Нейтрофил как «многофункциональное устройство» иммунной системы
- Авторы: Долгушин И.И.1, Мезенцева Е.А.1, Савочкина А.Ю.1, Кузнецова Е.К.2
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Учреждения:
- Южно-Уральский государственный медицинский университет МЗ РФ
- Оренбургский государственный медицинский университет МЗ РФ
- Выпуск: Том 9, № 1 (2019)
- Страницы: 9-38
- Раздел: ОБЗОРЫ
- Дата подачи: 03.07.2018
- Дата принятия к публикации: 22.03.2019
- Дата публикации: 05.04.2019
- URL: https://iimmun.ru/iimm/article/view/712
- DOI: https://doi.org/10.15789/2220-7619-2019-1-9-38
- ID: 712
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Аннотация
За последние 2–3 десятилетия благодаря использованию новых технологий было значительно расширено представление о спектре функциональных возможностей нейтрофильных гранулоцитов. Детально изучен их эффекторный потенциал в отношении инфекционных агентов, включающий фагоцитоз, продукцию активных форм кислорода и азота, дегрануляцию с высвобождением многочисленных ферментов и антимикробных пептидов, образование внеклеточных ловушек. При этом установлено, что многие их тех факторов, которые нейтрофилы используют для прямого уничтожения патогенов, оказывают регулирующее влияние в отношении других клеток иммунной системы и самих нейтрофилов. Кроме того, при активации нейтрофилы способны синтезировать ряд биологически активных молекул de novo. Реализация иммунорегуляторного влияния нейтрофилов в отношении макрофагов, дендритных клеток, Т-лимфоцитов и В-лимфоцитов может происходить как путем прямого межклеточного контакта, так и опосредовано через продукцию цитокинов и других биологически активных медиаторов. Амбивалентное — как хелперное, так и супрессорное — воздействие нейтрофилов на клетки иммунной системы свидетельствует об их важной роли как в условиях гомеостаза, так и при различных видах патологии, в частности при развитии злокачественных опухолей. Способность нейтрофильных гранулоцитов проявлять разнообразные, порой даже антагонистические варианты воздействия на иммунные клетки и клетки других тканей, свидетельствует об их функциональной пластичности и, вероятно, гетерогенности. При этом вектор активности, проявляемой нейтрофилами, во многом зависит от того микроокружения, в котором они оказываются, выходя из периферического кровотока. Традиционно считаясь индукторами воспалительной реакции, нейтрофилы демонстрируют способность параллельно включать механизмы, способствующие ограничению и разрешению воспаления. Благодаря интравитальной микроскопии в моделях на животных установлена способность нейтрофилов возвращаться в кровоток после выхода во внесосудистое пространство, что бросает вызов классической концепции однонаправленности миграции нейтрофилов из сосудистого русла в ткани. Также получены доказательства, что в определенных условиях нейтрофилы могут проявлять себя как антиген-презентирующие клетки по отношению к Т-лимфоцитам и рекрутироваться из сайтов воспаления в дренирующие лимфатические узлы. И хотя многие данные получены в условиях in vitro или в моделях на животных и поэтому требуют дополнительного изучения и подтверждения, однозначно можно констатировать, что влияние нейтрофилов не ограничивается рамками системы врожденного иммунитета.
Об авторах
И. И. Долгушин
Южно-Уральский государственный медицинский университет МЗ РФ
Email: xxx@mail.ru
Долгушин Илья Ильич - доктор медицинских наук, профессор, Президент ФГБОУ ВО ЮУГМУ Минздрава России, заведующий кафедрой микробиологии, вирусологии, иммунологии и клинической лабораторной диагностики.
454092, Челябинск, ул. Воровского, 64.
РоссияЕ. А. Мезенцева
Южно-Уральский государственный медицинский университет МЗ РФ
Email: xxx@mail.ru
Кандидат медицинских наук, доцент кафедры микробиологии, вирусологии, иммунологии и клинической лабораторной диагностики ФГБОУ ВО ЮУГМУ Минздрава России.
454092, Челябинск, ул. Воровского, 64.
РоссияА. Ю. Савочкина
Южно-Уральский государственный медицинский университет МЗ РФ
Email: alina7423@mail.ru
Савочкина Альбина Юрьевна - доктор медицинских наук, доцент, профессор кафедры микробиологии, вирусологии, иммунологии и клинической лабораторной диагностики ФГБОУ ВО ЮУГМУ Минздрава России.
Россия, 454092, Челябинск, ул. Воровского, 64.
Е. К. Кузнецова
Оренбургский государственный медицинский университет МЗ РФ
Автор, ответственный за переписку.
Email: xxx@mail.ru
Кандидат медицинских наук, ассистент кафедры кожных и венерических болезней.
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