠΏΠ»Π°Π·ΠΌΡ ; ΡΡΠΎ, Π² ΡΠ²ΠΎΡ ΠΎΡΠ΅ΡΠ΅Π΄Ρ, ΠΌΠΎΠΆΠ΅Ρ ΠΏΡΠΈΠ²Π΅ΡΡΠΈ ΠΊ ΡΠ΅ΠΏΡΠΈΡΠ΅ΡΠΊΠΎΠΌΡ ΡΠΎΠΊΡ . ΠΡΠΈ ΡΠ΅ΠΏΡΠΈΡΠ΅ΡΠΊΠΎΠΌ ΡΠΎΠΊΠ΅ Π²ΡΡΠ²ΠΎΠ±ΠΎΠΆΠ΄Π΅Π½ΠΈΠ΅ Π€ΠΠ-Ξ± Π²ΡΠ·ΡΠ²Π°Π΅Ρ Π±Π»ΠΎΠΊΠ°Π΄Ρ ΠΌΠ΅Π»ΠΊΠΈΡ ΡΠΎΡΡΠ΄ΠΎΠ², ΠΊΠΎΡΠΎΡΡΠ΅ ΡΠ½Π°Π±ΠΆΠ°ΡΡ ΠΊΡΠΎΠ²ΡΡ ΠΆΠΈΠ·Π½Π΅Π½Π½ΠΎ Π²Π°ΠΆΠ½ΡΠ΅ ΠΎΡΠ³Π°Π½Ρ, ΠΈ ΠΌΠΎΠΆΠ΅Ρ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΡΡΡ ΠΈΡ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΡ. Π‘Π΅ΠΏΡΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠΎΠΊ ΠΌΠΎΠΆΠ΅Ρ ΠΏΡΠΈΠ²Π΅ΡΡΠΈ ΠΊ ΡΠΌΠ΅ΡΡΠΈ [14] .
ΠΠ²ΠΎΠ»ΡΡΠΈΠΎΠ½Π½ΠΎΠ΅ ΠΏΡΠΎΠΈΡΡ ΠΎΠΆΠ΄Π΅Π½ΠΈΠ΅
Π€Π°Π³ΠΎΡΠΈΡΠΎΠ·, Π²Π΅ΡΠΎΡΡΠ½ΠΎ, ΠΏΠΎΡΠ²ΠΈΠ»ΡΡ Π½Π° ΡΠ°Π½Π½ΠΈΡ ΡΡΠ°ΠΏΠ°Ρ ΡΠ²ΠΎΠ»ΡΡΠΈΠΈ [127] , Π²ΠΏΠ΅ΡΠ²ΡΠ΅ Π²ΠΎΠ·Π½ΠΈΠΊΠ½ΡΠ² Ρ ΠΎΠ΄Π½ΠΎΠΊΠ»Π΅ΡΠΎΡΠ½ΡΡ ΡΡΠΊΠ°ΡΠΈΠΎΡ [128] . ΠΠΌΡΠ±Ρ β ΠΎΠ΄Π½ΠΎΠΊΠ»Π΅ΡΠΎΡΠ½ΡΠ΅ ΠΏΡΠΎΡΡΠ΅ΠΉΡΠΈΠ΅ , ΠΊΠΎΡΠΎΡΡΠ΅ ΠΎΡΠ΄Π΅Π»ΠΈΠ»ΠΈΡΡ ΠΎΡ Π΄Π΅ΡΠ΅Π²Π°, Π²Π΅Π΄ΡΡΠ΅Π³ΠΎ ΠΊ ΠΌΠ½ΠΎΠ³ΠΎΠΊΠ»Π΅ΡΠΎΡΠ½ΡΠΌ, Π½ΠΎ ΠΎΠ½ΠΈ ΠΏΠ΅ΡΠ΅Π΄Π°Π»ΠΈ ΠΌΠ½ΠΎΠΆΠ΅ΡΡΠ²ΠΎ ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠΈΡ ΡΡΠ½ΠΊΡΠΈΠΉ ΡΠ°Π³ΠΎΡΠΈΡΠ°ΡΠ½ΡΠΌ ΠΊΠ»Π΅ΡΠΊΠ°ΠΌ ΠΌΠ»Π΅ΠΊΠΎΠΏΠΈΡΠ°ΡΡΠΈΡ [128] . Π‘Π»ΠΈΠ·Π΅Π²ΠΈΠΊ Dictyostelium discoideum , Π½Π°ΠΏΡΠΈΠΌΠ΅Ρ, ΠΆΠΈΠ²ΡΡ Π² ΠΏΠΎΡΠ²Π΅ ΠΈ ΠΏΠΈΡΠ°Π΅ΡΡΡ Π±Π°ΠΊΡΠ΅ΡΠΈΡΠΌΠΈ. ΠΠ°ΠΊ ΠΈ ΡΠ°Π³ΠΎΡΠΈΡΡ ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ , ΠΎΠ½ ΠΏΠΎΠ³Π»ΠΎΡΠ°Π΅Ρ Π±Π°ΠΊΡΠ΅ΡΠΈΠΈ ΠΏΡΡΡΠΌ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ·Π° Π² ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΌ Ρ ΠΏΠΎΠΌΠΎΡΡΡ Toll-ΠΏΠΎΠ΄ΠΎΠ±Π½ΡΡ ΡΠ΅ΡΠ΅ΠΏΡΠΎΡΠΎΠ² [129] . ΠΠΌΡΠ±Ρ Dictyostelium discoideum ΡΠΎΡΠΈΠ°Π»ΡΠ½Ρ; ΠΎΠ½ΠΈ ΡΠ»ΠΈΠΏΠ°ΡΡΡΡ Π²ΠΌΠ΅ΡΡΠ΅, ΠΊΠΎΠ³Π΄Π° Π³ΠΎΠ»ΠΎΠ΄Π°ΡΡ, ΠΏΡΠ΅Π²ΡΠ°ΡΠ°ΡΡΡ Π² ΠΌΠΈΠ³ΡΠΈΡΡΡΡΠΈΠΉ ΠΏΡΠ΅Π²Π΄ΠΎΠΏΠ»Π°Π·ΠΌΠΎΠ΄ΠΈΠΉ. Π’Π°ΠΊΠΎΠΉ ΠΌΠ½ΠΎΠ³ΠΎΠΊΠ»Π΅ΡΠΎΡΠ½ΡΠΉ ΠΎΡΠ³Π°Π½ΠΈΠ·ΠΌ Π² ΠΈΡΠΎΠ³Π΅ ΠΎΠ±ΡΠ°Π·ΡΠ΅Ρ ΠΏΠ»ΠΎΠ΄ΠΎΠ²ΠΎΠ΅ ΡΠ΅Π»ΠΎ ΡΠΎ ΡΠΏΠΎΡΠ°ΠΌΠΈ, ΠΊΠΎΡΠΎΡΠΎΠ΅ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎ ΠΊ Π°Π³ΡΠ΅ΡΡΠΈΠΈ ΠΎΠΊΡΡΠΆΠ°ΡΡΠ΅ΠΉ ΡΡΠ΅Π΄Ρ. ΠΠ΅ΡΠ΅Π΄ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΏΠ»ΠΎΠ΄ΠΎΠ²ΡΡ ΡΠ΅Π» ΠΊΠ»Π΅ΡΠΊΠΈ ΠΌΠΎΠ³ΡΡ ΠΏΠ΅ΡΠ΅ΠΌΠ΅ΡΠ°ΡΡΡΡ ΠΊΠ°ΠΊ ΡΠ»ΠΈΠ·Π΅Π²ΠΈΠΊΠΈ Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ Π½Π΅ΡΠΊΠΎΠ»ΡΠΊΠΈΡ Π΄Π½Π΅ΠΉ. Π ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΡΡΠΎΠ³ΠΎ Π²ΡΠ΅ΠΌΠ΅Π½ΠΈ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅ ΡΠΎΠΊΡΠΈΠ½ΠΎΠ² ΠΈΠ»ΠΈ Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΡ ΠΏΠ°ΡΠΎΠ³Π΅Π½ΠΎΠ² ΠΌΠΎΠΆΠ΅Ρ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»ΡΡΡ ΠΎΠΏΠ°ΡΠ½ΠΎΡΡΡ Π΄Π»Ρ Π²ΡΠΆΠΈΠ²Π°Π½ΠΈΡ Π°ΠΌΡΠ±, ΠΎΠ³ΡΠ°Π½ΠΈΡΠΈΠ²Π°Ρ ΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠΏΠΎΡ. ΠΠ΅ΠΊΠΎΡΠΎΡΡΠ΅ Π°ΠΌΡΠ±Ρ ΠΏΠΎΠ³Π»ΠΎΡΠ°ΡΡ Π±Π°ΠΊΡΠ΅ΡΠΈΠΈ ΠΈ Π°Π±ΡΠΎΡΠ±ΠΈΡΡΡΡ ΠΈΡ ΡΠΎΠΊΡΠΈΠ½Ρ. Π ΠΊΠΎΠ½Π΅ΡΠ½ΠΎΠΌ ΠΈΡΠΎΠ³Π΅ ΡΡΠΈ Π°ΠΌΡΠ±Ρ ΠΏΠΎΠ³ΠΈΠ±Π°ΡΡ. ΠΠ½ΠΈ Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈ ΡΡ ΠΎΠΆΠΈ Ρ Π΄ΡΡΠ³ΠΈΠΌΠΈ Π°ΠΌΡΠ±Π°ΠΌΠΈ Π² Π»ΠΈΡΠΈΠ½ΠΊΠ΅ ΠΈ ΠΆΠ΅ΡΡΠ²ΡΡΡ ΡΠΎΠ±ΠΎΠΉ Π΄Π»Ρ Π·Π°ΡΠΈΡΡ Π΄ΡΡΠ³ΠΈΡ Π°ΠΌΡΠ± ΠΎΡ Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ, ΡΡΠΎ ΡΡ ΠΎΠΆΠ΅ Ρ ΡΠ°ΠΌΠΎΠΏΠΎΠΆΠ΅ΡΡΠ²ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΡΠ°Π³ΠΎΡΠΈΡΠΎΠ² ΠΈΠΌΠΌΡΠ½Π½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΠ°. Π’Π°ΠΊΠ°Ρ Π²ΡΠΎΠΆΠ΄ΡΠ½Π½Π°Ρ ΠΈΠΌΠΌΡΠ½Π½Π°Ρ ΡΡΠ½ΠΊΡΠΈΡ Ρ ΡΠΎΡΠΈΠ°Π»ΡΠ½ΡΡ Π°ΠΌΡΠ± ΠΏΡΠ΅Π΄ΠΏΠΎΠ»Π°Π³Π°Π΅Ρ, ΡΡΠΎ Π΄ΡΠ΅Π²Π½ΠΈΠΉ ΠΌΠ΅Ρ Π°Π½ΠΈΠ·ΠΌ ΠΏΠΎΠ³Π»ΠΎΡΠ΅Π½ΠΈΡ ΠΊΠ»Π΅ΡΠΎΠΊ ΠΌΠΎΠ³ Π±ΡΡΡ ΠΏΡΠΈΡΠΏΠΎΡΠΎΠ±Π»Π΅Π½ Π΄Π»Ρ Π·Π°ΡΠΈΡΠ½ΠΎΠΉ ΡΡΠ½ΠΊΡΠΈΡ Π·Π°Π΄ΠΎΠ»Π³ΠΎ Π΄ΠΎ ΠΏΠΎΡΠ²Π»Π΅Π½ΠΈΡ ΡΠ°Π·Π½ΠΎΠΎΠ±ΡΠ°Π·Π½ΡΡ ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ [130] , Π½ΠΎ ΠΈΡ ΠΎΠ±ΡΠ΅Π΅ ΠΏΡΠΎΠΈΡΡ ΠΎΠΆΠ΄Π΅Π½ΠΈΠ΅ Ρ ΡΠ°Π³ΠΎΡΠΈΡΠ°ΠΌΠΈ ΠΌΠ»Π΅ΠΊΠΎΠΏΠΈΡΠ°ΡΡΠΈΡ Π½Π΅ Π΄ΠΎΠΊΠ°Π·Π°Π½ΠΎ. Π€Π°Π³ΠΎΡΠΈΡΡ ΠΏΡΠΈΡΡΡΡΡΠ²ΡΡΡ Π²ΠΎ Π²ΡΡΠΌ ΠΆΠΈΠ²ΠΎΡΠ½ΠΎΠΌ ΡΠ°ΡΡΡΠ²Π΅ [4] , Π½Π°ΡΠΈΠ½Π°Ρ ΠΎΡ ΠΌΠΎΡΡΠΊΠΈΡ Π³ΡΠ±ΠΎΠΊ ΠΈ Π·Π°ΠΊΠ°Π½ΡΠΈΠ²Π°Ρ Π½Π°ΡΠ΅ΠΊΠΎΠΌΡΠΌΠΈ ΠΈ ΠΏΠΎΠ·Π²ΠΎΠ½ΠΎΡΠ½ΡΠΌΠΈ [131] [132] . Π‘ΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡΡ Π°ΠΌΡΠ± ΡΠ°Π·Π»ΠΈΡΠ°ΡΡ ΡΠ²ΠΎΠΈΡ ΠΈ ΡΡΠΆΠΈΡ ΡΡΠ°Π»Π° ΠΎΡΠ½ΠΎΠ²ΠΎΠΉ ΠΈΠΌΠΌΡΠ½Π½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ ΠΌΠ½ΠΎΠ³ΠΈΡ Π²ΠΈΠ΄ΠΎΠ² [8] .
See also
- ΠΠΌΠΌΡΠ½ΠΈΡΠ΅Ρ
Notes
- β Little, C., Fowler HW, Coulson J. The Shorter Oxford English Dictionary. β Oxford University Press (Guild Publishing), 1983. β P. 1566β1567.
- β 1 2 Thompson CB Apoptosis in the pathogenesis and treatment of disease. (Π°Π½Π³Π».) // Science (New York, NY). β 1995. β Vol. 267, no. 5203 . β P. 1456β1462. β PMID 7878464 .
- β 1 2 3 4 5 6 7 8 9 10 Gene Mayer. Immunology β Chapter One: Innate (non-specific) Immunity . Microbiology and Immunology On-Line Textbook . USC School of Medicine (2006). ΠΠ°ΡΠ° ΠΎΠ±ΡΠ°ΡΠ΅Π½ΠΈΡ 12 Π½ΠΎΡΠ±ΡΡ 2008. ΠΡΡ ΠΈΠ²ΠΈΡΠΎΠ²Π°Π½ΠΎ 23 Π°Π²Π³ΡΡΡΠ° 2011 Π³ΠΎΠ΄Π°.
- β 1 2 Delves, Martin, Burton, Roit, 2006 , p. 250.
- β Delves, Martin, Burton, Roit, 2006 , p. 251.
- β Ilya Mechnikov .
- β 1 2 Schmalstieg FC Jr. , Goldman AS Ilya Ilich Metchnikoff (1845-1915) and Paul Ehrlich (1854-1915): the centennial of the 1908 Nobel Prize in Physiology or Medicine. (Π°Π½Π³Π».) // Journal of medical biography. - 2008. - Vol. 16, no. 2 . β P. 96β103. β DOI : 10.1258/jmb.2008.008006 . β PMID 18463079 .
- β 1 2 Janeway C. A. Jr. Evolution of the innate immune system. .
- β 1 2 Ernst, Stendahl, 2006 , p. 186.
- β 1 2 Robinson, Babcock, 1998 , p. 187.
- β Ernst, Stendahl, 2006 , p. 7β10.
- β 1 2 Ernst, Stendahl, 2006 , p. 10.
- β 1 2 3 Hoffbrand, Pettit, Moss, 2005 , p. 331.
- β 1 2 3 Janeway C. A. Jr. Induced innate responses to infection .
- β 1 2 Fang FC Antimicrobial reactive oxygen and nitrogen species: concepts and controversies. (Π°Π½Π³Π».) // Nature reviews. Microbiology. β 2004. β Vol. 2, no. 10 . β P. 820β832. β DOI : 10.1038/nrmicro1004 . β PMID 15378046 .
- β 1 2 Janeway C. A. Jr. Antigen Presentation to T Lymphocytes .
- β Ambrose C. T. The Osler Slide, a Demonstration of Phagocytosis from 1876: Reports of Phagocytosis before Metchnikoff's 1880 Paper // Cellular Immunology. - 2006. - Vol. 240, no. 1. - P. 1-4. - ISSN 0008-8749 . - DOI : 10.1016 / j.cellimm.2006.05.008 .
- β Fetal and Neonatal Physiology. 5th edition / Ed. by R. A. Polin, S. H. Abman, D. H. Rowitch, W. E. Benitz, W. W. Fox. - Philadelphia: Elsevier Health Sciences, 2016 .-- xxxvii + 2050 p. - ISBN 978-0-323-35214-7 . - P. 1221.
- β Kaufmann S. H. E. Immunology's foundation: the 100-year anniversary of the Nobel Prize to Paul Ehrlich and Elie Metchnikoff // Nature Immunology. - 2008. - Vol. 9, no. 7. - P. 705-712. - ISSN 1529-2908 . - DOI : 10.1038 / ni0708-705 .
- β Delves, Martin, Burton, Roit, 2006 , p. 3.
- β Aterman K. Medals, memoirs - and Metchnikoff. (English) // Journal of leukocyte biology. - 1998. - Vol. 63, no. 4 . - P. 515-517. - PMID 9544583 .
- β Ilya Mechnikov . The Nobel Foundation. Date of treatment November 28, 2008. Archived February 10, 2012.
- β Delves, Martin, Burton, Roit, 2006 , p. 263.
- β Robinson, Babcock, 1998 , p. vii.
- β Ernst, Stendahl, 2006 , p. four.
- β Ernst, Stendahl, 2006 , p. 78.
- β 1 2 Hampton MB , Vissers MC , Winterbourn CC A single assay for measuring the rates of phagocytosis and bacterial killing by neutrophils. (English) // Journal of leukocyte biology. - 1994. - Vol. 55, no. 2 . - P. 147-152. - PMID 8301210 .
- β Delves, Martin, Burton, Roit, 2006 , p. 6-7.
- β Sompayrac, 2008 , p. 3.
- β Sompayrac, 2008 , p. 13-16.
- β Dale DC , Boxer L. , Liles WC The phagocytes: neutrophils and monocytes. (Eng.) // Blood. - 2008. - Vol. 112, no. 4 . - P. 935-945. - DOI : 10.1182 / blood-2007-12-077917 . - PMID 18684880 .
- β Dahlgren C. , Karlsson A. Respiratory burst in human neutrophils. (English) // Journal of immunological methods. - 1999. - Vol. 232, no. 1-2 . - P. 3-14. - PMID 10618505 .
- β Shatwell KP , Segal AW NADPH oxidase. (English) // The international journal of biochemistry & cell biology. - 1996. - Vol. 28, no. 11 . - P. 1191-1195. - PMID 9022278 .
- β Klebanoff SJ Myeloperoxidase. (Eng.) // Proceedings of the Association of American Physicians. - 1999. - Vol. 111, no. 5 . - P. 383-389. - PMID 10519157 .
- β Meyer KC Neutrophils, myeloperoxidase, and bronchiectasis in cystic fibrosis: green is not good. (English) // The Journal of laboratory and clinical medicine. - 2004. - Vol. 144, no. 3 . - P. 124-126. - PMID 15478278 .
- β Hoffbrand, Pettit, Moss, 2005 , p. 118.
- β Delves, Martin, Burton, Roit, 2006 , p. 6-10.
- β Schroder K. , Hertzog PJ , Ravasi T. , Hume DA Interferon-gamma: an overview of signals, mechanisms and functions. (English) // Journal of leukocyte biology. - 2004. - Vol. 75, no. 2 . - P. 163-189. - DOI : 10.1189 / jlb.0603252 . - PMID 14525967 .
- β Delves, Martin, Burton, Roit, 2006 , p. 188.
- β 1 2 Sompayrac, 2008 , p. 17.
- β Tipu HN , Ahmed TA , Ali S. , Ahmed D. , Waqar MA Chronic granulomatous disease. (English) // JPMA. The Journal of the Pakistan Medical Association. - 2008. - Vol. 58, no. 9 . - P. 516-518. - PMID 18846805 .
- β Kaplan J. , De Domenico I. , Ward DM Chediak-Higashi syndrome. (English) // Current opinion in hematology. - 2008. - Vol. 15, no. 1 . - P. 22-29. - DOI : 10.1097 / MOH.0b013e3282f2bcce . - PMID 18043242 .
- β Sompayrac, 2008 , p. 7.
- β de Almeida SM , Nogueira MB , Raboni SM , Vidal LR Laboratorial diagnosis of lymphocytic meningitis. (English) // The Brazilian journal of infectious diseases: an official publication of the Brazilian Society of Infectious Diseases. - 2007. - Vol. 11, no. 5 . - P. 489-495. - PMID 17962876 .
- β Sompayrac, 2008 , p. 22.
- β Sompayrac, 2008 , p. 63.
- β Apoptosis . Merriam-Webster Online Dictionary . Date of treatment March 19, 2009. Archived February 10, 2012.
- β Li MO , Sarkisian MR , Mehal WZ , Rakic ββP. , Flavell RA Phosphatidylserine receptor is required for clearance of apoptotic cells. (English) // Science (New York, NY). - 2003. - Vol. 302, no. 5650 . - P. 1560-1563. - DOI : 10.1126 / science.1087621 . - PMID 14645847 .
- β Wang X. , Wu YC , Fadok VA , Lee MC , Gengyo-Ando K. , Cheng LC , Ledwich D. , Hsu PK , Chen JY , Chou BK , Henson P. , Mitani S. , Xue D. Cell corpse engulfment mediated by C. elegans phosphatidylserine receptor through CED-5 and CED-12. (English) // Science (New York, NY). - 2003. - Vol. 302, no. 5650 . - P. 1563-1566. - DOI : 10.1126 / science.1087641 . - PMID 14645848 .
- β Savill J. , Gregory C. , Haslett C. Cell biology. Eat me or die. (English) // Science (New York, NY). - 2003. - Vol. 302, no. 5650 . - P. 1516-1517. - DOI : 10.1126 / science.1092533 . - PMID 14645835 .
- β Zhou Z. , Yu X. Phagosome maturation during the removal of apoptotic cells: receptors lead the way. (English) // Trends in cell biology. - 2008. - Vol. 18, no. 10 . - P. 474-485. - DOI : 10.1016 / j.tcb.2008.08.08.002 . - PMID 18774293 .
- β Sompayrac, 2008 , p. 44.
- β Sompayrac, 2008 , p. four.
- β Sompayrac, 2008 , p. 24-35.
- β Delves, Martin, Burton, Roit, 2006 , pp. 171-184.
- β Delves, Martin, Burton, Roit, 2006 , p. 456.
- β Timothy Lee. Antigen Presenting Cells (APC) . Immunology for 1st Year Medical Students . Dalhousie University (2004). Date of treatment November 12, 2008. Archived January 12, 2008.
- β Delves, Martin, Burton, Roit, 2006 , p. 161.
- β Sompayrac, 2008 , p. 8.
- β Delves, Martin, Burton, Roit, 2006 , p. 237-242.
- β Lange C. , DΓΌrr M. , Doster H. , Melms A. , Bischof F. Dendritic cell-regulatory T-cell interactions control self-directed immunity. (English) // Immunology and cell biology. - 2007. - Vol. 85, no. 8 . - P. 575-581. - DOI : 10.1038 / sj.icb.7100088 . - PMID 17592494 .
- β 1 2 Steinman, Ralph M. Dendritic Cells and Immune Tolerance . The Rockefeller University (2004). Date of treatment February 15, 2009. Archived February 10, 2012.
- β Romagnani S. Immunological tolerance and autoimmunity. (English) // Internal and emergency medicine. - 2006. - Vol. 1, no. 3 . - P. 187-196. - PMID 17120464 .
- β 1 2 Paoletti, Notario, Ricevuti, 1997 , p. 427.
- β Sompayrac, 2008 , p. 16-17.
- β Sompayrac, 2008 , p. 18-19.
- β Delves, Martin, Burton, Roit, 2006 , p. 6.
- β Zen K. , Parkos CA Leukocyte-epithelial interactions. (English) // Current opinion in cell biology. - 2003. - Vol. 15, no. 5 . - P. 557-564. - PMID 14519390 .
- β Sompayrac, 2008 , p. 79.
- β Hoffbrand, Pettit, Moss, 2005 , p. 117.
- β Delves, Martin, Burton, Roit, 2006 , p. 1-6.
- β Sompayrac, 2008 , p. 45.
- β Takahashi K. , Naito M. , Takeya M. Development and heterogeneity of macrophages and their related cells through their differentiation pathways. (English) // Pathology international. - 1996. - Vol. 46, no. 7 . - P. 473-485. - PMID 8870002 .
- β Krombach F. , MΓΌnzing S. , Allmeling AM , Gerlach JT , Behr J. , DΓΆrger M. Cell size of alveolar macrophages: an interspecies comparison. (Eng.) // Environmental health perspectives. - 1997. - Vol. 105 Suppl 5. - P. 1261-1263. - PMID 9400735 .
- β 1 2 3 4 Bowers William. Immunology -Chapter Thirteen: Immunoregulation . Microbiology and Immunology On-Line Textbook . USC School of Medicine (2006). Date of treatment November 14, 2008. Archived August 23, 2011.
- β Ernst, Stendahl, 2006 , p. 8.
- β Delves, Martin, Burton, Roit, 2006 , p. 156.
- β Delves, Martin, Burton, Roit, 2006 , p. 187.
- β StvrtinovΓ‘ Viera, JΓ‘n JakubovskΓ½ and Ivan HulΓn. Neutrophils, central cells in acute inflammation // Inflammation and Fever from Pathophysiology: Principles of Disease . - Computing Center, Slovak Academy of Sciences: Academic Electronic Press, 1995. - ISBN 80-967366-1-2 . Archived December 31, 2010 on the Wayback Machine
- β Delves, Martin, Burton, Roit, 2006 , p. four.
- β 1 2 Sompayrac, 2008 , p. eighteen.
- β Linderkamp O. , Ruef P. , Brenner B. , Gulbins E. , Lang F. Passive deformability of mature, immature, and active neutrophils in healthy and septicemic neonates. (English) // Pediatric research. - 1998. - Vol. 44, no. 6 . - P. 946-950. - DOI : 10.1203 / 00006450-199812000-00021 . - PMID 9853933 .
- β Paoletti, Notario, Ricevuti, 1997 , p. 62.
- β Soehnlein O. , Kenne E. , Rotzius P. , Eriksson EE , Lindbom L. Neutrophil secretion products regulate anti-bacterial activity in monocytes and macrophages. (English) // Clinical and experimental immunology. - 2008. - Vol. 151, no. 1 . - P. 139-145. - DOI : 10.1111 / j.1365-2249.2007.03532.x . - PMID 17991288 .
- β Soehnlein O. , Kai-Larsen Y. , Frithiof R. , Sorensen OE , Kenne E. , Scharffetter-Kochanek K. , Eriksson EE , Herwald H. , Agerberth B. , Lindbom L. Neutrophil primary granule proteins HBP and HNP1- 3 boost bacterial phagocytosis by human and murine macrophages. (English) // The Journal of clinical investigation. - 2008. - Vol. 118, no. 10 . - P. 3491-3502. - DOI : 10.1172 / JCI35740 . - PMID 18787642 .
- β Steinman RM , Cohn ZA Identification of a novel cell type in peripheral lymphoid organs of mice. I. Morphology, quantitation, tissue distribution. (English) // The Journal of experimental medicine. - 1973. - Vol. 137, no. 5 . - P. 1142-1162. - PMID 4573839 .
- β Steinman Ralph. Dendritic Cells . The Rockefeller University. Date of treatment November 14, 2008. Archived February 10, 2012.
- β Guermonprez P. , Valladeau J. , Zitvogel L. , ThΓ©ry C. , Amigorena S. Antigen presentation and T cell stimulation by dendritic cells. (Eng.) // Annual review of immunology. - 2002. - Vol. 20. - P. 621-667. - DOI : 10.1146 / annurev.immunol.20.100301.064828 . - PMID 11861614 .
- β Hoffbrand, Pettit, Moss, 2005 , p. 134.
- β Sallusto F. , Lanzavecchia A. The instructive role of dendritic cells on T-cell responses. (English) // Arthritis research. - 2002. - Vol. 4 Suppl 3. - P. 127-132. - DOI : 10.1186 / ar567 . - PMID 12110131 .
- β Sompayrac, 2008 , pp. 42β46.
- β Steinman Ralph. Dendritic Cells . The Rockefeller University. Date of treatment November 16, 2008. Archived February 10, 2012.
- β Stelekati E. , Orinska Z. , Bulfone-Paus S. Mast cells in allergy: innate instructors of adaptive responses. (English) // Immunobiology. - 2007. - Vol. 212, no. 6 . - P. 505-519. - DOI : 10.1016 / j.imbio.2007.03.03.012 . - PMID 17544835 .
- β 1 2 Malaviya R. , Abraham SN Mast cell modulation of immune responses to bacteria. (English) // Immunological reviews. - 2001. - Vol. 179. - P. 16-24. - PMID 11292019 .
- β Connell I. , Agace W. , Klemm P. , Schembri M. , MΔrild S. , Svanborg C. Type 1 fimbrial expression enhances Escherichia coli virulence for the urinary tract. (Eng.) // Proceedings of the National Academy of Sciences of the United States of America. - 1996. - Vol. 93, no. 18 . - P. 9827-9832. - PMID 8790416 .
- β Malaviya R. , Twesten NJ , Ross EA , Abraham SN , Pfeifer JD Mast cells process bacterial Ags through a phagocytic route for class I MHC presentation to T cells. (English) // Journal of immunology (Baltimore, Md.: 1950). - 1996. - Vol. 156, no. 4 . - P. 1490-1496. - PMID 8568252 .
- β Taylor ML , Metcalfe DD Mast cells in allergy and host defense. (English) // Allergy and asthma proceedings. - 2001. - Vol. 22, no. 3 . - P. 115-119. - PMID 11424870 .
- β Birge RB , Ucker DS Innate apoptotic immunity: the calming touch of death. (English) // Cell death and differentiation. - 2008. - Vol. 15, no. 7 . - P. 1096-1102. - DOI : 10.1038 / cdd.2008.58 . - PMID 18451871 .
- β Couzinet S. , Cejas E. , Schittny J. , Deplazes P. , Weber R. , Zimmerli S. Phagocytic uptake of Encephalitozoon cuniculi by nonprofessional phagocytes. (English) // Infection and immunity. - 2000. - Vol. 68, no. 12 . - P. 6939-6945. - PMID 11083817 .
- β Segal G. , Lee W. , Arora PD , McKee M. , Downey G. , McCulloch CA Involvement of actin filaments and integrins in the binding step in collagen phagocytosis by human fibroblasts. (English) // Journal of cell science. - 2001. - Vol. 114, no. Pt 1 . - P. 119-129. - PMID 11112696 .
- β Rabinovitch M. Professional and non-professional phagocytes: an introduction. (English) // Trends in cell biology. - 1995. - Vol. 5, no. 3 . - P. 85-87. - PMID 14732160 .
- β 1 2 3 4 5 Todar Kenneth. Mechanisms of Bacterial Pathogenicity: Bacterial Defense Against Phagocytes . 2008. Date of treatment December 10, 2008. Archived February 10, 2012.
- β Alexander J. , Satoskar AR , Russell DG Leishmania species: models of intracellular parasitism. (English) // Journal of cell science. - 1999. - Vol. 112 Pt 18. - P. 2993-3002. - PMID 10462516 .
- β Celli J. , Finlay BB Bacterial avoidance of phagocytosis. (English) // Trends in microbiology. - 2002. - Vol. 10, no. 5 . - P. 232-237. - PMID 11973157 .
- β Valenick LV , Hsia HC , Schwarzbauer JE Fibronectin fragmentation promotes alpha4beta1 integrin-mediated contraction of a fibrin-fibronectin provisional matrix. (English) // Experimental cell research. - 2005. - Vol. 309, no. 1 . - P. 48β55. - DOI : 10.1016 / j.yexcr.2005.05.0.024 . - PMID 15992798 .
- β Burns SM , Hull SI Loss of resistance to ingestion and phagocytic killing by O (-) and K (-) mutants of a uropathogenic Escherichia coli O75: K5 strain. (English) // Infection and immunity. - 1999. - Vol. 67, no. 8 . - P. 3757-3762. - PMID 10417134 .
- β Vuong C. , Kocianova S. , Voyich JM , Yao Y. , Fischer ER , DeLeo FR , Otto M. A crucial role for exopolysaccharide modification in bacterial biofilm formation, immune evasion, and virulence. (English) // The Journal of biological chemistry. - 2004. - Vol. 279, no. 52 . - P. 54881-54886. - DOI : 10.1074 / jbc.M411374200 . - PMID 15501828 .
- β Melin M. , Jarva H. , Siira L. , Meri S. , KΓ€yhty H. , VΓ€kevΓ€inen M. Streptococcus pneumoniae capsular serotype 19F is more resistant to C3 deposition and less sensitive to opsonophagocytosis than serotype 6B. (English) // Infection and immunity. - 2009. - Vol. 77, no. 2 . - P. 676-684. - DOI : 10.1128 / IAI.01186-08 . - PMID 19047408 .
- β 1 2 Foster TJ Immune evasion by staphylococci. (Eng.) // Nature reviews. Microbiology. - 2005. - Vol. 3, no. 12 . - P. 948-958. - DOI : 10.1038 / nrmicro1289 . - PMID 16322743 .
- β Sansonetti P. Phagocytosis of bacterial pathogens: implications in the host response. (English) // Seminars in immunology. - 2001. - Vol. 13, no. 6 . - P. 381-390. - DOI : 10.1006 / smim.2001.0335 . - PMID 11708894 .
- β Dersch P. , Isberg RR A region of the Yersinia pseudotuberculosis invasin protein enhances integrin-mediated uptake into mammalian cells and promotes self-association. (Eng.) // The EMBO journal. - 1999. - Vol. 18, no. 5 . - P. 1199-1213. - DOI : 10.1093 / emboj / 18.5.1199 . - PMID 10064587 .
- β Antoine JC , Prina E. , Lang T. , Courret N. The biogenesis and properties of the parasitophorous vacuoles that harbor Leishmania in murine macrophages. (English) // Trends in microbiology. - 1998. - Vol. 6, no. 10 . - P. 392-401. - PMID 9807783 .
- β Masek Katherine S., Christopher A. Hunter. Eurekah Bioscience Collection: Evasion of Phagosome Lysosome Fusion and Establishment of a Replicative Organelle by the Intracellular Pathogen Legionella pneumophila . - Landes Bioscience, 2007.
- β Das D. , Saha SS , Bishayi B. Intracellular survival of Staphylococcus aureus: correlating production of catalase and superoxide dismutase with levels of inflammatory cytokines. (Eng.) // Inflammation research: official journal of the European Histamine Research Society ... [et al.]. - 2008. - Vol. 57, no. 7 . - P. 340β349. - DOI : 10.1007 / s00011-007-7206-z . - PMID 18607538 .
- β Hara H. , Kawamura I. , Nomura T. , Tominaga T. , Tsuchiya K. , Mitsuyama M. Cytolysin-dependent escape of the bacterium from the phagosome is required but not sufficient for induction of the Th1 immune response against Listeria monocytogenes infection : distinct role of Listeriolysin O determined by cytolysin gene replacement. (English) // Infection and immunity. - 2007. - Vol. 75, no. 8 . - P. 3791-3801. - DOI : 10.1128 / IAI.01779-06 . - PMID 17517863 .
- β Datta V. , Myskowski SM , Kwinn LA , Chiem DN , Varki N. , Kansal RG , Kotb M. , Nizet V. Mutational analysis of the group A streptococcal operon encoding streptolysin S and its virulence role in invasive infection. (English) // Molecular microbiology. - 2005. - Vol. 56, no. 3 . - P. 681-695. - DOI : 10.1111 / j.1365-2958.2005.04583.x . - PMID 15819624 .
- β Iwatsuki K. , Yamasaki O. , Morizane S. , Oono T. Staphylococcal cutaneous infections: invasion, evasion and aggression. (English) // Journal of dermatological science. - 2006. - Vol. 42, no. 3 . - P. 203-214. - DOI : 10.1016 / j.jdermsci.2006.03.011 . - PMID 16679003 .
- β Denkers EY , Butcher BA Sabotage and exploitation in macrophages parasitized by intracellular protozoans. (English) // Trends in parasitology. - 2005. - Vol. 21, no. 1 . - P. 35-41. - DOI : 10.1016 / j.pt.2004.10.004 . - PMID 15639739 .
- β Gregory DJ , Olivier M. Subversion of host cell signaling by the protozoan parasite Leishmania. (English) // Parasitology. - 2005. - Vol. 130 Suppl. - P. 27-35. - DOI : 10.1017 / S0031182005008139 . - PMID 16281989 .
- β Paoletti, Notario, Ricevuti, 1997 , p. 426-430.
- β Heinzelmann M. , Mercer-Jones MA , Passmore JC Neutrophils and renal failure. (English) // American journal of kidney diseases: the official journal of the National Kidney Foundation. - 1999. - Vol. 34, no. 2 . - P. 384-399. - DOI : 10.1053 / AJKD03400384 . - PMID 10430993 .
- β Lee WL , Downey GP Neutrophil activation and acute lung injury. (English) // Current opinion in critical care. - 2001. - Vol. 7, no. 1 . - P. 1-7. - PMID 11373504 .
- β 1 2 Moraes TJ , Zurawska JH , Downey GP Neutrophil granule contents in the pathogenesis of lung injury. (English) // Current opinion in hematology. - 2006. - Vol. 13, no. 1 . - P. 21-27. - PMID 16319683 .
- β Abraham E. Neutrophils and acute lung injury. (English) // Critical care medicine. - 2003. - Vol. 31, no. 4 Suppl . - P. 195-199. - DOI : 10.1097 / 01.CCM.0000057843.47705.E8 . - PMID 12682440 .
- β Ricevuti G. Host tissue damage by phagocytes. (Eng.) // Annals of the New York Academy of Sciences. - 1997. - Vol. 832. - P. 426-448. - PMID 9704069 .
- β Charley B. , Riffault S. , Van Reeth K. Porcine innate and adaptive immune responses to influenza and coronavirus infections. (Eng.) // Annals of the New York Academy of Sciences. - 2006. - Vol. 1081. - P. 130-136. - DOI : 10.1196 / annals.1373.014 . - PMID 17135502 .
- β Sompayrac, 2008 , p. one.
- β 1 2 Cosson P. , Soldati T. Eat, kill or die: when amoeba meets bacteria. (English) // Current opinion in microbiology. - 2008. - Vol. 11, no. 3 . - P. 271-276. - DOI : 10.1016 / j.mib.2008.05.05.005 . - PMID 18550419 .
- β Bozzaro S. , Bucci C. , Steinert M. Phagocytosis and host-pathogen interactions in Dictyostelium with a look at macrophages. (English) // International review of cell and molecular biology. - 2008. - Vol. 271. - P. 253-300. - DOI : 10.1016 / S1937-6448 (08) 01206-9 . - PMID 19081545 .
- β Chen G. , Zhuchenko O. , Kuspa A. Immune-like phagocyte activity in the social amoeba. (English) // Science (New York, NY). - 2007. - Vol. 317, no. 5838 . - P. 678-681. - DOI : 10.1126 / science.1143991 . - PMID 17673666 .
- β Delves, Martin, Burton, Roit, 2006 , pp. 251-252.
- β Hanington PC , Tam J. , Katzenback BA , Hitchen SJ , Barreda DR , Belosevic M. Development of macrophages of cyprinid fish. (English) // Developmental and comparative immunology. - 2009. - Vol. 33, no. 4 . - P. 411-429. - DOI : 10.1016 / j.dci.2008.11.004 . - PMID 19063916 .
Literature
- Delves PJ, Martin SJ, Burton DR, Roit IM Roitt's Essential Immunology. - 11th edition. - Malden, MA: Blackwell Publishing, 2006 .-- ISBN 1405136030 .
- Phagocytosis of Bacteria and Bacterial Pathogenicity / Ernst JD, Stendahl O. - N. Y .: Cambridge University Press, 2006 .-- ISBN 0521845696 .
- Hoffbrand AV, Pettit JE, Moss PAH Essential Haematology. - 4th edition. - L .: Blackwell Science, 2005 .-- ISBN 0632051531 .
- Janeway CA, Murphy KM, Travers P., Walport M. Immunobiology. - 5th edition. - N. Y .: Garland Science, 2001 .-- ISBN 081533642X .
- Phagocytes: Biology, Physiology, Pathology, and Pharmacotherapeutics / Paoletti R., Notario A., Ricevuti G. - N. Y .: The New York Academy of Sciences, 1997. - ISBN 1573311022 .
- Phagocyte Function - A guide for research and clinical evaluation / Robinson JP, Babcock GF - N. Y .: Wiley β Liss, 1998 .-- ISBN 0471123641 .
- Sompayrac L. How the Immune System Works. - 3rd edition. - Malden, MA: Blackwell Publishing, 2008 .-- ISBN 9781405162210 .